{"id":3213,"date":"2026-04-07T09:51:39","date_gmt":"2026-04-07T09:51:39","guid":{"rendered":"https:\/\/amgpreview.com\/jameshawkins\/?page_id=3213"},"modified":"2026-07-23T07:36:40","modified_gmt":"2026-07-23T07:36:40","slug":"consumer-protection-class-action-form","status":"publish","type":"page","link":"https:\/\/amgpreview.com\/jameshawkins\/consumer-protection-class-action-form\/","title":{"rendered":"Consumer Protection Class Action Form"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"3213\" class=\"elementor elementor-3213\" data-elementor-post-type=\"page\">\n\t\t\t\t<div class=\"elementor-element elementor-element-385a532a pg-bnr-txt e-flex e-con-boxed e-con e-parent\" data-id=\"385a532a\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-4859ee2a e-flex e-con-boxed e-con e-child\" data-id=\"4859ee2a\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-6ec27399 elementor-align-center elementor-widget elementor-widget-breadcrumbs\" data-id=\"6ec27399\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"breadcrumbs.default\">\n\t\t\t\t\t<p id=\"breadcrumbs\"><span><span><a href=\"https:\/\/amgpreview.com\/jameshawkins\/\">Home<\/a><\/span><\/span><\/p>\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-eb6877f e-con-full e-flex e-con e-parent\" data-id=\"eb6877f\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-df482d5 e-flex e-con-boxed e-con e-child\" data-id=\"df482d5\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-f23a388 e-con-full e-flex e-con e-child\" data-id=\"f23a388\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-67efd3a elementor-widget elementor-widget-heading\" data-id=\"67efd3a\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Consumer Protection Class Action Form <\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-ce21df2 elementor-widget elementor-widget-text-editor\" data-id=\"ce21df2\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>If you believe you have been harmed by a defective product, unfair business practices, misleading advertising, or other consumer issues, please fill out the form below. Our team will review your information, evaluate your case, and reach out to explain how we can help and guide you through your next steps.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-f10f011 elementor-widget elementor-widget-text-editor\" data-id=\"f10f011\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Please make all fields with * in front of them required<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-a0e5570 elementor-button-align-center cnct-frm wage elementor-widget elementor-widget-form\" data-id=\"a0e5570\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;step_next_label&quot;:&quot;Next&quot;,&quot;step_previous_label&quot;:&quot;Previous&quot;,&quot;button_width&quot;:&quot;100&quot;,&quot;step_type&quot;:&quot;number_text&quot;,&quot;step_icon_shape&quot;:&quot;circle&quot;}\" data-widget_type=\"form.default\">\n\t\t\t\t\t\t\t<form class=\"elementor-form\" method=\"post\" name=\"Contact Form\" aria-label=\"Contact Form\">\n\t\t\t<input type=\"hidden\" name=\"post_id\" value=\"3213\"\/>\n\t\t\t<input type=\"hidden\" name=\"form_id\" value=\"a0e5570\"\/>\n\t\t\t<input type=\"hidden\" name=\"referer_title\" value=\"James Hawkins Law\" \/>\n\n\t\t\t\n\t\t\t<div class=\"elementor-form-fields-wrapper elementor-labels-above\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_6ad6375 elementor-col-25 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_6ad6375]\" id=\"form-field-field_6ad6375\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"*First Name:\" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_4623ce4 elementor-col-25 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_4623ce4]\" id=\"form-field-field_4623ce4\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"*Last Name:\" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-email elementor-field-group elementor-column elementor-field-group-field_11ec1c1 elementor-col-25 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"email\" name=\"form_fields[field_11ec1c1]\" id=\"form-field-field_11ec1c1\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"*Email Address:\" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-number elementor-field-group elementor-column elementor-field-group-field_9ec32da elementor-col-25 elementor-field-required\">\n\t\t\t\t\t\t\t\t<input type=\"number\" name=\"form_fields[field_9ec32da]\" id=\"form-field-field_9ec32da\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"*Phone Number:\" required=\"required\" min=\"\" max=\"\" >\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-field_8ef7999 elementor-col-100\">\n\t\t\t\t\t*Address\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_aebcbc3 elementor-col-33 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_aebcbc3]\" id=\"form-field-field_aebcbc3\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"*City\" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_1f3c8c1 elementor-col-33 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_1f3c8c1]\" id=\"form-field-field_1f3c8c1\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"*State\" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_7cddabc elementor-col-33 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_7cddabc]\" id=\"form-field-field_7cddabc\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"*Zip Code\" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_a9a5342 elementor-col-50 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_a9a5342]\" id=\"form-field-field_a9a5342\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"* Name of Product or Service\" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_e20d2f0 elementor-col-50 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_e20d2f0]\" id=\"form-field-field_e20d2f0\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"* Brand \/ Manufacturer \/ Company Name\" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_4afefb3 elementor-col-50 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_4afefb3]\" id=\"form-field-field_4afefb3\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"* Date(s) of Purchase or Use\" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-field_77d7d99 elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_77d7d99\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\t* Where Purchased or Subscribed\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Retailer\" id=\"form-field-field_77d7d99-0\" name=\"form_fields[field_77d7d99]\"> <label for=\"form-field-field_77d7d99-0\">Retailer<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Online\" id=\"form-field-field_77d7d99-1\" name=\"form_fields[field_77d7d99]\"> <label for=\"form-field-field_77d7d99-1\">Online<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Physical store\" id=\"form-field-field_77d7d99-2\" name=\"form_fields[field_77d7d99]\"> <label for=\"form-field-field_77d7d99-2\">Physical store<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Other\" id=\"form-field-field_77d7d99-3\" name=\"form_fields[field_77d7d99]\"> <label for=\"form-field-field_77d7d99-3\">Other<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_a259055 elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_a259055]\" id=\"form-field-field_a259055\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"* Price Paid\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-field_efb9aea elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_efb9aea\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\t* Type of Issue:\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Defective product or malfunction\" id=\"form-field-field_efb9aea-0\" name=\"form_fields[field_efb9aea]\"> <label for=\"form-field-field_efb9aea-0\">Defective product or malfunction<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"False or misleading advertising \" id=\"form-field-field_efb9aea-1\" name=\"form_fields[field_efb9aea]\"> <label for=\"form-field-field_efb9aea-1\">False or misleading advertising <\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Unfair billing or charges\" id=\"form-field-field_efb9aea-2\" name=\"form_fields[field_efb9aea]\"> <label for=\"form-field-field_efb9aea-2\">Unfair billing or charges<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Privacy\/data breach\" id=\"form-field-field_efb9aea-3\" name=\"form_fields[field_efb9aea]\"> <label for=\"form-field-field_efb9aea-3\">Privacy\/data breach<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Consumer fraud or deceptive business practices\" id=\"form-field-field_efb9aea-4\" name=\"form_fields[field_efb9aea]\"> <label for=\"form-field-field_efb9aea-4\">Consumer fraud or deceptive business practices<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Other (please describe)\" id=\"form-field-field_efb9aea-5\" name=\"form_fields[field_efb9aea]\"> <label for=\"form-field-field_efb9aea-5\">Other (please describe)<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_b6db343 elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_b6db343]\" id=\"form-field-field_b6db343\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"If other, please specify:\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-field_d8c5f0e elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_d8c5f0e\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\t* Any warranties, guarantees, or contracts associated with the purchase\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Yes\" id=\"form-field-field_d8c5f0e-0\" name=\"form_fields[field_d8c5f0e]\"> <label for=\"form-field-field_d8c5f0e-0\">Yes<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"No\" id=\"form-field-field_d8c5f0e-1\" name=\"form_fields[field_d8c5f0e]\"> <label for=\"form-field-field_d8c5f0e-1\">No<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Unsure\" id=\"form-field-field_d8c5f0e-2\" name=\"form_fields[field_d8c5f0e]\"> <label for=\"form-field-field_d8c5f0e-2\">Unsure<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_f49aa4d elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_f49aa4d]\" id=\"form-field-field_f49aa4d\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"* Detailed Description of the Issue: Explain what happened, including dates, interactions with the company, and effects of the issue.\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-field_70e558d elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_70e558d\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\t* Have you attempted to resolve the issue with the company?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Yes\" id=\"form-field-field_70e558d-0\" name=\"form_fields[field_70e558d]\"> <label for=\"form-field-field_70e558d-0\">Yes<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"No\" id=\"form-field-field_70e558d-1\" name=\"form_fields[field_70e558d]\"> <label for=\"form-field-field_70e558d-1\">No<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-field_84fb1dd elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_84fb1dd\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\t* Are you interested in joining a class action lawsuit regarding this issue?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Yes\" id=\"form-field-field_84fb1dd-0\" name=\"form_fields[field_84fb1dd]\"> <label for=\"form-field-field_84fb1dd-0\">Yes<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"No\" id=\"form-field-field_84fb1dd-1\" name=\"form_fields[field_84fb1dd]\"> <label for=\"form-field-field_84fb1dd-1\">No<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-field_8231e88 elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_8231e88\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tAre you aware of other consumers affected in a similar way?\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Yes\" id=\"form-field-field_8231e88-0\" name=\"form_fields[field_8231e88]\"> <label for=\"form-field-field_8231e88-0\">Yes<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"No\" id=\"form-field-field_8231e88-1\" name=\"form_fields[field_8231e88]\"> <label for=\"form-field-field_8231e88-1\">No<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-field_7d9820c elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_7d9820c\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tHave you previously participated in a class action related to this company or product? \t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  elementor-subgroup-inline\"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Yes\" id=\"form-field-field_7d9820c-0\" name=\"form_fields[field_7d9820c]\"> <label for=\"form-field-field_7d9820c-0\">Yes<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"No\" id=\"form-field-field_7d9820c-1\" name=\"form_fields[field_7d9820c]\"> <label for=\"form-field-field_7d9820c-1\">No<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-frm_wrng elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-frm_wrng\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\t<strong>*WARNING:<\/strong> By submitting information through this intake form or by email or other communication to this web site, you agree that the communication does NOT create a lawyer-client relationship between you and the law firm and its lawyers and that any information submitted is not privileged. You further acknowledge that unless the law firm subsequently enters into a lawyer-client relationship with you, any information you provide will not be treated as privileged, and any such information will not be preserved or maintained by this law firm, nor will it be subject to this law firm\u2019s policy on client file retention. 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