Free Bankruptcy Evaluation Form

If you would like a free evaluation of your case, please fill out our Free Bankruptcy Evaluation Form and fax it to us at the number below, or scan and email it to the e-mail address below. Please fill out the form as completely as possible.

Click here to download a PDF version of the Free Bankruptcy Evaluation Form.

NOTE: By filling out this form and submitting it to Roark Law Offices you agree that nothing contained herein shall create an attorney-client relationship with us. Before Roark Law Offices or Holly Roark will represent you, Roark Law Offices requires a written agreement for legal representation signed by you and the attorney(s), and any required payment. This form is for evaluation purposes only and creates no obligation on behalf of Roark Law Offices or Holly Roark.