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
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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.
Format: (000) 000-0000.
Email of Person Submitting Form
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example@example.com
Case Information
Case Name and Case Number
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Case Heading
Name of Client
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Client Full Name
Court County State/Chambers/Hearing Room No./Courtroom Number
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Judge's Name
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Name of Judge
Name of Attorney Requesting Assistance in Court or Procedure
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Full names of other attorneys in the matter and law firm name
Name of Attorneys for the Other Side(s)
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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.)
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Type of Court Appearance
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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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