| Consent | I agree with the following |
|---|---|
| About You | |
| Name | Kendrick Patrick |
| Your Address | 1855 Craigshire Drive Apt 2413 Maryland Heights, Missouri 63146 United States Map It |
| How Can We Reach You | |
| Preferred Method of Contact | Phone |
| Email Address | Email hidden; Javascript is required. |
| Main Phone | (314) 709-5504 |
| Alt Phone | (314) 465-2990 |
| Best Time to Call You | 2:00 pm |
| Employment Info | |
| Are you employed? | No |
| Additional Personal Info | |
| Primary Language Spoken | English |
| Marital Status | Married |
| Race | AA |
| Current Immigration Status | U.S. Citizen |
| Case Details | To better serve you please describe why you are here today and what kind of assistance you need |
| Please check all boxes you need assistance with |
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| I am applying for |
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| Have you already consulted with another legal provider regarding your case? | No |
| Do you have any deadlines? | No |
| Please describe your legal problem | I was involved in an accident while a passenger aboard Metro Call A Ride bus due to driver negligence and not securing my wheelchair and speeding and I have been in contact with the ADA Director but the person in charge of my claim has been giving me the run around and I am already disabled (Spinal Cord injury due to a MVA Sept 2019 which left me physically disabled and I receive SSI disability unable to work.) I presently utilize a manual and motorized wheelchair. I was in my manual wheelchair and it was damaged I need it repaired if possible or replaced Melissa Hamilton |
| Administrative Details |
I agree with the following