Lead Counsel Application

Please complete the application for Lead Counsel Verification.

Lead Counsel Verification Client Commitment Declaration
State Attorney Bar and Criminal Record Attestation

Enter Profile Information

Required fields are marked with an asterisk (*).

This field is required and should be no more than 100 characters in length.
This field is required and should be no more than 100 characters in length.
A valid email address of no more than 150 characters is required.
A valid 10 digit phone number that includes area code is required, use numbers only.
This field is required.
A valid link which includes http:// or https:// is required, if no link is available enter N/A.
This field is required.
Firm Info
This field is required and should be no more than 200 characters in length.
This field is required and should be no more than 100 characters in length.
This field is required and should be no more than 75 characters in length.
This field is required.
This field is required and should be no more than 10 characters in length.
A valid link which includes http:// or https:// is required, if no link is available enter N/A.
This field is required.
Bar Info
This field is required.
This field is required and should be no more than 20 characters in length.
This field is required.

Note: Please enter your state bar number for the state selected in the bar state field. If you have more than one state bar admission, please provide the state and bar number for those additional states in the field below.

Enter Practice Information

The Lead Counsel Verification allows attorneys to be verified in up to five (5) practice areas from our selection of forty (40) different practice areas.

For what practice area are you seeking the Lead Counsel Verification? (Select up to 5)

Additional Practice Information

Note: Supplying the following information is optional.

Payment Options (Select all that apply)



By submitting your application you verify that you are the attorney named above and that all information provided is accurate to the best of your recollection and ability.

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