CONFIDENTIAL EVALUATION FOR YOUR CASE

WARREN | BENSON LAW GROUP is pleased to help you with an honest evaluation of your potential qui tam or "whistleblower" case. We invite you to phone us at 800.844.4406 and speak with one of our partners, or simply fill out this brief form. We constantly monitor this confidential questionnaire and will immediately get back to you via phone or e-mail, as you prefer.

When we agree to represent a client, we do so with a commitment to devote significant resources in terms of attorneys, investigators and money to achieve success. Your information will allow us to assess your allegations and any potential legal or strategic issues for you. We will give you prompt and straight-forward feedback, so you can decide whether it makes sense for you to go forward with filing a case.

Be careful not to discuss your case with anyone other than an attorney. The opportunity for a private individual to bring a false claims action may be cut off if someone else publicizes the conduct at issue, files a False Claims Act lawsuit making similar charges or otherwise spurs the government into action before you file suit.

By law, your communications with us during the evaluation process are regarded as privileged and confidential and will be treated by us accordingly.

Thanks for your inquiry. We look forward to responding to you soon.

WARREN | BENSON LAW GROUP

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Potential Defendants:

Please describe the fraud.

When and how did you become aware of the fraud?

When did the fraud begin?

Has the fraudulent conduct been described in a previous lawsuit or disclosed in the media?

Have you been retaliated against because of your concern about the fraud?

Please estimate the amount of monetary damages to the government.