Touhy & Touhy, Ltd

Our offices are located at:

161 North Clark Street
Suite 2210
Chicago, IL 60601
(312) 372-2209
or call us toll free at
1-877-372-2209

Class Action Registration

Please complete the form below. We will be sure to contact you as soon as possible. Please note fields with * are required.

	*First Name	Middle Initial
	*Last Name
	*Address

	*City
	*State
	*Zip
	*Home Telephone
	Work Telepnone
	Email
	How were you referred?
	Class Action Case:
	Briefly describe the nature of your claim.
	Briefly describe the circumstances of your injury.