Contact Information

Full Name *

Phone Number *

Email Address *

Preferred Contact Method

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Address

Legal Issue Overview

Type of Legal Matter

Family LawBusiness / CorporateEstate PlanningCriminal DefenseCivil LitigationReal EstateEmployment / LaborPersonal InjuryImmigrationOther

Brief Description of the Legal Issue

Any Deadlines or Court Dates?

YesNo

If yes, please specify

Parties Involved

Other Parties Involved?

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Names & Relationship

Documents Filed?

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If yes, describe or attach

Representation Status

Previously Consulted an Attorney?

YesNo

If yes, who and when?

Desired Outcome

What outcome are you seeking?

Financial & Documentation

Do you have documents?

YesNo

Document Type

Hard CopyDigital

Legal Insurance?

YesNo

Provider

Additional Information

Anything else we should know?

Availability

Appointment Type

In-PersonVirtualPhone

Days Available

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Best Time

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