Business Litigation Attorney, New York City | Employment Law, Insurance Lawyer, Commercial | Manhattan, Queens, Bronx, Brooklyn, Long Island

Litigation Intake Form

*Name:

*Address:

*City:

*State:

*Zip:

*E-mail address:

*Home Phone:

Business Phone:

Cellular or Pager:

Facsimile:

Are you known by any other names?
YesNo

If yes, list other names you have used:

What is your marital status?

Does this matter involve a business you own or run?
YesNo

If yes, provide the business name, address, and phone:

If a business is involved, how is the business organized (if known)?

Are you employed?
YesNo

If yes, please provide your job title and employer's name and address.

Can you be contacted at work?
YesNo

Are you being sued?
YesNo

If yes, please provide the following:

Name of the party suing you

Name, address, and telephone number of the attorney for the party suing you, if any

Name and location of the court you are being sued in

Date you were served with court papers

What area of law does your situation involve (if known)?

Describe your situation, including any relevant dates:

Are any other people involved?
YesNo

If yes, provide names, addresses (if known), and their relationship to you, if any:

Do you have any documents that could help explain your situation?
YesNo

If yes, list those documents and their dates:

Are there other documents that you do not have access to that could be of assistance?
YesNo

If yes, list those documents and their dates and locations (if known):

Describe how this situation has impacted you:
Describe what you would like to happen to resolve your issue (your preferred outcome):
Have other attorneys worked on this matter? YesNo
If yes, provide names, addresses, and a brief description of their involvement:
Special concerns:
Where did you hear about this website?

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