Get Client Interview Form

Filling out the Client Interview Form online is an important step in initiating your personal injury consultation. This guide provides clear instructions to help you navigate each section of the form with confidence and ease.

Follow the steps to successfully complete the form online.

1. Click ‘Get Form’ button to access the Client Interview Form and open it in your editing interface.
2. Enter today’s date in the designated field to establish a clear timeline of your consultation.
3. Provide your name in the fields provided, including your last, first, and middle or maiden name.
4. Complete your address, including the number, street, city, state, and zip code.
5. Input your home telephone number, email address, cell number, and work telephone number as applicable.
6. Indicate whether you have consulted with another attorney regarding this matter by choosing ‘Yes’ or ‘No’.
7. If applicable, briefly explain why you did not hire the previous attorney.
8. Select your marital status from the available options: married, single, divorced, widowed, or separated.
9. If you are married, provide your spouse’s name and address as directed.
10. Complete your date of birth and social security number in the appropriate fields.
11. Document the date of the accident or loss clearly.
12. Describe the purpose of your consultation today in the provided space, detailing what advice or assistance you require.
13. Indicate if you were referred to the office by someone and provide that person's details if applicable.
14. Fill in any lien details and insurance carrier information as necessary.
15. Answer questions regarding wage loss, employer information, accident location, investigating law department, and additional relevant information.
16. Answer questions concerning injuries incurred, emergency room visits, witnesses, vehicle towing, and airbag deployment.
17. Complete any final notes required for the attorney, such as follow-up information or property damage details.
18. Once all fields are complete, save changes to the form, and you may choose to download, print, or share it as needed.

Start filling out the Client Interview Form online today to ensure a smooth consultation process.