THL Client Intake Information
Trevor Hartzell Law PLLC provides this form to prospective clients to gauge whether or not we are able to work  together. The purpose of this form is to gather the information needed by the Attorney before scheduling an initial consultation.

The purpose of an initial consultation is for the attorney to advise you, the prospective client what, if anything, may be done for you and what the minimum fee therefor will be. The purpose is not to render a definitive legal opinion as it may be impossible to fully assess a matter within the time frame allotted for a consultation or with the (information or documents) that you may be able to provide at the initial consultation.

One of three outcomes is possible following your consultation.
A. You and the Attorney mutually agree to the terms of representation,
(After prospective client and firm complete separate documents, called an Power of Attorney and Fee Agreement), or
B. The Attorney declines representation, or
C. You decide not to use the services of the Attorney.

Please DO NOT CONVEY TO US ANY INFORMATION WHICH YOU MAY REGARD AS CONFIDENTIAL until you have reviewed and signed an ATTORNEY-CLIENT FEE AGREEMENT.
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Email *
Your First Name *
Your Last Name *
Are you known by any other names? (A fictitious name, a nickname, a former name, your maiden name, etc.)
Address *
Phone number *
Date of Birth *
What is the nature of your circumstance? *
Please provide a description of your circumstance.
Please classify your urgency in concluding this matter. *
Do you have a date to appear in Court or respond to a legal action? If yes, please provide further information.
If the matter involves payment of money you feel you are owed, how long can you wait before receiving payment? (Days, Weeks, Months, Years)
Are we the first attorney's office you have consulted regarding this matter? If No, why didn't you hire their services?
Have you ever been represented by an attorney before? If Yes, please state the circumstances.
How did you learn of our office?
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Have you been charged with any crimes in the past? If so, what were the charges and when did they occur?
Have you been convicted of any crimes in the past? If so, please provide the charge and the date.
I acknowledge that completion of this form does not mean that I have hired this firm or any attorney working for this firm. I understand that unless and until both myself and the Attorney have executed a written Agreement for Representation, neither firm nor any attorney working for this firm represents me in this matter. *
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This form was created inside of The Trevor Hartzell Company.