New Client

Please fill out as much information as possible on the following form. DO NOT provide your Social Security Number (SSN) or A-number. If you are in need of legal services yourself, please provide your personal information. If you are requesting services on behalf of another (your spouse, your family member, your employee, etc.), provide that individual’s information, not your own. The consultation fee of $150 is payable prior to your scheduled appointment. The fee will be applied to your case if you decide to retain our services. Payments can be made over the phone or on our website.

Intake Form

CONTACT INFORMATION

  • Date Format: MM slash DD slash YYYY
    Please choose a business day
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    Please choose time in respect to Eastern Standard Time
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