EmailMe Form - General Appeal/Trial Support Intake Questionnaire

Contact Information

Name *

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Phone *

### - ### - ####

Email

Is this your case?

Yes

No

If this is not your case, on whose behalf are you inquiring?

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What is your relationship to the potential client?

Case Information

What type of case is this? *

For example: Real Estate, Small Business, Personal Injury, Bankruptcy, etc.

Case Location State: *

Case Location County: *

State Court Case Number (if available):

Has the lower court entered a final judgment or order?

Yes

No

I'm not sure

If the lower court has entered a final judgment or order, what date was it entered?

MM / DD / YYYY

Has a notice of appeal been filed by either party?

Yes

No

I'm not sure

District Court of Appeal Number (if available):

Has a cross-complaint or cross-appeal been filed?

Yes

No

I'm not sure

Please select your role in this case: *

Please list any additional plaintiffs/appellants/petitioners:

Please list any additional defendants/appellees/respondents:

Are you currently, or have you previously been represented by counsel in this matter?

Yes

No

If so, please provide their name.

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Please list any other attorneys involved in the case.

Other Information

Is there anything else about the situation you would like us to know?

What is most important to you in terms of how this case is resolved?

Will anyone else be assisting with attorney's fee?

Yes

No

Did anyone refer you to us? If so, please let us know so we can thank them.

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