Request Consultation The Law Offices of Jan V. Farensbach 277 Broadway, Suite 1405 New York, NY 10007 Tel. 212.964.3453 Fax. 212.571.0276 Email: janvf@farenslaw.com Map & Directions Contact Information Please use this form to tell us about your potential case. We value your time, appreciate the opportunity to review your case and will respond promptly to your inquiry. First Name: Last Name: Address Street 1: Address Street 2: City: Zip Code: (5 digits) State: AL AK AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY Daytime Phone: Evening Phone: Email: Please describe your case in detail. Enter comments here!