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Client Intake Form

Clientintake

If you are human, leave this field blank.

Matter Information

Matter Name *

Jones v Jones

Matter Number *

13CV699

Case Type * Case Type

Court

Ex. United States District Court for the Northern District of Illinois / Arbitration #9999 / Human Rights Complaint #999 / None

Presiding Judge / Arbitrator

Ex. John Smith

Services Needed

Scope of Work *

Description of services needed

Firm Representing Client

Firm Name *

Law Offices of Robert Jones (ex.)

Street Address *

Street Address Line 2

City *

State *

Zip Code *

Billing Email *

Lead Attorney Representing Client

First Name *

Jane

Middle Name

Sue

Last Name *

Doe

Title *

Attorney

Office Phone *

Mobile Phone

Email *

Second Attorney Representing Client

First Name

Jane

Middle Name

Sue

Last Name

Doe

Title

Attorney

Office Phone