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Who referred you?/ Recomendado Por?
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Your answer
Do you understand there is no attorney-client relationship by filing out this form? If no, please call the office. ¿Entiende que no hay relación entre abogado y cliente cuando llene este formulario? Si no, por favor llame a la oficina.
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Yes/Si
No
Full Name/Nombre Completo
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Your answer
Phone number/Numero de telefono:
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Your answer
Best time to call you? Mejor Hora de contactarla?
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Your answer
Email/Correo Electronico
If None, write None. Ninguno, ponga Ninguno.
Your answer
Full Name of the other person/Nombre Completo de la otra persona
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Your answer
City and County You Live in/Cuidad y Condado Donde Vive
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Your answer
How is this person related to you?/ Que relaccion tiene esta persona con usted?
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Your answer
Date of Hearing, Location of Hearing and Case Number If Any? Fecha de Audiencia, Lugar De Corte y Numero De Caso, is lo tiene?
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If no, state None. Si ninguno, ponga Ninguno.
Your answer
Type Of Legal Problem/Tipo De Problema Legal:
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Your answer
If there are children, how many and how old? Si hay hijos, cuántos y cuántos años?
Your answer
If you are seeking a restraining order, when was the last day of the most recent incident of abuse?/Si usted está buscando una orden de restricción, ¿cuándo fue el último día de la más reciente incidente de abuso?
Your answer
How can I help you/Como le puedo ayudar?
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Your answer
What goals would you like to accomplish?/Que meta quiere completar con su caso?
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Your answer
Your gross annual income and number of dependents/ sus ingreso annual en bruto y numero de dependientes
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Your answer
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