ALLSTATE LITIGATION WORKSHEET
Date of call or inquiry ____________ Name and phone No. of individual calling or inquiring _______________________ Name _______________________ Phone Is individual calling or inquiring an attorney?: Circle – Yes – No If “Yes” – Please provide your name and phone number and approximately how many cases you have with clients who may have been victimized by Allstate’s claims practices since 2002?
Is individual calling or inquiring currently represented by an attorney? Yes – No If Yes – please provide attorneys name and phone no.
If “No” – Please briefly state the nature of your Complaint against Allstate, including whether you are insured by Allstate, the date of accident or loss, circumstances surrounding your claim, whether the case has settled, injuries claimed, health care treatment received, total amount of medical bills, total amount of lost income claimed or any other factors you think are important to mention.
What is the best time for our attorneys to contact you?