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Client Intake

  • Basic Information
  • Case Information
  • Goals

Initial Client Consultation Interview Form

The purpose of an initial consultation is for the attorney to advise you, the potential client what, if anything, may be done for you, and what the minimum fee will be. The purpose is not to render a definitive legal opinion as it may be impossible to fully assess a matter within the time frame allotted for your consultation or with the information or documents that you may be able to provide at the initial consultation.

One of three outcomes is possible following your consultation:

  • You and the Attorney mutually agree to the terms of the representation;
  • The Attorney declines representation;
  • You decide not to use the services of the Attorney.

Note: The following questions will help us to understand the reason for your visit. Your responses are protected by attorney/client privilege and will be held in strict confidence.

Name:

Phone Number:

E-Mail:

Street Address:

City:

State:

Zip Code:

Have you ever filed bankruptcy before?

Marital Status:

Case Information

Briefly explain your legal issue:*

Are there other parties involved?

If yes, please identify the parties on both sides (e.g., John Doe, Witness to the Events, No family Relationship):

Please identify what documents, if any, you think may help us understand your legal issue. Please bring these with you to your consultation.

Goals

Ideally, if turns thing out the way you want them, what is your goal?

Knowing that there are no guarantees, what are you willing to accept?

How important is solving this legal issue to you?

If your legal issue involves payment of money to you that you feel you are owed, how long can you wait before not getting paid?

Are we the first attorneys you've consulted with on this matter?

If no, please explain why you did not hire that attorney?

How did you hear about us?

Please upload any document which you feel may help us understand your situation.

Max. size: 256.0 MB

PLEASE READ CAREFULLY BEFORE SUBMITTING:

By submitting this form, you agree that this initial consultation is not the physical step of retaining an attorney. Following your initial consultation, if you agree to hire the Attorney, and the Attorney agrees to represent you, you will both sign a legal engagement letter generated by our firm. The legal engagement letter will set forth all terms and conditions of the attorney-client relationship and will define under what circumstances termination can be ended by the attorney.

If the Attorney is willing to represent you and you decide not to sign a Legal Engagement today, you are strongly urged to schedule a second appointment with the attorney at the earliest possible time or to immediately consult with other legal counsel to protect your rights.

NOTICE: This office does not represent you with regard to the matters set forth by you in this form or those matters discussed with the Attorney in your consultation unless you and the Attorney both execute a written legal engagement letter.

If the attorney does not agree to represent you, including but not limited to not representing you with regard to the matter set forth by you on this intake form or other matters discussed during your consultation, it is important for you to realize that if you are facing a lawsuit, or have the right to bring one, that either must occur within a period of time called the Statute of Limitations. Therefore, the Attorney strongly urges you to immediately consult with another attorney to protect your rights. The Attorney's decision not to represent you should not be taken as an expression regarding the merits of your case.

By submitting this form via this website, you acknowledge that you have received this information and that you understand you have not yet retained an attorney for your legal issue.