• CLIENT INFORMATION FORM

  • Format: (000) 000-0000.
  • Date
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    2 digit day, 2 digit month, 4 digit year
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  • Are you known by any other name(s)

  • Employment Information

  • Emergency Contact Information

  • OPPOSING PARTY'S INFORMATION

  • Employment Information (Opposing Party)

  • Employer's Address and Contact

  • CONSULTATION

    The purpose of an initial consultation is for the attorney to advise you, the prospective client what, if anything, may be done for you, and what the minimum fee therefore will be charged by your our Firm. The purpose is not to render a definitive fee. The purpose is not to render a definitive legal opinion as it may be impossible to fully assess a matter within the period allotted for a consultation or with the information and documents that you may be able to provide at the initial consultation.

  • One of the three outcomes is possible following your consultation:

    A. You and the Attorney mutually agree to the terms of the representation, or

  • Outcome B

    The Attorney declines representation, or

  • Outcome C

    You decide not to use the services of the Attorney

  • Issues and Priorities

  • Please classify your urgency in concluding this matter*
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  • Are we the first Attorneys you have consulted on this matter*
  • Have you ever been represented by an Attorney before
  • How will you pay your attorney fees in this matter?
  • How did you learn of our office*
  • If your mail is returned unavailable or your telephone service terminated, please provide the name of someone (friend or relative) you believe will always know how to contact you.*

  • PLEASE READ CAREFULLY and SIGN BELOW

    Following your initial interview, if you agree to hire the Attorney, and the Attorney agrees to represent you, you will both sign a Retainer Agreement. The Retainer Agreement will set forth all the terms and the conditions of representation. If the Attorney is willing to represent you and you decide not to sign a Retainer Agreement for representation today, you are strongly urged to schedule a second appointment with the Attorney at the earliest possible time or to immediately consult with other legal counsel to protect your rights.

  • NOTICE: This office does not represent you with regard to the matter set forth by you herein in this information sheet or discussed during your consultation, unless and until both you and the Attorney execute a written Retainer Agreement.

  • If the Attorney does not agree to represent you, this includes not representing you with regard to the matter set forth by you on this information sheet, it means you have not hired the Attorney.

  • Date
     - -
    2 digit month, 2 digit day, 4 digit year

  • This Portion to be completed by the Attorney

  • Type a question

  • Interviewed by this of         in the year   
    Retainer Fee Quoted   
    Terms:      
     
       
         

  • Office Use Only

  • Opposing Counsel Information

  • Should be Empty: