Client Intake Form
Please answer all questions fully and accurately. All information you provide will remain confidential and privileged.
Basic Info
Contact Info
Marital Status
Select the appropriate checkbox:
General Info
Are there any other individuals authorized to receive information about your legal representation?
Are you currently represented by any other attorneys?
Why do you need an attorney?

Please acknowledge the following statements by clicking "I agree" and signing below.

  1. I have completed this form as fully and accurately as possible.

  2. I understand that In-house Online LLC has not yet agreed to represent me, and that the

    purpose of submitting this Client Intake Form is for In-house Online LLC to consider whether

    or not to represent me.

  3. I understand that there are legal deadlines for filing and answering claims, and that In-house Online LLC has not agreed to advise me of those deadlines based on the informaon in this Client Intake Form, and In-house Online LLC does not agree to do anything on my behalf at this me.

  4. I have read, understood, and accept the Terms & Conditions.