Contact form

    Wilcox Legal

    10930 N. Tatum Blvd., Ste. 100
    Phoenix, Arizona 85028
    Ph: 602-445-4690
    Fx: 602-445-4699


    To request information or to be contacted about your legal needs, please review the important client information by clicking the link below then complete the following form.
    Fields that have a “*” are required.

    Personal Information
    *First Name: Middle Name: *Last Name:
    *Address:
    *City: *State:
    *Zipcode:
    Contact Information
    *Phone: Phone 2: Email:
     
    Do you currently have an attorney?
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    Information about the other party
    Other party's name
     
    Other names by which the other party has been
    known, including maiden name, previous married names, etc.
     
    Does the other party have an attorney?
    YesNo
    Additional Information

    You understand that submitting this form does not create an attorney-client relationship and that
    information sent via e-mail may be intercepted. Please do not provide confidential information at this time.
    When you submit this form it will also send you a copy of the information for your records