JMHS Harassment Victim Intake Form | Submit Your Details Today — J Brown Law Group PLLC

JMHS Harassment Victim

Intake Form

An informational flyer with a background image of a young woman with braided hair looking to the side, at sunset. The text asks if the reader experienced harassment at James Monroe High School in West Virginia and offers legal consultation services with contact details.

Name

First Name

Last Name

Phone

(###)

###

####

Email

Age

If submitter is under the age of 18, please have a parent or guardian provide their contact information.

Relationship to Victim

Message

In addition to texting or calling, you may also fill out our intake form and someone from our staff will contact you to schedule your free consultation.