Form for Team Members Your InformationYour Name(Required)Your Department(Required)(Please select)AccountingClientHRIntakeITLiensLitigation - Class ActionLitigation - EmploymentLitigation - PIMarketingOffice ServicesOperationsPre-LitFront DeskPotential Client InformationPotential Client First Name(Required)Potential Client Last Name(Required)Phone Number(Required)Source Type(Required)(Please select)Attorney ReferralClientWLF Employee (Self)Staff ReferralOtherCase Type(Required)(Please select)Automobile AccidentDog BitePolice BrutalityPremises LiabilityWorkers CompensationWrongful TerminationWage & HourOtherPossible Language(Required)(Please select)EnglishSpanishChineseKoreanTagalogVietnameseArmenianFarsiArabicCambodianHindiHmongJapanesePunjabRussianThaiDescription(Required)