FALSE CLAIMS CONSULTATION FORM

Your consultation form is below. Be advised, sending this consultation form does not consitute an attorney-client relationship. Such a relationship will only be established when and if both attorney and the prospective client come to a mutual agreement for the provision of legal representation.

Please fill in the fields below.

Personal Information:

First name:
Last name:
Address:
Apartment/Suite Number :
City:
State: (Florida Default)
Zip: (12345)
Home Telephone: (e.g. 954-555-1234)
Alternate Telephone: (e.g. 954-555-1234)
Email Address:

 

Case Information:

Why do you believe that you have uncovered a fraud against the government, or a government agency?
Please explain.
Please describe briefly what the fraud or frauds entail?
Which government or governments - or their agencies - are being defrauded? Please explain.
What is the approximate time period for the fraud?
Is this fraud continuing now?

| Yes > | No >
Please provide an estimate or the extent of the monetary loss to the government from the fraud?
If you know a specific monetary value, enter it here.

$ 
Do you have documentation, or paperwork in your possession, that proves a fraud, or series of frauds, perpetrated against the government?

| Yes > | No >
If you answered "Yes" to the above question, please describe as briefly as possible what type of paperwork or documentation you possess, and explain how you acquired it.
Are you an original source for this information? Please explain.
Were you an employee, agent or contractor for the entity perpetrating the fraud?

| Yes > | No >
If the answer to the above question is "Yes", please explain your position or other work capacity that enabled you to have access or knowledge to information that can prove the fraud.
Did you notify or otherwise notify the entity there was fraud or a potential fraud being committed?

| Yes >  | No >
If you did notify the entity of fraud, have you been the target of retaliation for making such a report?

| Yes >  | No >
If you been the target of retaliation, termination, or other sanctions by the entity, after reporting the fraud to said entity, please describe what has happened.
Have you been threatened in any way for reporting the fraud, or have you been threatened in any way should you elect to report the fraud?

| Yes > | No >
If the answer to the above question is "Yes", please explain the nature of threats and from whom they have originated, if you are aware of any specific individual identities.

 

In order to prevent spam, we use reCaptcha.Please type the words you see in the box below.

Please make certain that all information is correct before you click the "Submit Form" button. Thank you for contacting the Law Offices of Joseph J. Pappacoda!

  

 

BEGIN A CONSULTATION

Consultation Form
LET US ANALYZE YOUR CASE INFORMATION

FILL OUT THE FORM →

 

 

ABOUT JOE PAPPACODA

Joseph J. Pappacoda
ATTORNEY JOSEPH J. PAPPACODA

MORE INFO →

 

 

READ THE FALSE CLAIMS ACT

Scales of Justice
READ THE NUANCES OF THE QUI TAM LAW

READ IT HERE →

 

 

SERVING ALL SOUTH FLORIDA

South Florida: Miami Skyline
OFFICES IN FORT LAUDERDALE FLORIDA

CONTACT →

 

 

THE QUI TAM BLOG

Deposition papers
READ THE LATEST NEWS AND INSIGHT ABOUT THE QUI TAM LAW

READ IT HERE →

 

Visit Rodan Media Group U.S. Fraud Cases Home Page