Prospective Client Intake

Name *
Name
Please list the name of your business, other owners of the business, and any adverse parties involved in your legal matter.
Address *
Address
Phone *
Phone
Please list any other information you think we should have about your legal matter.
Checkbox *
I acknowledge and understand that the purpose of an initial consultation is for the attorney to advise the prospective client what, if anything, may be done for you and what the minimum fee therefor will be. The purpose is not to render a definitive legal opinion, as it may be impossible to fully assess a matter within the time frame allotted for a consultation or with the information that you may be able to provide at the initial consultation I further acknowledge and understand that until such time as I have retained Kliebert Law as my legal counsel and have signed an engagement letter, Kliebert Law does not represent me or my interests, will not be acting for me or taking any steps on my behalf, and shall not be responsible for any action required on my behalf, including, but not limited to, filing a response, filing a counterclaim, and filing claims within the time allowed by the statute of limitations on those claims.