Consultation Intake Form - Hall & Means LLC

Hall & Means Consultation Intake Form

Section 1: Your Information

Your information will be used to confirm a conflict check and prepare for your consultation. Everything you submit is protected by attorney-client privilege.

Your Full Legal Name

Maiden Name (if applicable)

Email Address

Date of Birth

Home Address

Employer & Job Title

State of Birth

Section 2: Opposing Party Information

Information about the other party to your case. We use this for a conflict check before your consultation.

Opposing Party Full Legal Name

Opposing Party Maiden Name (if applicable)

Opposing Party Date of Birth

Opposing Party Home Address

Opposing Party Employer & Job Title

Opposing Party County of Residence (and how long)

Section 3: Marriage Information

Complete this section if you are married, separated, or divorced. Skip if it does not apply.

Date of Marriage

Date of Separation

County & State of Marriage

County, City & State Last Resided as Married Couple

Marriage Number (1st, 2nd, etc.) or Date of Prior Divorce

Section 4: Children

Skip this section if you do not have children. Otherwise, list each child name, date of birth, and school below.

Children Information

Section 5: What Are You Seeking Legal Advice For?

Check all that apply. You can add detail in the next section.

Brief Description of Your Situation

If Name Change: What Name Are You Seeking?

Acknowledgment & Electronic Signature

Please read carefully before signing:

I understand that my initial consultation does not establish an attorney-client relationship between me and Hall & Means, LLC, except for the limited purpose of this meeting. Any further representation beyond the consultation date will require a signed Retainer Agreement and a Retainer Fee, agreed upon as shall be set forth in the terms of the Retainer Agreement.

Acknowledgment

I have read and agree to the above acknowledgment.

Type Your Full Legal Name as Electronic Signature