Attorneys

Are you a landlord or tenant?

Landlord
Tenant

Has an unlawful detainer been filed?

Yes
No

Is there a written agreement that covers this type of issue?

Yes
No

What type of injuries do you have?

Auto/Motor Vehicle Accident
Slip and fall
Dog bite
Railroad accident
Wrongful death
Hurt on the job
Other

What is the extent of your injuries?

Have you seen a doctor?

Yes
No

What are your medical bills?

Have you filed any claims?

Yes
No

Have you filed a police report?

Yes
No

Were there any witnesses?

Yes
No

Do you have insurance that covers you for this type of incident?

Yes
No
Not Sure

Do other involved parties have insurance that covers this type of incident?

Yes
No
Not sure

Do you own a home?

Yes
No

What is your marital status?

Select Married Divorced Single

How many children do you have?

Select 0 1 2 3 more than three

What is your age?

Do you currently have an estate plan?

Yes
No

What types of services would you like (check all that apply)?

Asset Protection
Power of attorney
Will/General Advice
Living Will
Health Care Power of Attorney
Trust
other

What is being probated?

Select Will Trust Other

Is this a contested matter?

Select Yes No

What is your role in this matter?

Select Preparing my will Executor Heir Preparing my living will Relative of a patient with a living will Doctor of a patient with a living will Other

What services are needed?

Preparation of will
Preparation of living will
Administration of probate
Contesting a will
Advice relating to a contested will
Revoking or terminating a living will
Other

* Please describe the nature of your case.

What type of injuries do you have?

Auto/Motor Vehicle Accident
Slip and fall
Dog bite
Railroad accident
Wrongful death
Hurt on the job
Other

What is the extent of your injuries?

Have you seen a doctor?

Yes
No

What are your medical bills?

Have you filed any claims?

Yes
No

Have you filed a police report?

Yes
No

Were there any witnesses?

Yes
No

Do you have insurance that covers you for this type of incident?

Yes
No
Not Sure

Do other involved parties have insurance that covers this type of incident?

Yes
No
Not sure

eg. xxx-xxx-xxxx

Please explain your legal situation.

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