Client intake form

Thank you for considering Sagsharma LLC for your legal needs. In order to make our consultation with you as fruitful as possible, we request you fill out the following form in as much detail as possible so our team can be ready to help you.

PLEASE NOTE: The information you provide on this form is for case assessment purposes only. Completing this form does not mean that Sagsharma LLC is your attorney in this matter. Any information that you provide will remain strictly confidential.

Date

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Name

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Date of Birth

YYYY

Phone

(###)

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Business Name

Job Title

Please provide a brief description of what your business does:

When are the best times to reach you and what is your preferred method of communication:

How did you hear about us?

Is anyone other than yourself or your company going to be responsible for payment of the legal fees to be charged in this matter? If so, please identify the name(s) and contact information for such persons or entities:

Please provide a detailed description of the proposed matter for which you are seeking legal assistance:

Please provide the dates for when the events described above occurred:

Name all the people and their citizenships, companies, and other entities that are involved or have personal knowledge of the matter:

Have you ever engaged another attorney on this matter (if yes, please provide details):

Is there anything else you would like to share with the reviewing attorney before your consultation: