Thank you so much for contacting our law office! To better assist you, please take a moment to complete the following questionnaire. This will help us understand your needs and ensure we provide you with the best service possible. After receipt, our team will contact you as soon as possible! Please read the privacy policy below, and then fill out this form in its entirety prior to our consultation.

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

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.

Contact information

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First name *

Middle name

Last name *

Emails

Email Address *

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

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Addresses

Street address

Country

City

State/Region

Zip/Postal code

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Phone numbers

Phone number

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THANK YOU

Thank you so much for completing this intake questionnaire. This information will be extremely helpful in evaluating your case. We will contact you as soon as possible with any updates.

Please click the SUBMIT button below when you have finished answering all questions.

Contact information

What is your preferred method of contact?

What is the main issue or legal matter you will need assistance with? Please be as descriptive as possible.

Please briefly describe any relevant background or context regarding your situation.

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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

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