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Now also open in the Mobile/Baldwin County area:
9786 Timber Circle, Suite A
Spanish Fort, AL 36527-5460
Toll Free: (877)-746-3197
Phone: (251)-621-7337
General Intake Form

General Intake Form

*Name:

*Address:

*City:

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*Zip:

*E-mail address:

*Home Phone:

Business Phone:

Cellular or Pager:

Facsimile:

Are you known by any other names?
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If yes, list other names you have used:

What is your marital status?

Does this matter involve a business you own or run?
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If yes, provide the business name, address, and phone:

If a business is involved, how is the business organized (if known)?

Are you employed?
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If yes, please provide your job title and employer's name and address.

Can you be contacted at work?
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What area of law does your situation involve (if known)?

Describe your situation, including any relevant dates:

How would you rate your legal needs described here?

Are any other people involved?
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If yes, provide names, addresses (if known), and their relationship to you, if any:

Do you have any documents that could help explain your situation?
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If yes, list those documents and their dates:

Are there other documents that you do not have access to that could be of assistance?
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If yes, list those documents and their dates and locations (if known):

Describe how this situation has impacted you:

Describe what you would like to happen to resolve your issue (your preferred outcome):

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If yes, provide names, addresses, and a brief description of their involvement:

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Office Location

Birmingham Office
2057 Valleydale Road, Suite 202
Birmingham, AL 35244
Toll Free: (888) 412-9047
Phone: (205) 453-4497
Fax: (205) 982-7070
Map

Blount County Office
305 1st Avenue East
Oneonta, AL 35121
Phone: (205) 625-3325

Mobile/Baldwin County Office
9786 Timber Circle, Suite A
Spanish Fort, AL 36527-5460
Phone: (251)-621-7337
Toll Free: (877)-746-3197

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