Immediate Crisis Support

Please complete this form and be as detailed and as possible. This process allows us to more effectively staff and address your issue.

Note that this intake is unlikely to be considered privileged in a legal setting, though we will hold all information confidential. Once we receive the form, we will review your responses and get back to you, usually within 60-90 minutes during business hours.

We will do our best to respond after business hours according to the urgency of the situation.

For general or non-urgent questions, contact us here.

Name

First Name

Last Name

Organization Name

Email Address

Mobile Phone Number

(###)

###

####

Physical Location

How urgent is your situation or issue?

Please describe what has or is happening.

Include details if you can — location(s), key individuals, timelines, important audiences, likely next developments/steps, etc.

What negative consequences have you seen/are you seeing as a result of this situation?

What is the greatest threat?

To your organization or to you personally in terms of reputation, your business, etc.

What has been done and is being done to respond and how has it working/worked?

Are you having to coordinate with any outside groups as part of responding?

Check all that apply.

Emergency Responders

Investigators

Regulatory Organizations

Other

How widespread is knowledge of this crisis within your organization and outside of it?

Are there any groups representing your organization already involved in responding to this issue on any level?

e.g. legal counsel, public relations firm, holding company, etc.

Who is leading the response effort?

Has anything like this ever happened to your organization in the past?

Please provide any additional details that would be helpful for us to know.

Immediate Crisis Support

Thank you! We will respond as quickly as possible.

Urgency? Please call us at 801. 481. 9482.