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California Lemon Law Claim Evaluation Form

The Law Offices of Charles A. Pernice works with clients throughout California to attain the best recovery possible in every type of lemon law matter. In order to better understand a potential claim, our attorneys require some basic information regarding the specific circumstances surrounding the vehicle or product. To see if you qualify for compensation, please complete and submit the form below. After this information has been collected, The Law Offices of Charles A. Pernice will be able to offer a qualified opinion based upon the information provided.

Call us at (949) 440-0860; Toll-Free: (800) 440-3554 for a Free Consultation or fill out the form below for a Free Case Review

1. Describe the nature of the problems you are having with your vehicle:

2 Make and model of vehicle:

3. Was this vehicle purchased new or used? New Used

4. Was this vehicle purchased or leased? Purchased Leased

5. What was the date your vehicle was purchased or leased?

6. What was the purchase price of the vehicle?

7. What was your down payment, if any?

8. What is your monthly payment?

9. In what town or city was your vehicle purchased or leased?

10. What was the name of the dealer?

11. When you purchased or leased your vehicle, did it have an original manufacturer's warranty on it?

12. What is the length of the warranty (in miles)?

13. What is the length of warranty (in years)?

14. What was the date when you first attempted to repair the vehicle's problem at at an authorized dealer?

15. What was the mileage on the vehicle when you first attempted to repair the vehicle's problem at an authorized dealer?

16. What is the present mileage on the vehicle?

17. Has the problem been resolved? Yes No

18. How many times has the vehicle been into the dealer for the repair of the same problem or related problems?

19. Has the vehicle ever been in an accident? Yes No

20. Was the vehicle purchased for personal or business use? Personal Business

21. What is your name?

22. What is your email address?

23. What is your phone number?

24. What is your mailing address?

Thank you for taking the time to help us assist you.Whenever your rights as a consumer have been violated by a dealer or manufacturer, The Law Offices of Charles A. Pernice is ready to fight for the compensation you deserve. Do not judge the merits of your case alone. If you or a loved one has fallen victim to an unreasonable manufacturer, call The Law Offices of Charles A. Pernice now at 949-440-0860 or toll-free at 800-440-3554 Do not delay! Waiting to secure legal representation only jeopardizes the proper preservation of evidence and adherence to legal deadlines. You may have a valid claim and be entitled to compensation for your vehicle or product, but a lawsuit must be filed before the statute of limitations expires.

The Law Offices of Charles Pernice handles the following types of cases: Lemon Law, Automobile Fraud, Consumer Fraud, Credit Damage, ID Theft, Investor Claims, Employment Law, Mediation & Personal Injury including Automobile Accidents, Spinal Cord Injuries, Traumatic Brain Injuries, Medical Malpractice, Wrongful Death, Insurance Bad Faith, Nursing Home Abuse, Airplane Accidents, Dog Bites, Drunk Driving Injuries, Large Truck Accidents, Motorcycle Accidents, School Bus Accidents, Slip and Fall Accidents.

The Law Offices of Charles Pernice serves the following areas: California, Southern California, Imperial County, San Diego County, Riverside County, Ventura County, Orange County, Los Angeles County, San Bernardino County, Anaheim, Chula Vista, Glendale, Huntington Beach, Long Beach, Los Angeles, Riverside, San Diego, Santa Ana, San Bernardino, Irvine, Burbank, Corona, Costa Mesa, Downey, East Los Angeles, El Monte, Escondido, Fontana, Fullerton, Garden Grove, Inglewood, Lancaster, Moreno Valley, Norwalk, Oceanside, Ontario, Orange, Oxnard, Palmdale, Pasadena, Pomona, Rancho Cucamonga, Santa Clarita, Simi Valley, South Gate, Thousand Oaks, Torrance, Ventura, Victorville, West Covina

The legal information offered by The Law Office of Charles Pernice and contained herein, regarding California legal statutes and California claimants' rights, is general in scope. No legal attorney / client relationship with our attorneys is hereby formed nor is the information herein intended as formal legal advice. Please contact a California lawyer regarding your specific inquiry.See Terms of Use.

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