Litigation Intake Form

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Details Name Please enter your name.

Street Address Please enter your street address.

City Please enter the name of your city.

State Please choose your state of residence. ZIP Code Please enter a valid ZIP code. You may use 0-9, spaces and the ( ) - + characters.

E-mail Address

Please enter a valid e-mail address.

Home Phone Number Please enter a valid home phone number. You may use 0-9, spaces and the ( ) - + characters.

Business Phone Number Please enter a valid business phone number. You may use 0-9, spaces and the ( ) - + characters.

Mobile Phone Number Please enter a valid mobile phone number. You may use 0-9, spaces and the ( ) - + characters.

Fax Number Please enter a valid fax number. You may use 0-9, spaces and the ( ) - + characters.

Are you known by any other names? I have used another name in the past.

I have not used another name in the past.

If you are known by other names, please list the other names you have used. Please list any other names you have used.

What is your marital status? Please indicate your marital status.

Does this involve a business you own or run? This matter involves a business I own or run.

This matter does not involve a business I own or run.

If this matter involves a business you own or run, please enter the business's name, address and phone number. Please enter the business's name, address and phone number.

If a business is involved, how is the business organized (if known)? Please indicate how the business is organized.

Are you currently employed? I am currently employed.

I am not currently employed.

If you are currently employed, please enter your job title and your employer's name and address. Please enter your job title and your employer's name and address.

Can you be contacted at work? I can be contacted at work.

I cannot be contacted at work.

Are you being sued? I am being sued.

I am not being sued.

If you are being sued, please enter the name(s) of the party or parties suing you. Please enter the name(s) of the party or parties suing you.

If you are being sued, please enter the name, address and phone number of the attorney for all parties suing you. Please enter the name, address and phone number of the attorney for all parties suing you.

If you are being sued, please enter the name and location of the court handling your case. Please enter the name and location of the court handling your case.

If you are being sued, please enter the date you were served with court papers. Please enter the date you were served with court papers.

What area of law does your situation involve? Please indicate what area of law your situation involves. Please briefly describe your situation, including any relevant dates. Please briefly describe your situation, including any relevant dates.

Are any other people involved? Other people are involved.

No other people are involved.

If any other people are involved, please enter their names, addresses (if known), and their relationship to you, if any. Please enter their names, addresses (if known), and their relationship to you, if any.

Do you have any documents that may help explain your situation? I have documents that help explain this situation.

I do not have documents that help explain this situation.

If you have related documents, please list them and any corresponding dates. Please list the documents in your possession and any corresponding dates.

Are there other helpful documents that you do not have access to? There are other helpful documents that I do not have access to.

I am not aware of any other helpful documents.

If there are other helpful documents that you don't have access to, please list them and any corresponding dates and locations. Please list the documents you don’t have access to and any corresponding dates and locations.

Describe how this situation has affected you. Please describe how this situation has affected you.

How would you like this issue resolved? What's your preferred outcome? Please describe how you would like this issue to be resolved or your preferred outcome.

Have other attorneys worked on this matter? Other attorneys have worked on this matter.

Other attorneys have not worked on this matter.

If other attorneys have worked on this matter, please provide their names, addresses and a brief description of their involvement. Please provide the names, addresses and a brief description of the other attorneys' involvement.

Describe any special concerns. Please describe any special concerns.

How did you hear about this Web site? How did you hear about this Web site? Please choose one.

The use of the Internet or this form for communication with the firm or any individual member of the firm does not establish an attorney-client relationship. Confidential or time-sensitive information should not be sent through this form.

Please verify that you have read the disclaimer. I have read the disclaimer.

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Attorneys at Hale and Hale, PLC serve clients throughout Middle Tennessee, including the counties of Williamson County, Davidson County, Maury County, Rutherford County, Sumner County, Robertson County, Cheatham County and Coffee County, and cities such as Nashville, Franklin, Brentwood, Murfreesboro, Columbia, Spring Hill, Dickson, Manchester, Hendersonville and Gallatin.

"As local Williamson County residents Doug & Brenda Hale take pride in their clients and their community. Their services far exceed those of a corporate law firm, and Hale & Hale have the legal support and knowledge base to handle a variety of cases."

- R. Zane M.