New Case Information

Client Information

First Name*

Last Name*

Street Address*

City*

State*

Zip Code*

Email

Home Phone

Cell Phone

Work Phone

Marital Status

Are you known by any other names?

Yes

No

Section

List any other names

A fictitious name, a nickname, a former name, your maiden name etc.

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Section

Where are you employed?

May we contact you there?

Yes

No

Alternate Contact

If your mail is returned as undeliverable or telephone service terminated, please provide the name of someone (friend or relative) you believe will always know how to contact you.

Name

Relationship

Phone Number

Street

City*

State*

Zip*

Additional Information

Briefly explain the issue which prompted you to seek legal assistance

Are there any other parties involved?

Examples: your spouse, a friend, an employer, a neighbor, signor of a contract, etc. This should include parties on either side of your issue.

Party

Relationship

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List the documents (papers) you think might help us understand the issues.

One per line

Single Line Text

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How urgent is this matter?

Critical – Severe hardship, personal or financial inconvenience at stake.

Important – I would like to have the matter addressed as soon as possible.

Needs to be done, but not immediately.

Just thought I’d see if it was worth pursuing.

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Client Information

Section

Section

Alternate Contact

Additional Information

Are there any other parties involved?

List the documents (papers) you think might help us understand the issues.

AUSTIN REAL ESTATE ATTORNEYS