# Client Intake Questionnaires ## General Business Intake ### Company Information ``` GENERAL BUSINESS CLIENT INTAKE FORM COMPANY DETAILS Company Legal Name: _______________________________________ DBA/Trade Names: _________________________________________ State of Incorporation/Formation: __________________________ Date of Formation: ________________________________________ Entity Type: [ ] Corporation [ ] LLC [ ] Partnership [ ] Other: ____ REGISTERED AGENT Name: ____________________________________________________ Address: _________________________________________________ Phone: ___________________________________________________ PRINCIPAL PLACE OF BUSINESS Address: _________________________________________________ Phone: ___________________________________________________ Website: _________________________________________________ OWNERSHIP STRUCTURE Shareholders/Members/Partners: Name Ownership % Contact Info ____________ ___________ ____________ ____________ ___________ ____________ ____________ ___________ ____________ Parent Company (if any): __________________________________ Subsidiaries/Affiliates: __________________________________ MANAGEMENT Officers/Directors/Managers: Name Title Contact Info ____________ ___________ ____________ ____________ ___________ ____________ ____________ ___________ ____________ PRIMARY CONTACT FOR LEGAL MATTERS Name: ____________________________________________________ Title: ___________________________________________________ Email: ___________________________________________________ Phone: ___________________________________________________ Preferred Contact Method: [ ] Email [ ] Phone [ ] Text BILLING CONTACT Name: ____________________________________________________ Email: ___________________________________________________ Phone: ___________________________________________________ Special Billing Requirements: ______________________________ BUSINESS DESCRIPTION Primary Business Activities: _______________________________ Industries Served: ________________________________________ Annual Revenue (approximate): _____________________________ Number of Employees: _____________________________________ Geographic Operations: ____________________________________ EXISTING LEGAL RELATIONSHIPS Current Outside Counsel: __________________________________ In-House Counsel: ________________________________________ How did you hear about us? ________________________________ ``` ## Litigation Intake ### Plaintiff Intake ``` PLAINTIFF LITIGATION INTAKE PERSONAL INFORMATION Full Legal Name: _________________________________________ Date of Birth: ____________________________________________ SSN (last 4 digits for identification): ____________________ Current Address: _________________________________________ Phone: _________________ Email: __________________________ INCIDENT INFORMATION Date of Incident: _________________________________________ Location of Incident: _____________________________________ Type of Incident: [ ] Auto Accident [ ] Slip/Fall [ ] Medical [ ] Employment [ ] Contract [ ] Other: _____________________ DETAILED DESCRIPTION Describe what happened (use additional pages if needed): __________________________________________________________ __________________________________________________________ __________________________________________________________ PARTIES INVOLVED Potential Defendants: Name Contact Info (if known) Relationship ____________ _____________________ ____________ ____________ _____________________ ____________ Witnesses: Name Contact Info What They Saw ____________ _____________________ ____________ ____________ _____________________ ____________ INJURIES/DAMAGES Physical Injuries: _______________________________________ Medical Treatment Received: _______________________________ Treating Physicians: _____________________________________ Current Medical Status: __________________________________ Lost Wages: [ ] Yes [ ] No Amount: $_____________________ Property Damage: _________________________________________ Other Damages: ___________________________________________ INSURANCE INFORMATION Your Insurance Carrier: __________________________________ Policy Number: ___________________________________________ Defendant's Insurance (if known): _________________________ DOCUMENTS IN YOUR POSSESSION [ ] Accident/Incident Report [ ] Medical Records [ ] Medical Bills [ ] Photos/Videos [ ] Police Report [ ] Witness Statements [ ] Correspondence with Insurance [ ] Contracts/Agreements [ ] Employment Records [ ] Other: _______________________________________________ STATUTE OF LIMITATIONS CHECK Date you first knew of claim: _____________________________ Have you filed any complaints? ____________________________ PRIOR LEGAL REPRESENTATION Have you consulted other attorneys? [ ] Yes [ ] No If yes, who? _____________________________________________ PRIOR CLAIMS/LITIGATION Have you been involved in similar claims before? ___________ Current or pending lawsuits: _____________________________ Bankruptcy history: ______________________________________ ``` ### Defendant Intake ``` DEFENDANT LITIGATION INTAKE CASE INFORMATION Case Name: _______________________________________________ Case Number: _____________________________________________ Court: ___________________________________________________ Date Served: _____________________________________________ Response Deadline: _______________________________________ COMPLAINT ANALYSIS Claims Asserted Against You: [ ] Breach of Contract [ ] Negligence [ ] Fraud [ ] Employment Discrimination [ ] Other: _______________________________________________ Amount Demanded: $_______________________________________ Relief Sought: ___________________________________________ YOUR RESPONSE TO ALLEGATIONS Do you dispute the claims? [ ] Yes [ ] No [ ] Partially For each claim, briefly state your position: __________________________________________________________ __________________________________________________________ POTENTIAL DEFENSES Possible defenses (check all that apply): [ ] Statute of Limitations [ ] No Duty Owed [ ] Comparative/Contributory Fault [ ] Assumption of Risk [ ] Waiver/Release [ ] Failure to Mitigate [ ] Other: _______________________________________________ COUNTERCLAIMS Do you have potential claims against Plaintiff? _____________ Describe: ________________________________________________ DOCUMENTS AND EVIDENCE [ ] Contracts/Agreements [ ] Correspondence [ ] Incident Reports [ ] Internal Investigations [ ] Photos/Videos [ ] Insurance Policies [ ] Employee Files [ ] Other: _______________________________________________ INSURANCE COVERAGE Liability Insurance: [ ] Yes [ ] No Carrier: _________________________________________________ Policy Number: ___________________________________________ Policy Limits: ___________________________________________ Coverage Counsel: ________________________________________ Reservation of Rights? [ ] Yes [ ] No ``` ## Employment Intake ### Employee Intake ``` EMPLOYMENT MATTER - EMPLOYEE INTAKE EMPLOYMENT INFORMATION Employer Name: ___________________________________________ Your Job Title: __________________________________________ Department: ______________________________________________ Supervisor Name: _________________________________________ Employment Start Date: ___________________________________ Employment End Date (if applicable): ______________________ Current Employment Status: [ ] Active [ ] Terminated [ ] Resigned COMPENSATION Salary/Hourly Rate: $_____________________________________ Bonus/Commission Structure: _______________________________ Benefits: ________________________________________________ Last Performance Review Rating: ___________________________ MATTER TYPE [ ] Wrongful Termination [ ] Discrimination (specify): _____________________________ [ ] Harassment [ ] Retaliation [ ] Wage and Hour [ ] FMLA/Leave Issues [ ] Contract Dispute [ ] Non-Compete/Non-Solicit [ ] Other: _______________________________________________ DETAILED DESCRIPTION Describe the issue (include dates, names, specific incidents): __________________________________________________________ __________________________________________________________ __________________________________________________________ COMPARATORS Were others treated differently in similar situations? _____ Names and circumstances: _________________________________ COMPLAINTS MADE Did you complain internally? [ ] Yes [ ] No To whom? _________________________________________________ Date(s): _________________________________________________ Response: ________________________________________________ AGENCY FILINGS [ ] EEOC Charge Filed - Date: _______ Charge #: ___________ [ ] State Agency Filed - Date: _______ Number: ____________ [ ] Right to Sue Letter Received - Date: __________________ WITNESSES Name Contact Info What They Know ____________ ____________ ____________ ____________ ____________ ____________ DOCUMENTS [ ] Employment Agreement [ ] Offer Letter [ ] Employee Handbook [ ] Performance Reviews [ ] Disciplinary Records [ ] Emails/Texts [ ] Termination Letter [ ] Severance Agreement [ ] Non-Compete/NDA [ ] EEOC Documents ``` ## Corporate Transaction Intake ``` TRANSACTION INTAKE FORM TRANSACTION TYPE [ ] Merger [ ] Stock Acquisition [ ] Asset Acquisition [ ] Investment/Financing [ ] Joint Venture [ ] Other: _______________________________________________ YOUR ROLE [ ] Buyer/Investor [ ] Seller/Target [ ] Other: _______________________________________________ TARGET COMPANY INFORMATION Company Name: ____________________________________________ Industry: ________________________________________________ Approximate Revenue: $_____________________________________ Approximate Employee Count: _______________________________ Key Assets: ______________________________________________ TRANSACTION TERMS Anticipated Purchase Price: $______________________________ Payment Structure: [ ] Cash [ ] Stock [ ] Earnout [ ] Combination Anticipated Timeline: ____________________________________ Financing Required: [ ] Yes [ ] No LOI Signed: [ ] Yes [ ] No Date: __________________________ Exclusivity Period End: __________________________________ KEY ISSUES IDENTIFIED [ ] Regulatory Approvals Required [ ] Material Contracts with COC Provisions [ ] Union/Labor Issues [ ] Environmental Concerns [ ] Litigation Exposure [ ] IP Concerns [ ] Other: _______________________________________________ ADVISORS ENGAGED Investment Banker: _______________________________________ Accountant: ______________________________________________ Other Counsel: ___________________________________________ DOCUMENTS AVAILABLE [ ] LOI/Term Sheet [ ] Financial Statements [ ] Organizational Documents [ ] Material Contracts [ ] IP Portfolio Summary [ ] Employee Information [ ] Real Property Summary [ ] Prior Due Diligence Reports ``` ## Real Estate Intake ``` REAL ESTATE TRANSACTION INTAKE TRANSACTION TYPE [ ] Purchase [ ] Sale [ ] Lease [ ] Financing [ ] Development PROPERTY INFORMATION Address: _________________________________________________ Property Type: [ ] Commercial [ ] Residential [ ] Industrial [ ] Land Size/Square Footage: _____________________________________ Current Use: _____________________________________________ Zoning: __________________________________________________ TRANSACTION TERMS Purchase/Sale Price: $_____________________________________ Earnest Money: $__________________________________________ Inspection Period: ________________________________________ Closing Date: ____________________________________________ Financing: [ ] Cash [ ] Conventional [ ] SBA [ ] Seller TITLE INFORMATION Title Company: ___________________________________________ Title Commitment Received: [ ] Yes [ ] No ENCUMBRANCES Existing Mortgages: ______________________________________ Liens: ___________________________________________________ Easements: _______________________________________________ Leases: __________________________________________________ ENVIRONMENTAL Phase I Completed: [ ] Yes [ ] No Known Environmental Issues: _______________________________ DUE DILIGENCE ITEMS NEEDED [ ] Survey [ ] Title Commitment [ ] Environmental Reports [ ] Lease Abstracts [ ] Rent Roll [ ] Operating Statements [ ] Property Condition Report [ ] Zoning Letter ``` ## Data Collection Best Practices 1. **Use secure intake methods** - Encrypted forms, secure portals 2. **Explain purpose** - Why information is needed 3. **Mark required fields** - Distinguish essential from optional 4. **Provide examples** - Help clients understand what's needed 5. **Follow up promptly** - Missing information delays matters 6. **Verify accuracy** - Confirm key dates and names 7. **Maintain confidentiality** - Protect client information