Information Request Form for
Platinum Condominium Unit Owners

Thank you for taking the time to provide us with some additional information regarding yourself and the unit or units which were damaged by one or more of the concrete spills that occurred at the Platinum Condominium.

If you have any photographs, video, or any other materials showing the damage to your unit that you would like to share with our firm to better allow us to assess extent of the harm you have suffered as a result of the concrete spills, you can upload such files to us using the following secure link (please ensure that the filenames reference you or your unit number so we can better organize the uploaded items). The information or files you upload will only be accessible by our law firm.

Photo/Video Upload Link: HDD Law Firm Secure File Upload Service (Powered by Dropbox)

Your Name

(Name of the individual who is filling out this form and who will be the primary contact person for the unit)

First Name

Last Name

Primary Email Address

Secondary Email Address

(Optional)

Condominium Unit Information

Condominium Unit Number(s)

(If you own/manage more than one unit that has been damaged, please specify each unit on this line)

Unit Ownership Type

Unit Owned by Individual

Unit Owned by Entity/Company

Name(s) of Owner

(If the unit or units are legally owned by one or more individuals, please provide the name(s) of the owners. If the unit is legally owned by an entity, please provide the name of the entity)

Current Occupancy

Owner Resides in the Unit

Owner Rents/Leases the Unit

Unit is Unoccupied

Description of the Damage to the Unit(s)

Any Other Information You Believe May Be Relevant

HDD Law Firm Secure File Upload Service (Powered by Dropbox)

Additional information.

Information Request Form forPlatinum Condominium Unit Owners

Information Request Form for
Platinum Condominium Unit Owners