Williams Divorce & Family Law Client Intake Form

If you are seeking an attorney for your case, and would like a free 30 minute consult to determine whether we are a good fit for you and your case, please complete the following form prior to your initial consult. This allows us to do a conflict check, and also provides us with your contact information in the event that we have to reschedule.

Your information:
Name*
FirstLast
Your Former Names:
Address*
Street AddressCityState / Province / RegionZIP / Postal CodeCountry
Mailing Address (if different than above):
Street AddressCityState / Province / RegionZIP / Postal CodeCountry
Email*
Please note that we will be replying to your submission of this intake form using this email address. Please make sure this is a private email address, and not one you share with the opposing party. If you have a shared email address, please submit the paper version of this form by fax, or scan it and email it.
Your Date of Birth:*
Phones (and permission to contact):
Please complete all of the information below and indicate how we are permitted to contact you.
Home Phone:
Work Phone:
Cell Phone:
Williams Divorce & Family Law has permission to contact me at:*
- My Home Phone
- My Work Phone
- My Cell Phone
- Only use my email address at this time.
Spouse's (or other party's) information:
This information is required so that we can do a conflict check.
Spouse's Name (or other parties' name):*
FirstLast
Spouse's Address (or other parties' address):*
Street AddressCityState / Province / RegionZIP / Postal CodeCountry
Miscellaneous:
Who referred you to this office?
If not referred, how did you find our office?
If you found us on the internet, we'd love to know which search engine you prefer, and what you searched for.
Please select one of the options below.*
- I am seeking a free initial phone consult to see whether Williams Divorce & Family Law is a good fit for me and my case. I understand there is no charge for the first 30 minutes of this consultation, and that additional time will be billed on an hourly basis at the attorney's standard rate.
- I have not had a free phone consult. I am seeking an initial consult in the office to determine if Williams Divorce & Family Law is a good fit for my case. I understand there is no charge for the first 30 minutes of this consultation, and that additional time will be billed on an hourly basis at the attorney's standard rate.
Final Submission Question:*
- By checking this box, I certify that I completed this form on my own behalf, and that all the information I have provided in this form is true to the best of my abilities.
- By checking this box I certify that I am seeking a free 30 minute consult for the purpose of hiring an attorney, and not to simply obtain free legal advice.
Other comments I would like to make:
Captcha
This field helps us to prevent spam submissions. Thanks for your patience.

Your information:

Phones (and permission to contact):

Spouse's (or other party's) information:

Miscellaneous: