The following questionnaire is designed to help you more accurately provide information that will help us prepare court pleadings on your behalf. Please complete this form as fully and comprehensively as possible. If exact information is not known, please provide your best estimate. You may be asked at some future date to provide more precise information. Because this information is provided in confidence, we ask that your answers be as truthful, complete and accurate as possible.

Privacy Policy

All information received from a client is strictly confidential and is protected by attorney-client privilege. Wright Family Law Group takes every step possible to protect your privacy. The data submitted via this form is encrypted and secured using industry-standard 256-bit SSL encryption.

Your Social Security Number and other personal information will only be used in the event that you hire the firm to represent you in your legal matter, and then only when necessary in limited use during the course of your case.

Social Security Numbers are most often used to positively identify parties. Most courts require Social Security Numbers of all parties in a case. Some other examples of how this information may be used include:

- initial service

- in court orders

- in required reports or other documents filed with the State

If you have any questions, please don't hesitate to contact us. We look forward to working with you!

Contact Information

First Name

Last Name

Date of birth

Company

Emails

Email Address *

Upon submission, a copy of this form will be sent to this email.

Address

Street Address

Country

City

State/Region

Zip/Postal Code

Address Type

Phone Numbers

Phone Number *

Preferred Contact Method

Gender

Male

Female

Social Security Number

Driver's License Number

Are you currently employed?

Yes

How were you referred to our law firm?

Friend or family member

Another attorney

Online search or lawyer directory website

Billboard, bus stop, phone book, newspaper, or other physical advertisement

Radio or TV advertisement

Bar Association

If our law firm ends up representing you in this matter, will you be the person who pays the legal fees?

Yes

Have you ever changed your name before?

Yes

What is the name that you would like to request to take?

What is the reason that you are requesting to change your name?

ACKNOWLEDGEMENT AND ACCEPTANCE

I acknowledge that I have read and hereby accept the above privacy policy regarding use of my personal information.

THANK YOU

Thank you so much for completing this intake questionnaire. This information will be extremely helpful in evaluating your case. We will contact you as soon as possible with any updates.

Please click the SUBMIT button after you have finished answering all of the questions.