General Release: $150.00

This is a form to release a party's obligation arising from a claim, an action, a suit, a demand, or an agreement. The form contains questions concerning the parties and the obligation.

If you have not registered yet, please register with Tyler Lee Randolph, P.C.

First Name
Middle Initial
Last Name
Telephone
E-Mail
Address Line 1
Address Line 2 (optional)
City
State
Zip Code
How did you find out
about this site?
Create a Username
(at least 6 characters)
Create a Password
Confirm Password
Limited Services Agreement

Please enter the text below:
(Please click "Register" only once. The registration process may take a minute to complete.)

If you have already created your account with Tyler Lee Randolph, P.C., please log in here.

Username
Password
Forgot your username or password?