Client Intake Form

This form is designed to collect all pertinent information about your matter in an organized manner.

First Name

Last Name

Opposing Party’s Name/Company

Opposing Party’s Name/Company Email

Date of Incident

Issue Descripton

Image Evidence

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Video Evidence

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Audio Evidence

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Documents

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Other Documents

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Evidence of damages

Documents

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Documents

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Documents

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I, hereby provide this information for the purpose of a consultation with Legalytech LLC. I understand that submitting this form does not establish an attorney-client relationship. Any subsequent required action will be referred to an appropriate specialist.

Thanks for submitting!