New Matter Form
Please provide the information below to help us clear any potential conflicts of interest before we discuss your matter.
With whom have you spoken, or to whom were you referred, at our firm?
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Ramona P. DeSalvo
Jennifer Hartson
How did you hear about our firm?
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Referral from another lawyer
Referral from a DeSalvo Law Firm client
Referral from another individual
Internet search
Facebook
LinkedIn
Other
Who is the individual who referred you to us?
*
The potential client is a/an*
individual
business
Business Type*
Not applicable
Sole proprietorship
General Partnership
Limited Partnership
Limited Liability Company
Corporation - For Profit
Corporation - Not for Profit
Names of members/principals
If a group, limited liability company, or corporation, identify each member of the group and/or LLC, or each corporate principal.
Primary Contact Name
*
Suffix
E-mail
*
Individuals: provide a private, non-work email address only.
Phone Number
*
-
This number is a:
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Home Phone
Mobile Phone
Work Phone
What is your physical address?
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Mailing address is
*
Same as physical address
Different from physical address
Mailing Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please describe in detail the services for which you need assistance:
*
Are there any deadlines of which you are aware?
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Yes
No
Deadline:
Opposing Parties:
Identify all parties (each person, company & principal) and attorneys on the other side of any litigation, contract, or matter. Please include contact information.
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