Consultation Request

First Name:

Last Name:

Address:

City:

State:

Zip:

Area Code and Telephone:

Best time to reach you:

Email:

What type of legal issue do you wish to discuss?

Please briefly describe your legal matter.

Names of others who are involved?

(I will need to verify that I am not already representing someone involved in your legal matter.)

What documents are there regarding your case, and can you fax, email, or mail copies before meeting with me?

What do you hope to obtain with the help of a lawyer?

Are there any time restrictions? If so, what?

How did you hear about us?

Please note that submitting this form does not mean I have agreed to meet with you,

nor to represent you.  I will call or email you after reviewing your request to either

set up an appointment or to let you know that I cannot help with your legal matter.

Mr.Mrs.MissMs.Dr.

Estate Planning (will, trust, power of attorney, health care directive)Probate (handling the estate of someone who is deceased)Private Education (including campus based or homeschooling)Juvenile Dependency (CPS contact)Personal Injury (car accident or other event which caused injury to you or your property)Contract Matter (drafting or interpreting a contract)Leases (drafting or interpreting a lease document, or handling other issues related to leases)Other

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