Why do you need legal advice about defamation? ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ Section I: If You Think You Have Been Defamed, please answer the following questions. Did the defamatory statement consist of specific words that were spoken or written? Yes _______ No _______ Please provide a brief description of circumstances of the defamatory or slanderous statement and what was said or published. ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ Did the defamatory or slanderous statement consist of some unspoken expression or act that implied something untrue or unsavory about you? Yes _______ No _______ Please explain the circumstances and describe the defamatory or slanderous act. ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ How long ago did the defamation or slander occur? In the last year _______ More than one year ago _______ More than two years ago _______ More than three years ago _______
If you know the precise date, please write it here: _____________________________________ Did the statement suggest any of the following? Check all that apply. That you are a criminal _______ a person of lax morals _______ a drunk or a drug abuser _______ an adulterer _______ an abuser of your spouse or children _______ an unfit parent _______ a liar _______ a thief _______ a cheat _______
Did the statement suggest that you cheat on your taxes _______ run a shady business, or engage in sharp practices _______ sell adulterated food _______ sell pirated goods _______ cheat your customers _______ swindle elderly people _______ Where was the defamatory statement made? At work in an open area _______ In a private meeting at work _______ In a performance review _______ At a meeting of your employer's executives _______ In a public place _______ At church _______ In your community _______ At a community meeting _______ Before the city council _______ Before legislators _______ In a communication to a governmental agency _______ In court _______ In a newspaper or magazine _______ In a book _______ Over the radio _______ On TV _______ On the Internet _______
How did you find out about the statement? ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ Who heard or read or saw the defamatory statement? Please be specific. ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ Was the defamatory statement directed toward your business? Yes _______ No _______ Do you think that the defamatory statement could have had a negative impact on your business? Yes _______ No _______ |