Onglyza / Invokana

It’s FAST... Fill out the form or call (844) LAW‐CALL to discuss your potential case.

It’s EASY... Provide us with the information we need about your case.

It’s FREE... We will contact you to evaluate your case.

Free Case Evaluation

Name

First Name

Last Name

Email Address

Phone Number

(###)

###

####

Zip Code

Tell Us About Your Case

By checking the box, I hereby agree to the receipt of future calls delivered using an autodialer [and/or pre-recorded telemarketing messages] on behalf of "Citizens Law Firm" at the number provided above. "I expressly consent and request to receive calls and text/SMS messages from the company and waive any prior No Call registrations for the purposes of these calls. Standard text message rates will apply." I also understand and agree that submitting this form does not create an attorney-client relationship and that the information I submit is not confidential or privileged and may be shared for example with our co-counsel firms. I further understand and agree to the Privacy Policy & Terms of Use.