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Kimmel & Silverman Lemon Data Sheet

We would be glad to review your case. Just fill out the information below and click "submit". A firm representative will contact you on the next business day to answer any questions you have and to see if we can help with your situation.

Why use Kimmel & Silverman to handle your lemon law claim?

  • You are receiving 100% cost-free legal representation.

  • You are being represented by the largest and most successful lemon law firm in the Northeast, backed by a team of knowledgeable, experienced attorneys and four ASE-certified experts. Unlike solo practitioners and smaller, less experienced firms, our attorneys work together to form a strong legal strategy to help you recover the best remedy possible.

  • You are being represented by the only lemon law firm in the Nation to be honored by the American Bar Association.

  • Since 1997, we have worked first hand with government officials in a continuing effort to strengthen consumer statutes.

  • Our Firm's efforts have been featured on numerous television and radio news programs, and talk shows including Extra, Good Morning America, and the CBS Early Show, and written about in many newspapers and magazines throughout the Nation, including Kiplingers, Consumer Reports, USA Today, and Black Enterprise.


PERSONAL INFO:
First Name:
Last Name:
E-Mail:
Mailing Address:
City:  State:
Zip:
County:
Daytime Phone: - -
Evening Phone: - -

VEHICLE DETAILS:
Make:
Model:
Year:
VIN #:
Purchase/Lease Date:
Current Mileage:
State the Vehicle was Purchased?
Has the vehicle been involved in an accident?

RELIEF SOUGHT:
Replacement
Cash Back
Vehicle Repair

Dealer:
Dealer Address:
City: State:
Zip:

In the spaces provided, please list the SYMPTOMS that you have experienced with your vehicle, the number of trips to the dealer for each symptom (whether documented or not), the approximate date(s) when the vehicle was inspected and/or repaired for each symptom, and the name of the dealer, if different than the one you purchased the vehicle from.
Symptoms
(Defects and Nonconformities)		 Number of Trips to Dealer Date(s) in
Repair Shop		 Dealer Name
(if not where vehicle was purchased)
1
2
3
4
5
6
7
8

Total Number of Repair/Work Orders in your possession:

Approximate Total number of CALENDAR DAYS vehicle has been out of service and/or in the repair shop:
1-29
30+

Please list the problems that you have had with your vehicle, how they were dealt with by the dealership, was the problem ever corrected, was it under warranty, etc. -- please include dates of all repairs and services and any other details on the situation: