Client Intake Form

This form should be filled out by clients who are not seeking representation for a personal injury claim.  If you are seeking a personal injury claim, your intake form can be found here.  The information requested in this form will be kept confidential regardless of whether or not we decide to represent you in this matter.  Please note that filling out this form does not create an attorney-client relationship.  If you need assistance to fill out this form or have any questions or concerns, please email Admin at or call 919.694.0001.

Name *
Phone *
This will be the person or business you are attempting to file a lawsuit against.
I understand that submitting this Client Intake Form does not create an attorney-client relationship. *