Lawyer Name *

First

Last

Your Name

FACTS OF THE MATTER

Matter # *

Name of Case *

X vs Y

Client Name *

First

Last

Type of Case *

Workers' Comp
Auto
Other

Type of Case if "Other"

Date of Settlement *

Settlement Amount *

Initial Offer Amount

Case Details *

This would include the basic facts of the case, what happened, what trouble the client ran into, how E&T was able to help, etc.

REVIEWS AND TESTIMONIALS

Would client be willing to provide a testimonial?

Yes
No
Unknown
Do Not Contact this client

Is this client a good candidate from whom to request a Google review, website testimonial, etc.?

Contact Name

First

Last

If the best contact person is someone other than the listed Client or if Client consists of more than one person.

Phone

If client will provide a testimonial, provide best contact number.

If client will provide a testimonial, provide best contact email address.

SUPPLEMENTARY

Additional Info

Any additional notes that you feel are relevant or useful.

5 Locations in the Kansas City Area

Kansas City, MO

Edelman & Thompson

4520 Main Street
Suite 500
Kansas City, MO 64111

(816) 561-3400

Independence, MO

Edelman & Thompson

3720 Arrowhead Ave.
Suite 102
Independence, MO 64057

(816) 561-3400

Olathe, KS

Edelman & Thompson

15095 W. 116th Street
Olathe, KS 66062

(913) 599-1800

North Kansas City, MO

Edelman & Thompson

8320 N. Oak Trafficway
Suite 210
North Kansas City, MO 64118

(816) 561-3400

Lenexa, KS

Edelman & Thompson

8700 Monrovia Suite 310
Lenexa, KS 66215

(913) 599-1800