Downloadable Litigation File Referral FORM

Download our Litigation Referral and then submit to our office by email at info@DJShepardLaw.com.   By submitting this Litigation Referral Form, I agree to the terms as noted below and would like to refer my file to the Law Offices of David J. Shepard.  I acknowledge this is general information I am providing to the Law Offices of David J. Shepard.  I acknowledge this form does NOT create a binding relationship between the party submitting the referral form and the Law Offices of David J. Shepard.   


Case referrals are only to be made by a workers' compensation insurance adjuster, third party administrator and/or permissibly self-insured employer for a Southern California defense workers' compensation case.   Before the Law Offices of David J. Shepard undertakes any legal representation in defending a workers' compensation claim, it MUST be confirmed in writing by one of the attorneys listed in our firm.  If you do not receive a response or confirmation, please feel free to contact our office by telephone or email.  


This website is not intended to be advertising or solicitation in any State which prohibits the same.  Communications made through the above shall not constitute a legal notice or obligation to the Law Offices of David J. Shepard representatives or attorneys.  This includes, but is not limited to discovery and/or where notice or obligation to the Law Offices of David J. Shepard is by contract, federal, state, courts, local laws, rules or regulations. Your use of this form constitutes your agreement to these terms.  We sincerely appreciate your legal referral, and look forward to working with you.  You may contact us at any time with any questions you may have.  Otherwise, you will receive communication from us shortly regarding your submission.