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Sussman & Associates
1 Railroad Avenue, 3rd Floor
PO Box 1005
Goshen, New York 10924
V : 845-294-3991
F : 845-294-1623

E-mail: info_sussman1@frontier.com

Ellenville Office:
159 Canal Street,
Ellenville, NY 12428

Port Jervis Office:
11 Fowler Street,
Port Jervis, NY 12771

DIRECTIONS

 

Digital Intake Instructions

| INTAKE PROCESS | CONTACT |


 

 
 
 

 SUSSMAN & ASSOCIATES DIGITAL CLIENT INTAKE FORM


Date

Name, First MI Last

Address Line 1

Address Line 2

City/Town

State Zip Code + 4


 CONTACT INFORMATION

Home

Work

Work Extension

Mobile

Fax

E-mail Address


 PERSONAL INFORMATION

Age

Gender:         

Race

National Origin

TYPE OF COMPLAINT  
 
 
(If "Other," please briefly explain nature of your complaint in one or two sentences.)  


  NARRATIVE: PLEASE IDENTIFY THE SPECIFICS OF YOUR COMPLAINT IN THE FIELDS BELOW


PLEASE NOTE:


DO NOT SEND ORIGINAL DOCUMENTS OR PHOTOGRAPHS TO US.
PLEASE  MAKE COPIES IN ADVANCE OF SENDING THE INTAKE FORM,
AND INCLUDE THE COPIES, AND COPIES ONLY, OF YOUR
SUPPORTING DOCUMENTS AND PHOTOGRAPH.

 

 

Sussman & Associates is a civil rights firm located in Goshen, NY. Michael Sussman has been fighting for social and individual justice for more than 35 years. He is well known as one of the top trial lawyers in the region. Christopher Watkins, Of Counsel, is an experienced and well-regarded trial attorney and litigator who has consistently obtained outstanding results for his clients. With a team of knowledgeable and hard-working staff, Heather M. Abissi, Esq., Mary Jo Whateley, Esq., Jonathan Goldman, Esq., and Geri Prescott, we comprise the law firm of Sussman & Watkins, dedicated to preserving civil rights and fighting for justice.
    — Michael H. Sussman, Esq.
    — Christopher D. Watkins, Esq.
    — Background & Mission
    — Our Staff