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New Client Intake Form
First Name
Last Name
Email
Code
Phone
Street Address
Street Address Line 2
City
Region/State/Province
Postal / Zip code
Country
Country
Birthday
What type of legal services do you require?
Family Law
Mediation
Civil Litigation
Contract Review
Other
Is your matter currently in court? If so, what is the next court date and for what step.
Name of the opposing party and their lawyer, if any.
Have you had any previous legal representation? If yes, who.
Please note that submitted an intake form does not constitute a solicitor client relationship.
Were you referred to Lyall Law & Mediation by anyone?
What are your most pressing concerns, if any?
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