Intake Form

Thank you for your interest in working with Hayek, Moreland & Smith, L.L.P. Please fill out the intake form below. A member of our staff will reach out to you shortly.

Legal First Name

Legal Last Name

Street Address

City

State

Zipcode

Phone

Name of Spouse/Other Party (Very important for conflict check):

Type of Legal Matter

Who Referred You

Do you have children under the age of 18? (complete only if a Family Law Matter)

Yes

Case Number (if applicable):

List the other parties involved (if applicable):

List any pending court dates (if applicable):

List any relevant deadlines (if applicable):

Please provide any other information you think may be relevant here:

When contacting our office, please do not provide confidential or case-specific information, unless and until we have confirmed to you that we do not have a conflict of interest. Your contacting us does not mean we are agreeing to represent you. Your communication to us does not create an attorney-client relationship. If you are unsure what this means for you, or if you have questions, please call to speak with us instead of sending an email.

Please expect 24-48 regular business hours for a response to your inquiry.

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