Claessens Law General Intake
Hello, this is a general intake form for new and perspective clients. It will take less than 5 minutes to complete.

The first section covers general contact information. The next section will cover information related to your legal needs and guide you through scheduling your consultation.

This form is protected by SSL encryption during the transportation of the data you provide. That data is then only accessible by Claessens Law staff after a 2-factor authentication. However, if you don't feel comfortable sharing your information we are happy to arrange a phone call or meeting to share sensitive data.

Email address *
Your Contact Information
First Name *
Your answer
Last Name
Your answer
Phone number *
Your answer
How did you hear about us?
Your answer
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