Trial/Hearing/Mediation Proceeding Intake Form
Trial Period from or Special Set Day (Firm Date in the Court's Order or Notice)
*
-
Month
-
Day
Year
Trial Period to
*
-
Month
-
Day
Year
How long is the trial/hearing supposed to last? Days, weeks, months?
*
Name of Person Submitting Form
*
First Name
Last Name
Phone Number of Person Submitting Form
*
Please enter a valid phone number.
Email of Person Submitting Form
*
example@example.com
Case Information
Case Name and Case Number
*
Case Heading
Name of Client
*
Client Full Name
Court County State/Chambers/Hearing Room No./Courtroom Number
*
Judge's Name
*
Name of Judge
Name of Attorney Requesting Assistance in Court or Procedure
*
Full names of other attorneys in the matter and law firm name
Name of Attorneys for the Other Side(s)
*
Full names of other attorneys in the matter and their law firm
Type of Case (Med Mal, Personal Injury Defense Car Accident, Slip and Fall, Construction Defect, etc.)
*
Type of Court Appearance
*
Please Select
Trial
Hearing
Motion
Mediation
Other
Notes / Anything we need to know? / Video Depositions? / Radiological Studies?
Trial Order / Mediation Notice or Notice of Hearing
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Save
Submit
Should be Empty: