Intake Form

Get Help With Your Legal Issue.


If you are facing discrimination, harassment, or retaliation at work, or if you feel that you've been wrongfully terminated, J. Madison PLC may be able to help. Fill out this form & tell us about what has happened, and we will begin the process of determining whether we can represent you. After you fill out this form, we will first ensure that there is no conflict of interest in representing you. We will then contact you about next steps, namely reviewing your case and any documentation you have.

IMPORTANT NOTE: The use of this form or the internet for communications with the firm will not establish an attorney-client relationship and messages containing confidential or time-sensitive information should not be sent. If your case is especially time-sensitive, please call us at 703.910.5062. Also, please be aware that we will not return this Questionnaire. Please do not send us any documents until we have spoken to you and asked you to do so.


J. Madison PLC