Filled out by our Staff
Organization or Individual's Full Legal Name:
Point of Contact (POC) for this Request for Legal Assistance:
Title of POC:
Email of POC:
Billing Point of Contact (Name):
Billing Point of Contact (Email):
Central Point of Contact for Gathering Client Information (Name):
If there is someone you would like us to contact when requesting general information (i.e. Organization Chart, personnel filings, etc.)? - Optional
Central Point of Contact for Gathering Client Information (Email):
Method of Payment for Services:
All payment information is held confidential
Online Payment - Mycase (We will send you log-in information to Mycase so that payments can be made online)
Does your Organization have a preferred method of receiving updates on legal services provided?
Status updates will be provided upon request and to advise on major events surrounding legal services.
Not applicable - Update will be provided when service is done (i.e. contract review)
Published Guidelines - Please provide guidelines for required status updates
Periodic Updates - Please provide notice of preferred updating periods (i.e. monthly, quarterly, etc.)
Would like to discuss
Does your Organization have its own form for filling out miscellaneous costs and expenses (i.e. mileage invoices)?
Yes (Please provide with this form)
No (We can provide one if needed)
Billing rates discussed:
Page 1 of 1
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Terms of Service