Client Intake Form

Please complete this form. All information is strictly confidential.

Personal Information

Full Name *

City of Residence

Email *

Phone *

Street Address

City

ZIP

Preferred Language

Legal Matter

Area of Law *

Urgency Level

Issue Summary (10 words or less)

Brief Facts *

Opposing Party (if any)

Court Date (if applicable)

Have you previously worked with an attorney on this matter?

NoYes

Supporting Documents (Optional)

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PDF, JPG, PNG — Leases, notices, contracts, etc.

Confidentiality & Consent

I understand that this consultation is confidential and protected by attorney-client privilege. I consent to sharing this information with the assigned attorney for the purpose of this consultation at the Urgent Legal Care Saturday Clinic. *