Trial/Hearing/Mediation Proceeding Intake Form
Trial Period from or Special Set Day (Firm Date in the Court's Order or Notice)
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Month
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Day
Year
Trial Period to
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Month
-
Day
Year
How long is the trial/hearing supposed to last? Days, weeks, months?
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Name of Person Submitting Form
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First Name
Last Name
Phone Number of Person Submitting Form
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Please enter a valid phone number.
Email of Person Submitting Form
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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
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