Contact Form for Tax Fraud Claim

Contact form for tax whistleblowers

The Arnold Law Firm encourages potential qui tam claimants to contact us. If you would like The Arnold Law Firm to represent you, please read all of the provided text, fill out our questionnaire below, and follow all of the directions at the bottom of the page. The finished form can be sent to us electronically.

Sending us information about your potential case enables us to evaluate the merits of your claim and any strategic issues that it may create. Your information also helps us make an informed decision as to whether or not The Arnold Law Firm can represent you. Please provide as much detail as you can, and mail hard copies of any available supporting documents to us at our office address (865 Howe Avenue, Sacramento, CA 95825). When you mail documents to us, please indicate that (1) they are supporting documents for a potential qui tam claim, and (2) when you submitted your information online. That way, we can match up your paper documents with the electronic record. However, do NOT send original documents to us. If we decide not to take your case, the copies of the documents you send will be destroyed.

Please remember that an individual’s right to bring a False Claims Act action may be limited by the passage of time. The actions of others can also affect your ability to file a lawsuit – for example, if someone else has “publicized” the conduct of the potential defendant, filed a False Claims Act lawsuit making similar allegations, or otherwise triggered the Government to act. If you are aware of anything that could jeopardize your right to submit a claim, please inform us immediately.

In compliance with California law, your communications with us during the evaluation process are privileged and confidential. The Arnold Law Firm will handle your information accordingly.

Remember that you must keep information about your potential case private. Posting anything about your allegations to your Facebook page or other social media websites, and/or blogging or Tweeting about your allegations, could also damage your case.

Name:
Address:
City:
State:
Zip:
Home telephone number:
Work telephone number:	Which telephone number would you prefer that we call? Home: Work:
What times are best to reach you?
Fax number:
E-mail address:	May we contact you by e-mail? Yes: No :
Profession/Job title:
Employer:
Company/companies believed to be involved in the fraud:
That company's location (city, state):
City:
State:

The False Claims Act generally allows whistleblowers to bring qui tam lawsuits when the government has made payments based on false claims, paid claims based on false certifications or has not been paid money owed to it. The law does not apply every time the government makes an unwise purchasing or management decision. It also does not apply to cases of mistake or negligence.

With this in mind, describe how you believe that the company has violated the False Claims Act. Please include the following information:

What actions or activities do you believe were fraudulent?
Who was engaged in the fraud? What are their job titles or positions, and what role did those people play in the fraud?
When and how did you become aware of the fraud?
When did the fraud begin? Has it ended? If so, when?
Have you discussed your allegations with anyone, including your employer, a local, state or federal government official or someone in the media? If so, please state with whom you discussed the matter, the circumstances and any response.
If you lost your job, have you filed or are you considering filing a wrongful termination lawsuit? Please describe any action you have taken in this regard.
Have your allegations been the subject of any legal or legislative action? For example, have they been disclosed in the course of a wrongful termination action, a products liability case, a congressional hearing or agency proceeding? If so, please describe.
How much, in dollar terms, would you estimate the government has been damaged by the alleged wrongdoing? (In your calculations, exclude any penalties.) Describe how you arrived at your estimated damages.
Please describe what you believe to be the financial capability of the company to pay a False Claims Act judgment.
Have you ever filed a lawsuit against anyone or any company before?
If yes, what was the case about?

How did you hear about or find Arnold Law Firm?

Other:

If you have filled out the entire questionnaire and are ready to send it, please read the following.

By providing you these materials and by reviewing the information you send, Arnold Law Firm has not agreed to represent you nor have you agreed to retain Arnold Law Firm.
A False Claims Act lawsuit can, and usually does, take a number of years from start to finish. When we accept a case, we commit personnel, money and other resources to bring it to a successful conclusion. Because of that commitment, we conduct thorough analyses of potential cases before we accept them.
Our review to determine whether your case is viable and our decision whether to accept it may take some time for several reasons. Before we commit ourselves to representing someone, we thoroughly analyze the applicability of the False Claims Act to the potential case. This process may include an investigation of the facts presented and sometimes consultations with experts in the field. At the same time, we must continue to work on our existing cases and conduct reviews of other potential lawsuits. If you have any questions, please feel free to contact us at any time about the status of our review of your potential case.
Part of our analysis of your potential case will focus on practical considerations. Cases may be too small or too unsubstantiated (and therefore too risky) to justify the commitment of our firm's resources.

If our time constraints do not fit your needs, you may wish to discuss your potential case with other counsel. Other law firms may approach the investigation of a potential False Claims Act case differently, such as filing a lawsuit at an earlier date with less substantiation than Arnold Law Firm requires, or may have more time and resources instantly available to investigate a potential case.

As you search for counsel, bear in mind that the statute of limitations can be as short as six years. In addition, any public disclosure of the fraudulent conduct, the filing of another False Claims Act lawsuit making the same charges or government action on the matter before your lawsuit is filed might be grounds for dismissal of a case. Please be aware that our thorough and selective approach to case analysis may present added risks that one of these events might occur before we are in a position to decide whether to represent you and file a lawsuit on your behalf.

If you would like Arnold Law Firm to review your potential case and you have filled out the above questionnaire, please acknowledge that you have read the above considerations and agree to them by entering your name and the date below:

Name:
Date:	(MM/DD/YYYY)