Initial Consultation Form

The information provided on this form is confidential and protected by Attorney-Client Privilege. The information will not be disclosed to anyone outside of Jim Ross Law Group, P.C., except in the course of rendering legal services on your behalf, or unless otherwise required by law.

(Fields marked as * are mandatory fields)

CLIENT INFORMATION

Date of Birth *

I authorize emails concerning my case. (optional)

I authorize emails of general interest from Jim Ross Law Group, P.C. (optional)

Initial Consultation Form

CLIENT INFORMATION

EMPLOYMENT INFORMATION

EMERGENCY CONTACT

OPPOSING PARTY INFORMATION

REFFERAL SOURCE

NATURE OF CASE

DESIRED OUTCOME

YOUR ARLINGTON ATTORNEY