Client Management

Client Information
Who is the client?
Tell us whether your appointment is about an issue you're having, or if you are coming on behalf of someone else.
- I am the one with the legal issue.
- I'm looking for help on behalf of a person who has a legal issue
What is your relationship to the individual?
Are they currently detained, in jail, or being held on bail?
- Yes
- No
Do you have any friends or relatives who are, or have ever been, clients of ours?
- Yes
- No
What is their name?
First Last
Entry number:
Who was their attorney?
First Last
What is their phone number?

Contact Information
Business Name (if applicable)
Your Name*
First Last
Phone*
Email*
Address
Street Address Address Line 2 City State ZIP Code
Additional Contacts
Please include any additional contacts we should notify in case we can't get in touch with you.
Full Name Relationship Phone / Email

Case Details
Practice Area
Check the box for the practice area you feel best applies to your case.
- Immigration
- Criminal Defense / Traffic
- Family Law (Divorce, Custody, Etc.)
- Personal Injury
- Intellectual Property / Business
- General Civil Matters
Other Practice Area
Tell Us About Your Case*
Please give us as much information as you can about your case, and about why you need to speak to a lawyer. Please provide details regarding any prior criminal history, if any.

Client Information

Full Name	Relationship	Phone / Email