If you’ve already set a consultation with us, please complete the Client Intake Form prior to your visit.
Date of Birth*
Where you are charged?*
If No, What is Status?
Criminal History (convictions, probations, Pending cases including current probation)*
Name of Contact Person with different address and different phone.
Date of Birth
Are we the first attorneys you have consulted regarding this matter?*
If No - Why didn't you hire their services?
Have you ever been represented by an attorney before?*
If Yes - Please state the circumstances:
How will you pay for your attorney’s fees in this matter?
CashCheckMoney OrderCredit Card
How did you learn of our office?*
Your version of the events
Any Additional Information
PLEASE READ CAREFULLY
Following your initial interview, if you agree to hire the Attorney, and the Attorney agrees to represent you, you will both sign a Contract for Legal Services. The Contract for Legal Services will set forth the terms and conditions of representation.
If the Attorney is willing to represent you and you decide not to sign an Contract for Legal Services 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 information sheet or discussed during your consultation, unless and until, both you and the Attorney execute a written Contract for Legal Services.
If the Attorney does not agree to represent you, this includes not representing you with regard to the matter set forth by you on this information sheet, or any other matters you may discuss with the Attorney during your consultation. If your legal problem(s) involve a potential lawsuit, it is important that you realize a lawsuit must be filed within a certain period of time called a 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 by you as an expression regarding the merits of your case.
I have read and agree to the terms stated above
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