Website Intake Form Instructions

Thank you for contacting our Office. Please complete this form as accurately and completely as possible so that we can review your request for legal assistance.

Submitting this form does not create an attorney-client relationship, and we cannot represent you unless we agree to do so in writing.

Conflict Review

To determine whether our office may speak with you about your matter, please provide the full legal name of the other person involved in your case, including any former, maiden, married, or other names they have used. If known, please also provide the name of that person's attorney and any other individuals who may be substantially involved.

Please do not include highly sensitive, private, or time-sensitive details in this form. If your matter involves an upcoming court date, filing deadline, emergency, or immediate safety concern, seek appropriate assistance promptly.

After we receive your information, our office will review it and contact you if we are able to proceed. We may be unable to provide additional information if we determine that we cannot assist with your matter.

Contact information: Your Contact Information

Prefix

First name *

Middle name

Last name *

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

Add address

Phone numbers

Phone number

Type

Add phone number

Contact information: Your Contact Information

Opposing Party First Name

Opposing Party Middle Name

Opposing Party Last Name

Opposing Party Former / Maiden / Alias Names

Opposing Counsel Name/Law Firm (if known)

Please select the matters you are looking for assistance with.