Law Firm Client Intake Form

Information you will need

• Do you want to include the Law Firm's logo?
• What branch of the military?
• How did you hear about our law firm?
• ATTORNEY ONLY: What’s your name or the name of your law firm?
• CLIENT ONLY: What’s your name or the name of your company?
• What’s your date of birth?
• What’s your SSN?
• What’s your marital status?
• What’s your street address?
• In what city do you live?
• In what state do you live?
• What’s your ZIP code?
• Do you have children?
• Do you have children under 18?
• What’s your phone number?
• Can we leave voicemails?
• What’s your email address?
• What’s your fax number?
• What’s your secondary phone number? (if applicable)
• Have you ever been in the military?
• What’s your service number?
• How were you discharged?
• What dates did you serve?
• What’s your employer’s name?

…and 16 more fields in the PDF.

Completed by the client.

The form includes 1 signature line, a notary acknowledgment, a witness section.