Client Intake Form

Step 1 of 9 - General Information

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  • Please check the Box to Continue to the next page. By checking the Box and completing the completing the Intake Form you understand and acknowledge that: (1) you are submitting information through the Intake Form solely for the purpose of allowing Hernandez Law Firm PLC (“Firm”) to review information regarding possible legal representation; (2) completing the Intake Form does not create an attorney-client relationship and the Firm has not accepted any duty to file a lawsuit or take any action on your behalf; (3) the Firm may need further information to make a decision regarding representation; (4) the Firm will contact you if we need additional information or to schedule a meeting to discuss possible representation; (5) the Firm charges a Consultation Fee of $300.00 for an In-Person Consultation, unless you are specifically offered a waiver; and (6) all the information you provide during the evaluation process is privileged and confidential.