Main Forms

  • Case Information Sheet
    Submit information to start a Collection case. You’ll need to supply information regarding your Facility, the Resident this case pertains to, and you’ll need to upload certain documents (such as a scan of the signed Admissions sheet).

  • Resident's Family Members
    Submit family member information for a Resident.

Other Forms

Lebenbom & Rothman, P.C.

Attorneys at Law

2701 Troy Center Drive,
Suite 450
Troy, MI 48084

Phone: (248) 362-9699
Fax: (248) 362-1033

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