Potential Claim Inquiry

<body topmargin=0 leftmargin=0 marginheight=0 marginwidth=0> <table cellpadding=0 cellspacing=0 border=0><tr> <td valign="top" colspan=2 height=90 BGCOLOR="#006699" TEXT="#080000" bgproperties="fixed" background="074285a1erlcgo.png"> <div> <FONT SIZE="5" COLOR="#FFCC66" FACE="Arial" ><B>Gordon R. Leech, Wisconsin Fair Credit, Injury & Employment Attorney</B></FONT><B>    </B><B> |     </B><A HREF="index.htm" TARGET="_top" TITLE="Gordon R. Leech, Wisconsin Fair Credit, "><U><B>home</B></U></A></div> <div> <B>Potential Claim Inquiry</B>   |   <A HREF="attorney_gordon_leech_biography.htm" TARGET="_top" TITLE="Attorney Gordon Leechs Biography"><U>Attorney Gordon Leech's Biography</U></A>   |   <A HREF="credit_report_disputes__what_to_do__know_your_rights.htm" TARGET="_top" TITLE="Credit Report Disputes Claims"><U>Credit Report Disputes & Claims</U></A>   |   <A HREF="id36.htm" TARGET="_top" TITLE="Identity Theft"><U>Identity Theft</U></A>   |   <A HREF="debt_collection_violations.htm" TARGET="_top" TITLE="Debt Collection Violations"><U>Debt Collection Violations</U></A>   |   <A HREF="your_rights_when_credit_card_bills_have_errors.htm" TARGET="_top" TITLE="Credit Card Billing Errors"><U>Credit Card Billing Errors</U></A>   |   <A HREF="workers_rights_in_wisconsin___federal_law.htm" TARGET="_top" TITLE="Your Rights In The Workplace"><U>Your Rights In The Workplace</U></A>   |   <A HREF="your_employment_rights_in_wisconsin__overtime_pay.htm" TARGET="_top" TITLE="Employment Claims"><U>Employment Claims</U></A>   |   <A HREF="id40.htm" TARGET="_top" TITLE="Unpaid Wage Claims"><U>Unpaid Wage Claims</U></A>   |   <A HREF="wisconsin_workers_compensation_claim_information.htm" TARGET="_top" TITLE="Work Injury Claims"><U>Work Injury Claims</U></A>   |   <A HREF="reemployment_rights_of_uniformed_service_members.htm" TARGET="_top" TITLE="Reemployment Rights of Uniformed Service"><U>Reemployment Rights of Uniformed Service Members</U></A>   |   <A HREF="auto_fraud___deceptive_practices.htm" TARGET="_top" TITLE="Auto Fraud"><U>Auto Fraud</U></A>   |   <A HREF="how_to_protect_your_rights.htm" TARGET="_top" TITLE="How to Protect Your Rights"><U>How to Protect Your Rights</U></A>   |   <A HREF="workplace___consumer_news.htm" TARGET="_top" TITLE="News"><U>News</U></A>   |   <A HREF="helpful_links.htm" TARGET="_top" TITLE="Helpful Links"><U>Helpful Links</U></A>   |   <A HREF="id33.htm" TARGET="_top" TITLE="File Share"><U>File Share</U></A>   |   <A HREF="id34.htm" TARGET="_top" TITLE="Newsletter"><U>Newsletter</U></A>   |   <A HREF="id35.htm" TARGET="_top" TITLE="Downloads"><U>Downloads</U></A></div> <div> </div> </td> </tr><tr> <td valign="top" width=210 BGCOLOR="#FFCC66" TEXT="#080000" background="073d2c00dkelyh.png"> <div> Samster, Konkel & Safran, SC</div> <div> 1110 N. Old World Third St. #405</div> <div> Milwaukee, WI 53203</div> <div> Tel: 414-224-0400</div> <bR> <div> My Other Sites:</div> <div> <A HREF="http://www.myfaircredit.com" TARGET="_top" TITLE="http://www.myfaircredit.com"><U>www.MyFairCredit.com</U></A>, information on your consumer rights relating to Fair Credit Reporting and Obtaining Your Credit Reports.</div> <bR> <div> <A HREF="http://www.myfairdebt.com" TARGET="_top" TITLE="http://www.myfairdebt.com"><U>www.MyFairDebt.com</U></A>, information on your consumer rights relating to Fair Debt Collection.</div> <bR> <div> <A HREF="http://www.skslawyers.com" TARGET="_top" TITLE="http://www.skslawyers.com"><U>www.skslawyers.com</U></A>, information on the law firm of Samster, Konkel & Safran</div> <bR> <div> <B>Potential claim?  </B><A HREF="potential_claim_inquiry.htm" TARGET="_top" TITLE="Potential Claim Inquiry"><U><B>Click Here</B></U></A><B>.</B></div> <bR> <div> <B>Want to see our newsletter?  </B><A HREF="id34.htm" TARGET="_top" TITLE="Newsletter"><U><B>Click Here</B></U></A><B>.</B></div> </td> <td valign="top" height=390 BGCOLOR="#FFFFFF" TEXT="#080000"> <div> <I>Potential Claim Inquiry</I></div> <div> You can send me information about your claim for me to review by completing a Confidential Claim Inquiry form.  You can click on the "Print & Mail or Fax" option below to print out and mail or fax me the form, or you can click on the "Submit Online" option below to complete the form and send it to me through your email account.</div> <bR> <div> You need the Adobe Acrobat Reader (version 5 or above) to access the print version of this form.  You need the most recent version 7 to submit this form online.  If you need to get this program or to update your version, you can get do so for free from Adobe at <A HREF="http://www.adobe.com/products/acrobat/readstep2.html" TARGET="_top" TITLE="http://www.adobe.com/products/acrobat/re"><U>http://www.adobe.com/products/acrobat/readstep2.html</U></A>.  Please download or update Adobe Acrobat Reader before attempting to download and print or to submit this form online.</div> <bR> <div> <B>Disclaimer: By submitting this form, you acknowledge and agree that you are not seeking legal advice and that the attorney and firm will not be providing legal advice to you at this time. The attorney and firm will use the information you provide to determine whether it wishes to have further communication with you for the purpose of evaluating a possible claim and deciding whether this attorney and firm would consider representing you.</B></div> <bR> <div>  <a href="HTMLobj-121/General_Claim_Inquiry_Print_Ready.pdf"><u>Print & Mail or Fax</u> </a>  </div> <bR> <div>  <a href="HTMLobj-131/General_Claim_Inquiry.pdf"><u>Submit Online</u> </a>  </div> <bR> <DIV ALIGN="LEFT"></DIV> <div> Attorney Gordon R. Leech</div> <div> Samster, Konkel & Safran, SC</div> <div> 1110 N. Old World Third St., Suite 405</div> <div> Milwaukee, WI 53203</div> <div> Tel: 414-224-0400</div> <div> Email: <A HREF="mailto:gleech@attorneyleech.com" TARGET="_top" TITLE="mailto:gleech@attorneyleech.com"><U>gleech@AttorneyLeech.com</U></A></div> <div> Web: www.AttorneyLeech.com; <A HREF="http://www.myfaircredit.com" TARGET="_top" TITLE="http://www.myfaircredit.com"><U>www.MyFairCredit.com</U></A>; <A HREF="http://www.skslawyers.com" TARGET="_top" TITLE="http://www.skslawyers.com"><U>www.SKSLawyers.com</U></A></div> <bR> </td> </tr></table></body>