Contact Us

Do you have a legal issue but don’t know who to call?  Call LRS at (603) 229-0002 or fill out the form below to be matched with a suitable attorney in your area who specifically handles your type of legal matter.

Each referral request is reviewed by an LRS staff member. These referrals are NOT computer generated. Occasionally, additional information may be needed and you will receive an email from LRS requesting further details. Depending on the type of case, you may be charged a $25 referral fee; however,  the attorney will not charge for the initial consultation of up to 30 minutes.  No fees are charged for Personal Injury (plaintiffs), Worker’s Compensation Appeals or Social Security Disability Appeals.   More information can be found below.

This form is encrypted and all information entered is privacy protected.

Please note this service does not provide pro bono (free) representation.  Information on legal service programs in New Hampshire may be found on the NH Bar Association’s website.


Client Contact Information

*indicates required field

1. Name (First/Last)*

2. Name of Person Completing Form (If different from above)

3. Date of Birth (Verification and Statistical Purposes Only)
(mm/dd/yy)

4. Address* (Information Packets Sent Here)

City* State* Zip*

5. Phone*

6. E-Mail Address*

Confirm E-Mail Address*


Description of Legal Matter

7. Brief Description of Your Legal Matter*

8. Do you have a foreclosure pending?
 Yes No
If so, what is the auction date?

9. What Do You Want an Attorney to Achieve* (Please be specific)

10. Name of Opposing Attorney (if known)

11. Name/Location of Court (if known)

12. Ideal Attorney Location (county)

13. Do You Need an Attorney Licensed to Practice in Another State?
Which State?

14. Do You Need an Attorney Who Speaks a Language Other Than English?
Which language?

15. Do You Have Any Special Needs? (Handicap Assistance)
Special Needs:

16. List the Names of Any Attorneys You Have Already Contacted or Who You Would NOT Want to Be Referred To:


Terms & Conditions

To receive a referral, you must agree to the terms, by checking the appropriate box below.

I understand that I will be billed $25 for a referral to an attorney who handles my legal matter, and who charges standard legal fees. I also understand that if the attorney is not able to provide me with a consultation of up to 30 minutes, I will contact LRS, and LRS will make up to two more referrals without an additional fee.

OR

There is no fee for Personal Injury, Malpractice, Property damage, Product Liability cases, Worker's Compensation cases, Social Security/SSDI cases, and Foreclosure Relief Project cases. If my case is a fee waived type of case, I will not be charged the referral fee.

Please choose one*:



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