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!

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?

Our initial retainer is $10,000.00. 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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Disclaimer: Please be aware that no attorney-client relationship exists between you, or anyone you are submitting information on behalf of, and Laird Cowley, PLLC until Laird Cowley, PLLC has specifically been engaged and agreed, in writing, to provide legal services. To the extent you are providing information to any attorney at Laird Cowley, PLLC for purposes of seeking representation, such information may not disqualify an attorney at Laird Cowley, PLLC from representing a party materially adverse to you in the future, including the matter you may be submitting information about. Only that information reasonably necessary to determine whether representation could exist should be provided. By submitting information to Laird Cowley, PLLC regarding prospective representation, you are consenting, in writing, that Laird Cowley, PLLC is not disqualified from representing a party adverse to you in the same or a substantially related matter than the one you are submitting information about.

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