Confidential Intake Form

    Please complete the following, confidential intake forms before your scheduled appointment. Please feel out in as much detail as possible. This form should take approximately fifteen (15) minutes to complete.

    Name *

    Phone *

    Email Address *

    Address *






    Date and Time of Consultation with Work Law *

    If you have scheduled a consult with Work Law, please provide the date and time of your consult. If you have yet to schedule a consult, please provide an available date and time.

    Employer *

    Name | Title | Income

    Name of Opposing Party/Spouse

    Opposing Party/Spouse's Employer and Income

    Existing Case

    Are you looking for representation in an existing case?

    YesNo

    Case Number

    If there is an existing case, please provide the case number:

    Detailed summary of legal matter

    Legal Matter *

    Please check each legal issue that applies to your case.

    Children's Name(s) and Date(s) of Birth

    If applicable, please provide children's names and dates of birth.

    Next Court Date and Time *

    Please include date, time and location. If there is no scheduled court date please indicate below.

    Debts and Assets *

    If applicable, please provide a list of debts and assets and how you wish the court to divide.

    Length of Marriage

    If applicable

    Family Estate Planning *

    Do you have an up to date family estate in place?

    YesNo

    Does your will designate a family member to assume your current child custody?

    YesNo

    Would you like Carlson & Work to generate family estate documents?

    YesNo

    How did you hear about us? *

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    By checking this box, I consent to the consultation fee due on date of consult.

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    Please Initial to Approve Confidential Attorney Review

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    Please call our office at 775-298-6403 or submit the information below to schedule a consultation. We have consultations available today.