Legal Matter Intake Form
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Email *
What is your full name (including middle)? *
What is your mailing address? *
What is your date of birth? *
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What is the best phone number to reach you at?
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How did your hear about us?
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To the best of your knowledge, please identify which type(s) of legal matter(s) you are requesting assistance with. Please select all that apply. *
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What is a brief description of your legal issue(s)?
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What is the date of your incident (if applicable)? If not applicable, please leave blank.
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Is it okay for our law firm to text you information regarding your legal matter from our office phone number (216-202-8046)? *
See our privacy policy for details on how we handle your information. We never share or sell your opt-in information.
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A copy of your responses will be emailed to the address you provided.
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