Referral Form Family Law

Referral Form

The forms will time out after a period of time. If you have extensive information to provide, you may need to send that as an attachment to an email sent to office@lairdcowley.com. Thank you!

The forms will time out after a period of time. If you have extensive information to provide, you may need to send that as an attachment to an email sent to office@lairdcowley.com. Thank you!

Name

First Last

Phone Number You Wish To Be Reached At

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Opposing Party

Opposing Party Name

First Last

Opposing Party Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Opposing Party Phone

Opposing Party Email

Opposing Party Attorney (If Any)

What type of case do you need assistance with?

How were you referred to our office?

Are you requesting consultation, pro se or limited scope assistance or full representation?

Are there any deadlines for responses, for example, have you been served with a Summons?

Jane’s rate is $325.00 per hour with a $8,000.00 retainer. Once this form is returned a conflict check will be done and someone from our office will contact you to set up an initial free 30-minute consultation.

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