Do you Qualify
If you wish to download a more detailed form, click and receive the PDF file "Qualifier". Print the form, fill it out and then fax it to me toll free at (888) 542-4255.
|This PDF file requires the Adobe Acrobat Reader in order to print out. If you don't have the Adobe Acrobat Reader, click on the logo to the right and download it now for free.|
Please answer these few questions, then click the SUBMIT button at the bottom. If you prefer, you can print this form and fax it to me. The process takes 5 to 10 minutes. All information is confidential and is never revealed to anyone for any reason. You are protected by attorney-client privilege.