Online Intake Form

If you would like us to contact you regarding your legal issue, please fill out the following information. Someone from our office will get back in touch with you as soon as possible to discuss your case and schedule a consultation.*

We are pleased to communicate with you concerning legal matters. However, if you communicate with us through this website regarding a matter for which our firm DOES NOT ALREADY REPRESENT YOU, your communication may NOT be treated as privileged or confidential, and shall NOT be deemed to create an attorney/client relationship.

Additionally, you should NOT provide confidential information to anyone at our law firm in an e-mail inquiry or otherwise unless we have FIRST entered into an agreement regarding representation. You understand and are aware that the submission of this intake form may be done via a third party webhost and therefore you SHOULD NOT include any confidential information in this form.

Furthermore, the submission of this online intake form DOES NOT create an attorney-client relationship nor does it create any obligation on the part of the firm to schedule an initial consultation or agree to represent you in your legal issue.

By continuing on to our website you are agreeing to these terms and conditions.

Your Name and Address(required)

Email(required)

Phone Number(required)

When did the matter in question occur?(required)

Please describe the current situation.(required)

Have you spoken to an attorney on this matter? If so outcome?(required)

Opposing party or parties names?

Is there a trial date? If so, when?

Please list the documents you have related to your case.

How did you hear about our Firm?(required)

I understand there is a reduced rate CONSULTATION FEE of $35.00 due at the time of the appointment.

* DISCLAIMER

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