General Intake Form

Thank you for choosing Nazareth Innovative Law PLC.

Please respond to the questions below with the most recent and accurate information.

This information will help us to determine the best path to assist you.

Is your current need for a business or a personal matter? *

What is your legal name? *

Are you a citizen of the United States of America? *

What is your physical address? *

What is your email address? *

What is your phone number? *

What is the legal name (or names) of the person responsible for making the decisions related to the legal matter? *

If there are other parties involved in your legal matter, please list their first and last names here?

Briefly describe your legal need. *

Please upload any related documents that will you will reference in our initial consultation.

Click to choose file(s) or drag here

Size limit: 25MB per file

When would you like to get started with your resolution? *

Have you read the terms and conditions of the initial consultation? *

How did you hear about us? *

Search Engine (e.g. Google)

Social Media (e.g. Instagram or Facebook)

Chamber of Commerce

Current Client Referral

Attorney Referral

In-Person Meeting

Walk-in