THE KIENBAUM LAW GROUP, P.C.

ADR Options Form
If a dispute has occurred and you are considering ADR options, please us this form to give us some preliminary information so we can better respond to your inquiry. Our office is available to contact the other party to explore ADR choices.

Your Information
Name:
Address:
Floor/Apt/Suite:
City:
State:
Zip:
Telephone:
Fax:
E-mail:	(Required)
How would you like to be contacted?	Telephone Fax Postal Mail E-mail
Nature of the case	Contract/Transaction Discrimination Labor Relations Litigation Personal Problem Personnel Advice Termination Other Unsure
Comments:
(Your form will not be processed until you click submit)