Thank you so much for contacting our law office! Please read the privacy policy below, and then fill out this form in its entirety prior to our consultation.

Privacy Policy

All information received from a client is strictly confidential. Our firm takes every step possible to protect your privacy. The data submitted via this form is encrypted and secured using industry-standard 256-bit SSL encryption.

Your Social Security Number and other personal information will only be used in the event that you hire the firm to represent you in your legal matter, and then only when necessary in limited use during the course of your case.

Social Security Numbers are most often used to positively identify parties. Most courts require Social Security Numbers of all parties in a case. Some other examples of how this information may be used include:

initial service
in court orders
in required reports or other documents filed with the State

If you have any questions, please don't hesitate to contact our law office. We look forward to working with you!

Disclaimer

Completion and submission of this general intake form does not create an attorney-client relationship between you and the firm.

An attorney-client relationship is established only after the firm has completed a conflicts check, the firm has agreed in writing to represent you, and a formal engagement agreement has been signed by both you and the firm.

Information submitted through this intake form is provided for preliminary evaluation purposes only and should not be considered legal advice. You should not send any confidential or time sensitive information through this form until an attorney-client relationship has been formally established.

The firm is under no obligation to accept representation based on the information provided, and no action will be taken on your matter unless and until a written engagement agreement is in place.

Contact information

Prefix

First name *

Middle name

Last name *

Date of birth

Emails

Email Address *

Type

Upon submission, a copy of this form will be sent to the primary email.

Add email

Addresses

Street address

Country

City

State/Region

Zip/Postal code

Address type

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Phone numbers

Phone number

Type

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Contact information

Preferred Contact Method

Marital Status

Are you currently employed?

Provide a brief description of your claim

Is there anything else you want to let us know?

How did you hear about us?

If our law firm ends up representing you in this matter, will you be the person who pays the legal fees?

Please acknowledge that you have read and hereby accept the above privacy policy regarding use of my personal information by typing your full legal name below

THANK YOU