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PERSONAL INJURY
Hi there, Law Office of Joshua Y. Lee is using this new system for your convenience.  If you have recently been involved in a slip & fall, medical malpractice, burn or other injury, please fill out and submit this form.  It is important you provide us all the information you have.  The more info we have the better we can serve you.  (IMPORTANT: We are not your attorneys unless and until you sign a fee agreement with our firm.  This intake form only gives us background information and is not to be interpreted as having hired our firm nor our acceptance of any matter or client.  Such a relationship does not exist as of the filling of the form below.)  Upon completion someone will get back to you within a few hours to a few days.
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    In order to provide our clients with efficient and convenient legal services, our law office will communicate and transmit documents using e-mail, social media, cell phone, text messages, internet and web and fax.  Because cybersecurity and technology as a whole continues to evolve, there may be risks communicating in these manners, including risks related to confidentiality and security and those associated with being hacked.  By entering the information on this form, you are consenting to such e-mail, social media, cell phone, internet, zoom, web and fax communications.   You are also acknowledging the risks and accepting them.  In addition, our law office uses Drop-box and other cloud based technologies and services with servers located in facilities outside of our office.  Most of our electronic data, emails, and documents are stored in this manner.  By entering the information on this form, you understand and consent to having communications and documents pertinent to your Matter stored and handled in this cloud based manner.  Because technology continues to evolve, there are risks, as already discussed above.  By filling out your name and initialling the box below, you knowingly, intelligently consent to everything in this paragraph.
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    As you probably know, Covid-19 is officially a pandemic. We are continuing to be vigilant about washing our hands and keeping our office clean, practicing social distancing and wearing masks at all times. Second, should we need to meet, we will need to ask you some personal questions to determine the best way to mitigate risk for both your health and ours. We would ask that you also vigilantly wash your hands and if necessary, cough into your elbow (not your hands). When we finally do meet, we will not be shaking hands or making body contact of any kind. These are just simple but important precautions. Now that we have that out of the way, we would appreciate it if you would please answer the 3 questions below. Please note that we will still be glad to service you, even if you answer yes to any one or more of the questions below. We will simply find a way to work with you remotely if necessary or some alternative method of dealing with your legal issues. Thank you for your cooperation.
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    Please give name and contact info of the person / attorney or website and contact info.
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    Necessary for settlement purposes 
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    If Married
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    This helps calculate potential damages
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    This helps calculate potential damages
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    If so, please explain your work hours and duties
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    Name, address, manager name and contact, etc.
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    Business Insurance, Personal Insurance, Umbrella Insurance, etc.
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    Must check as many as apply
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    Driver's license, insurance cards, medical ins cards, Medi-Cal/Medicare, Car damage, injuries, etc.
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    Mark all that apply
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    Everyone should fill out
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    Everyone should fill out
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    Everyone should fill out
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    By clicking "Yes", you consent to and accept the risks involved with Zoom meetings, including those related to privacy. You must be in a private and quiet area without anybody else in the room during the meeting.
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PERSONAL INJURY - OTHER
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