Consultation Intake Form

Consultation Intake Form

Please complete the brief form below to schedule a confidential consultation. The information you provide will help our team evaluate your legal matter and determine how we can assist you.
Client Information
Name:

First NameLast Name
Date of Birth:

MonthDayYear
Phone Number:
Please enter a valid phone number.Format: (000) 000-0000.
Email:
example@example.com
Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Case Information
Type of Legal Matter (please submit an additional form if you have more than one type of legal issue):
Charges Involved and Brief Description of the Incident:
What type of legal matter are you seeking assistance with?
What type of family law matter are you seeking assistance with?

Other
Are minor children involved?
Date of Alleged Incident:

MonthDayYear
Date
Location of Alleged Incident:
(Please include the city and county)
Are you are inquiring on behalf of someone still in jail?
Please state where they are being held.
Have there been any court dates or are there any coming up?
Please list the date(s) and where court was (or will be) held.
In what county did the matter arise or where is it currently pending?
Please state the full name of the opposing party.
Please provide the full names of all parties involved.
Please state the county and state where the opposing party resides.
Is there already an existing court case regarding this legal matter?
Please provide the details regarding the existing court case including case number, county where the case is currently pending, and the names of parties involved.
Is there a deadline, court date, hearing, or other urgent matter we should be aware of?
Are you currently represented by an Attorney in this matter?
Should be Empty:

Consultation Intake Form

Client Information

Case Information