Confidential Intake

Potential Client Intake Form

Thank you for contacting Schaffner Law. Please read the privacy policy below and then fill out this form in its entirety prior to discussing your matter with an attorney.

"*" indicates required fields

Contact Information *
Date of Birth *
Email Address *

Upon submission, a copy of this form will be sent to this email.

Address
Phone *
Gender *
Preferred Attorney *
Has a case been filed? *
Please briefly describe your legal issue and the questions you are seeking to have an attorney answer *
How were you referred to our law firm? *
Acknowledgment *

Please acknowledge that you have read and hereby accept the above privacy policy regarding use of my personal information by typing your full legal name below.

Thank You

Thank you so much for completing this intake questionnaire. This information will be extremely helpful in evaluating your case. Please click the SUBMIT button below when you have finished answering all questions.

Submitting this form does not create an attorney–client relationship.