Click here to download the Questionnaire PDF

Thank you for contacting our firm regarding the UIA Fraud Class Action. Please provide us with as much of the following information as you can. You can return the completed questionnaire via e-mail to, or you can fax the completed questionnaire to 248-398-9804, or you can mail the completed questionnaire to: Pitt, McGehee, Palmer & Rivers, P.C., Attn: UIA Fraud Class Action, 117 West Fourth Street, Suite 200, Royal Oak, MI 48067.

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