Intake Form Jehovah's Witnesses

Woods LLP invites you to complete the form below in order to be included in our internal bank of members of this class action.
Please note that if you fall within the definition of one of the groups in the authorization judgment of February 27, 2019, you automatically form part of the class action, without having to register. You will have the possibility to opt-out from the class action. All information provided in this form will be protected by solicitor-client privilege and litigation privilege. We also undertake to preserve your anonymity unless you clearly indicate that you do not wish for us to do so.
Name*
First Name Last Name
Email*
Enter your email address Confirm your email address
Address
Civic number, street City Province Postal Code
Contact phone number*
Occupation*
Date of Birth
MM slash DD slash YYYY
Please provide a brief summary of the abuse that you have suffered.*
If you do not feel comfortable sharing this information at this time, please let us know below.
Please describe the location(s) of the offences.
i.e. place, city and province.
Please specify the date or dates of the offences.
If you do not know the exact date or moment in time, please provide an estimate of the period at issue.
Do you consent and agree to receive from us, Woods LLP, emails and/or any other form of electronic messages for any purposes related to this legal matter and to receive any information regarding further legal and related services we may offer?
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If you do NOT agree with the above statement, please contact Woods LLP at: unsubscribe@woods.qc.ca
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Intake Form Jehovah's Witnesses

Woods LLP invites you to complete the form below in order to be included in our internal bank of members of this class action.

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