DO not use this form to provide information you believe SHOULD remain confidential.

Completion of this form is for potential client intake purposes only and does not create an attorney-client relationship. Only a signed ENGAGEMENT letter between you and your attorney will create an attorney-client relationship. Any information in this form cannot be relied upon as legal advice. 

Please have the primary point of contact complete this form. Providing detailed answers will assist our office throughout the matter. Feel free to contact us if you have any questions.