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General Intake Form

*Name:

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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.

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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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Office Locations

Charleston
The Wappoo Centre
147 Wappoo Creek Dr., Suite 202
Charleston, SC 29412
843-795-9500 Fax: 843-762-1500
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North charleston
3842-B Leeds Avenue
North Charleston, SC 29405
843-727-5905 Fax: 843-762-1500
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Summerville
107 West 5th North Street
Summerville, SC 29483
843-821-3000 Fax: 843-821-2359
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