Client Intake Form - Colombo Kitchin Attorneys

First Name

Last Name

Middle Initial

Address 1

Address 2

Primary Phone

Secondary Phone

Email(s)

Other Explained

Briefly describe what we can help you with

Person’s, entities or opposing parties involved? (Examples: Spouse, Children, Business, Property, Defendant)

Other Explained

Referred to or requesting a specific attorney? If so, list here

Important Disclaimer & Notice of Consultation Terms:

By completing and submitting this form, you agree that you have been informed that in doing so does not create a binding contract for legal services or establish an attorney-client relationship. A formal relationship is only established once an engagement letter or a written retainer agreement is signed by both you and the assigned attorney. Additionally, you acknowledge and agree that you have been informed of the firm’s initial consultation rate, beginning at $325 for a one hour consultation, and no additional charges will incur as it relates to the consultation or prior to establishing the attorney-client relationship. Colombo Kitchin Attorneys affirms that the use of the information shared in this form is solely to evaluate your potential case and remains strictly confidential and securely stored by the firm. This form will be properly discarded in the event that no attorney-client relationship is established or if you, the submitter, request the destruction of this form.