Ambush Law

Initial Contact Form

Please answer the questions as best as you can so we can understand your situation and follow up with you. When you submit this form, you give us permission to contact you by phone or email. We will never sell or share your contact details with anyone else. This information is for us to review, and does not establish an attorney-client relationship.

For which case are you filing?*

Khobar Towers (June 25, 1996)

Lod Airport Massacre (May 30, 1972)

USS Cole (October 12, 2000)

Other or Unsure

If Other, please specify (required)*

Are you filling this out for yourself or someone else? (check all that apply)*

I am filling this out for myself (I am a person who was injured in the attack)*

I am filling this out for someone else*

Enter Your Contact Information

Enter your name and address here

First Name*

Middle Name

Last Name*

Country*

Address 1*

Address 2

Address 3

Address 4

Address 5

City*

State*

Province*

ZIP Code*

Postal Code*

Phone Number*

Phone Number *

Email Address*

How did you learn about us?