High-Profile Legal Client Intake Form
Full Name
Date of Birth
Occupation/Title
Company/Organization
Contact Person (if not self)
Email Address
Phone Number
Preferred Contact Address
Referred By (if applicable)
Type of Legal Matter
Corporate
Intellectual Property
Litigation
Privacy/Cybersecurity
Entertainment
Other
Are there sensitive publicity concerns?
Yes
No
Brief Description of Legal Matter
Urgency Level
Low
Moderate
High
Immediate
Possible Conflicts of Interest (List Names/Entities)
Additional Information