Expert Witness - Hartley Mellish, Ph.D., Economist

Please note a "*" denotes a required field.

* Date:

Court Case #:

* Style of Case:

* Nature of Injury:(if applicable):

* Name of Claimant:

Extension: (if applicable)

* Retained By?:
Select One Plaintiff Defense

* Attorney Name:

Attorney Address:

* Attorney Phone:

Extension: (if applicable)

* Opposing Attorney: (To determine possible conflict):

* Opposing Attorney Firm:

Important Dates

* Contact Person:

Claimant Information

Claimant Age:

Married?:
Select One Yes No

Claimant Date of Birth:

Employed?:
Select One Yes No

Occupation:

Other Experts: (Specify whether on Plaintiff’s or Defense’s side):

Comments:
Please limit this to 250 characters or less

CAPTCHA Image

Change Image