VERDICT RIDGE LAWFIRM

1. CLIENT INFORMATION

Full Name: Date of Birth: Gender: Select Male Female Other Marital Status: Select Single Married Divorced Widowed Home Address: Phone Number: Email Address: Occupation: Employer (if applicable):

2. EMERGENCY CONTACT (Optional)

Full Name: Relationship: Phone Number:

3. LEGAL MATTER DETAILS

Type of Legal Matter: Select Civil Criminal Family Property Corporate Immigration Other Brief Description of the Issue: Date the issue started: Have you previously hired a lawyer for this matter? Select Yes No If yes, name of the previous lawyer/law firm: Are there any deadlines or court dates coming up? Select Yes No If yes, when?

4. OPPOSING PARTY INFORMATION (Conflict Check)

Name(s) of Opposing Party/Parties: Relationship to you (if any):

5. DOCUMENTS

If applicable, list the documents provided: Upload Documents (optional, max 10MB):

6. CONSULTATION EXPECTATIONS

What do you hope to achieve with legal help?

7. TERMS & ACKNOWLEDGMENTS