Client Intake Form for Support Services

Full Name

First NameLast Name

Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Email Address

example@example.com

Date of Birth

Date

Preferred Language

Service Needed

Urgency Level

Preferred Contact Method

Appointment Type

Preferred Date

Date

Preferred Time

AM/PM Option

Please provide details about the support or document assistance you are requesting.

Examples: Need help completing forms; Need document notarization; Need immigration application support.

Upload any documents related to your request

I certify the information provided is accurate.

I understand Kalas Support provides support/document assistance services.

French: Avis important : Kalas Support fournit des services d’assistance administrative, d’aide aux documents et de soutien général. Nous ne sommes pas un cabinet d’avocats et nous ne fournissons pas de conseils juridiques. Les informations fournies ne remplacent pas l’avis d’un avocat agréé. Veuillez vérifier toutes les informations avant de soumettre vos documents.

Kreyòl / Haitian Creole: Enpòtan: Kalas Support bay sèvis asistans administratif, èd pou dokiman, ak sipò jeneral. Nou pa yon kabinè avoka epi nou pa bay konsèy legal. Enfòmasyon nou bay yo pa ranplase konsèy yon avoka ki gen lisans. Tanpri verifye tout enfòmasyon anvan ou soumèt dokiman ou yo.

Spanish: Aviso importante: Kalas Support ofrece servicios de asistencia administrativa, ayuda con documentos y apoyo general. No somos una firma de abogados y no brindamos asesoría legal. La información proporcionada no sustituye el consejo de un abogado autorizado. Por favor, verifique toda la información antes de enviar sus documentos.

I have read and understand the disclaimer above.

Signature