Law Firm Client Intake Form Template
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Law Firm Client Intake Form

Please complete this form to help us understand your legal needs and begin the client intake process.

Client Information

Name

    Address

      Phone number

        Email

          Date of Birth

            Legal Issue Details

            Type of Legal Matter

              • Family Law

              • Criminal

              • Personal Injury

              Brief Description of the Issue

                Timeline of Events Related to the Legal Matter

                  Background Information

                  Have you previously worked with a lawyer on this issue?

                  If yes, please provide details.

                    Relevant Documents (if applicable)

                      Financial Information

                      Income Level (Optional)

                        Payment Method?

                          • Credit Card

                          • Debit Card

                          • Bank Transfer

                          • Check

                          Confidentiality and Consent

                          I fully acknowledge and understand that any personal information I provide will be maintained in strict confidence and not disclosed to unauthorized parties.

                          Name:

                          Date:

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