Intake Form

Secure Online Form

Please complete the intake questionnaire below to help us gather the necessary information to respond to your inquiry. Once submitted, please allow 24-48 hours for one of our team members to respond.
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email*
example@example.com
Phone number
Please enter a valid phone number.
Type of legal issue*
Briefly describe your matter.*
What is your desired outcome?
How were you referred to the Law Offices of Christine Chigbu, PC?
Attorney-Client Relationship*

I acknowledge and understand that the submission of this form does not create an attorney-client relationship with the Firm unless and until a retainer agreement has been executed between myself and the Firm.
Case Evaluation*

I acknowledge and understand that because the Firm may not be able to fully evaluate a matter within the time frame allotted for the consultation, the Firm's assessment will be based solely on the information I provide without any further investigation.
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Secure Online Form