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Claim placement form
To send a forwarding contract to the law firm you've selected, please complete the information below.

A copy of your placement information will be retained by International Lawyers Co. to register your claim with our bond. For details about our bond visit the "Services" page.


You are preparing to submit a claim.

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We didn't find any firms matching the information you provided.
Attorney:The information provided below will be sent to the following attorney.
Attorney Name
Creditor:
 Claim Number
 Amount of Claim*
 Creditor Name
Debtor:
 Debtor Name*
 Contact
 City
 State
Information about you:Please provide detail on your company.
 Contact/Name*
 Email*
 Company*
 Street*
 City*
 State*
 Zip*
 Telephone*
 Fax
 Collection RatesPlease enter the contingency fee rates being offered in the field below. Use the example as a guide for entering your rates. Note: If no contingency fee rates are entered, they will default to normal, commercial rates, as shown in the example below. .

Example
Prior to suit: 20% on first $300, 18% on the next $1,700 collected; and 13% over $2000.
Suit fee: up to 10%, with the % portion contingent or non-contingent agreed to prior to suit. Consumer claims could be as much as 33% of amount collected. Creditor is responsible for all approved court costs.

Our rates offered are as follows:

 Comments
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