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Client Intake Form (Litigation)
PERSONAL INFORMATION
First Name
*
Middle Name
Last Name
*
Home Address
*
Apt. No.
City, Town or Village
*
Province
*
Postal Code
*
Telephone No.(Home)
Work
Cell
*
Fax
Email
*
Occupation
*
Employer
*
DOB (MM/DD/YEAR)
*
PARTIES INVOLVED (IF APPLICABLE)
Party 1
Party Type
*
Party Type
Individual
Company
Party 2
Party Type
Party Type
Individual
Company
Party 3
Party Type
Party Type
Individual
Company
Details of Matter
*
How did you hear about us?
Agreement
*
Agreement
I agree that Arcus Legal may store and make use of the information I have submitted on this form, for the purpose of providing the legal services I have requested.
Submit
