To assist us in conducting a thorough conflict check, please provide a comprehensive list of names and contact details for all individuals and entities potentially involved in your legal matter. This information should include full names, addresses, phone numbers, and email addresses if available. Ensuring the accuracy and completeness of this information is crucial for us to determine our ability to represent you effectively and ethically. Thank you for your cooperation.

Contact information

Prefix

First name *

Middle name

Last name *

Date of birth

Company

Emails

Address *

Type

Upon submission, a copy of this form will be sent to the primary email.

Add email

Addresses

Street address

Country

City

State/Region

Zip/Postal code

Address type

Add address

Phone numbers

Phone number

Type

Add phone number

THANK YOU

Thank you so much for completing this intake questionnaire. This information will be extremely helpful in evaluating your case. We will contact you as soon as possible with any updates.

Please click the SUBMIT button below when you have finished answering all questions.

Contact information

Matter Description - What type of legal matter do you have? Click all that could apply.

Is the Ashland County Child Support Office a party to your matter?

How were you referred to our law firm?

If our law firm ends up representing you in this matter, will you be the person who pays the legal fees?

ACKNOWLEDGEMENT AND ACCEPTANCE

THANK YOU