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Was your property directly impacted by the Eaton or Hurst Fire?

Eaton Hurst None/Other

Was your property directly impacted by the Pacific Palisades Fire?

Yes No

What type of damage occurred?

Fire Smoke Ash Other

What type of damage occurred?

Fire Smoke Ash Other

What type of damage occurred?

Fire Smoke Ash Other

Was there any loss or damage to personal belongings?

Yes No

Did you or a family member suffer injuries or loss of life due to the fire?

Yes No

Did you or a family member suffer injuries or loss of life due to the fire?

Yes No

If yes, briefly describe the injury or loss:

Do you have any legal issues to discuss?

Yes No

Do you have any legal issues to discuss?

Yes No

Do you have any legal issues to discuss?

Yes No

Briefly describe your legal case

Full Name

Email Address

Phone Number

Los Angeles Office