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Client Intake Form

Client Intake


  • ARAG Legal Insurance Information (if applicable)
  • Please Briefly Describe Your Legal Matter
  • Conflict of Interest Disclosure
  • The relationship between attorney and client creates a fiduciary duty that limits the attorney’s ability to take on the representation of clients whose interests may be adverse to those of existing clients, former clients, the attorney, or the attorney’s firm. Conflicts of interest arise when an attorney’s performance of his or her duties is inhibited. Please help us avoid potential or actual conflicts of interest and provide us with information regarding any opposing or related party to the above-described matter.

  • Party No. 1
  • Party No. 2
  • Party No. 3
  • Supplemental Information
  • Disclaimer
  • Please do not include confidential or sensitive information in your submission. In the event that we are representing a party with opposing interests to your own, we may have a duty to disclose any information you provide to our client.
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