New Client Intake Form

Intake Form (Education)

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Your Name(Required)

First Last

Phone Number(Required)

Email Address(Required)

Preferred Timeframe for Your Preliminary Consultation

Morning (Generally 9AM - 11AM)

Afternoon (Generally 1PM - 4PM)

Other (Will need to approved by our lawyers)

Parent 1 Occupation

Parent 2 Occupation

Child(ren)'s Name(s) & Ages (please separate multiple children with "/")(Required)

Grade(s) in School (please separate multiple children with "/")(Required)

School District(Required)

School County(Required)

Classification Status (if applicable)

Relevant Diagnosis (if applicable)

Have you ever had any other legal counsel for any Education matter?(Required)

Yes

If yes, who and why are you no longer using this person/firm?

How did you find us? (Google, referred, etc.)

Issue Overview(Required)

What would you like to see as the desired outcome of your case? (JRA can NOT guarantee any outcome)(Required)

Please acknowledge the following:(Required)

I understand that filling out this form does NOT create an attorney-client relationship.

***You will not be able to submit your form answers without acknowleding your understanding of the above.

Intake Form (General)

Name(Required)

First Last

Phone(Required)

Email(Required)

Preferred Timeframe for Preliminary Consultation

A preliminary consultation is generally a complimentary 30-minute phone call with one of our lawyers.

Morning (Generally 9:30AM - 11:30AM

Afternoon (Generally 1PM - 4PM)

Other

Occupation

Employer Name (if applicable)

How did you find us? (Google, referred, etc.)

Have you ever hired legal counsel for any other matter?

Yes

If yes, who and why are you no longer using this person/firm?(Required)

Issue Overview(Required)

What would you like to see as the desired outcome of your case? (JRA can NOT guarantee any outcome)(Required)

Please acknowledge the following:(Required)

***You will not be able to submit your form answers without acknowleding your understanding of the above.

I understand that filling out this form does NOT create an attorney-client relationship.

Fill out this form to begin scheduling your thirty-minute complimentary preliminary consultation.

Once you have submitted your information, someone from our office will reach out to schedule your consultation.

Please make sure you are filling out the correct form

If you have an EDUCATION case, fill out the form directly below.

**If you have any other type of case, please fill out our General intake form here.**

Intake Form (Education)

Next Steps: Sync an Email Add-On

General

Intake Form (General)