[[[["field11","equal_to","Yes"]],[["show_fields","field12,field13,field23,field19,field16,field21,field20"],["show_fields","field17"],["show_fields","field18"]],"and"],[[["field11","equal_to","No"]],[["show_fields","field14"]],"or"],[[["field17","contains","Yes"]],[["show_fields","field29"]],"and"],[[["field18","contains","Yes"]],[["show_fields","field24"]],"or"]]
1
DO YOU QUALIFY FOR UP TO $1,500 PER CALL/TEXT?
Name
Email
email
Phone
your number
phone
City, State
where are you?
Are You Receiving Calls, Texts Or Faxes?
check all that apply
Calls
Texts
Faxes
Are the Calls and/or Texts being received on a cell phone, landline, or VoIP service (such as Google Voice)?
check all that apply
Cell Phone
Landline
VoIP Service (forwarding number)
Do You Know The Name Of The Company Annoying You?
Select An Option
Yes
No
Who Is the Company?
Are The Caller IDs They Use 800 or 899, 877, 866, 855 numbers?
Select An Option
Yes, they use 8XX numbers
No, they use local area codes
What Number or Numbers Are They Calling / Texting From?
List all the numbers they use. We cannot review your claim without these numbers
0
/
Do They Have The Wrong Number?
Select An Option
Yes, they ask for someone else
No, they are looking for me
Who Are They Looking For?
Are These Calls About Debt Collection?
Select An Option
Yes, Debt Collection
No, they are telemarketing
Do You Have Any Prior Relationship With This Debt Collector?
Select An Option
Yes
No
Have You Asked Them To Stop Calling Or Told Them They Had Wrong Number?
Select An Option
Yes
No
How Many Calls/Texts Have You Received?
your best guess is fine
More Info
anything else you want to share with the attorneys?
0
/
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