Legal Intake Form Legal Advice Service - Client Intake Form Step 1 of 2 50% Wisconsin Case*YesNoCase Number (if known):Name* First Last Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone*Date of Birth* Date Format: MM slash DD slash YYYY Special needs regarding language or other disabilities that we need to accommodate for:*NoneYesPlease explain: Type of services offered (please select one):*Child SupportDebt IssuesDriver's License RecoveryFamily LawGuardianship IssuesImmigrationRenters RightsSmall ClaimsDetails of Issue:*Stage in the court process:*Decide what/if to filePreparing to filePreparing for court hearingFollow up after court hearingKind of help requested:* Deciding if attorney is necessary (referral) Form/Document review (fill out all information that you can on forms prior to appointment) Procedural advice (What would be the best way to accomplish goal) Letter/Form Drafting (Advice on wording) Limited Legal Counseling (Do I have a case? What will happen in court?)