BMCC APPLICATION FOR MOTHER'S DISCOUNT RATE

Your information is private and will not be sold or shared.  When you have completed the questions below, please click on the submit button at the bottom only once.  We will contact you when we receive your application.  THANK YOU!

 

1.      Last Name  

2.    First Name  

3.      Location (City and State) 

4.      Email  

5.    Phone  

6.      Name and relationship of opposing party 

7.      Name of your case 

8.      Date your case was filed 

9.      How many years have you been in active litigation? 

10.      Location of your case (county) 

11.      Location of your case (state) 

12.    Outcome of your case 

13.    Approximately how much has the litigation cost you?

14.    Are you employed? 

15.    Do you pay child support?

16.    Please write a very brief summary of what happened to you and why you are asking for the discount rate.            

THANK YOU!