Legal Client Referral Form
LEGAL CLIENT REFERRAL FORM
Welcome to [Your Company Name] Legal Services! We greatly appreciate your trust in referring clients to us. To ensure we have all the necessary information to assist your referrals effectively, please fill out the following form with as much detail as possible. Thank you for your partnership!
Referrer's Information:
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Name: |
[Referrer’s Name] |
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Organization: |
[Referrer’s Organization] |
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Phone Number: |
[Referrer’s Number] |
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Email Address: |
[Referrer’s Email] |
Referred Client's Information:
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Name: |
[Client Name] |
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Phone Number: |
[Client Number] |
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Email Address: |
[Client Email] |
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Address: |
[Client Address] |
Legal Matter Details:
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Type of Legal Matter: |
Personal Injury Claim |
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Brief Description of Legal Issue: |
Sarah was injured in a car accident and needs assistance with filing a personal injury claim against the at-fault driver. |
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Any Relevant Deadlines: |
None at the moment. |
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Preferred Method of Contact: |
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Additional Comments or Information:
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Sarah has already gathered some medical records related to the accident. |
Please return this form to [Your Company Name] by:
Email: [Your Company Email]
Fax: [Your Company Fax]
