Legal Intake Form Legal Advice Service - Client Intake Form Step 1 of 2 50% Wisconsin Case* Yes No Case 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* MM slash DD slash YYYY Special needs regarding language or other disabilities that we need to accommodate for:* None Yes Please explain: Type of services offered (please select one):* Child Support Debt Issues Driver's License Recovery Family Law Guardianship Issues Immigration Renters Rights Small Claims Details of Issue:*Stage in the court process:* Decide what/if to file Preparing to file Preparing for court hearing Follow up after court hearing Kind 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?) PhoneThis field is for validation purposes and should be left unchanged.
