Attorney Referrals

To All Duly Licensed Attorney’s And Counselors At Law:

If you are a licensed Attorney, to get your 10% Referral Fee Certificate, please fill-out the information requested below. Strict compliance with California Rules of Professional Code 2-200 is required.

Please complete all the fields below and then click on 'Submit Referral'. If you don't have information for a field, please enter the word 'none'.

Attorney First Name:
Attorney Last Name:
State Bar Number:
Attorney Phone Number:
Attorney Email:
Jurisdiction of Incident:
Date of Incident:
Time of Incident:
Police Agency:
Case Description:
Is the client desirous of having the Law Offices of Jerry L. Steering contacting them?Yes   No
Yes   No
Client Name(s):
Client Address(es):
Client Date of Birth:
Client Phone Numbers:
Client Fax Number(s):
Client Email Address(es):
Verify:Please enter the numbers:    one     nine     eight     three
Submit Referral

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