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Intake Form
We appreciate the opportunity to learn about your circumstances and evaluate how our firm can best assist you. Kindly complete the required fields below. This information will help us quickly assess if we're the right match for your legal needs. By submitting this form, you give us permission to collect your personal details. Know that we prioritize the privacy of your information.
Name
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First Name
Last Name
Address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
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Please enter a valid phone number.
Can we leave messages at that phone number?
YES
NO
Email
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example@example.com
Verify Email
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Briefly describe your legal issue
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Is there an existing court case that you know about?
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YES
NO
What is the court file number?
What city is the court in?
Names of the other parties involved in your matter
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Fill out what you know: full names, relationship, contact information, etc.
How did you hear about Grigoras Law?
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Internet Search (i.e. Google)
Referral Service
Word of Mouth
Other
Are you contacting us on behalf of a business?
YES
NO
What is the business's name?
Business Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Business Phone Number
Please enter a valid phone number.
What type of entity is the business?
Corporation
Limited Liability Company
Limited Partnership
General Partnership
Sole Proprietorship
Other
I Don't Know
Where is the business registered?
Canada and/or one of the Provinces/Territories
United States of America
Outside of Canada / U.S.A.
I Don't Know
What type of business is it?
What does the business do?
What is your position at the company?
List any additional authorized parties for the business
Name, position, and relationship of those who else give us instructions about the company
List any officers, directors, and shareholders
If the company has directors, officers, shareholders/unitholders, please provide us with their names and contact information
E-Signature and ACKNOWLEDGEMENT: By signing my name below, I confirm that the information provided in this form is accurate to the best of my knowledge. By submitting this form, I authorize Grigoras Law to communicate via the above email address and phone number. I acknowledge that completing this form does not establish an attorney-client/solicitor-client relationship with Grigoras Law and that the firm is not yet retained to act for me or represent me. To become a client of Grigoras Law, the firm's usual policies for accepting clients require a mutually-executed retainer agreement.
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