Civil Rights | Saffold Law

Contact information: Client

Prefix

First name

Middle name

Last name

Date of birth

Company

Emails

Email Address

Type

Addresses

Street address

City

State/Region

Zip/Postal code

Address type

Phone numbers

Phone number

Type

Acknowledgement & Case Details

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Title or Honorific (Mr./Mrs./Ms./Mx.)

Preferred Name

Best time to contact you:

Preferred method of contact (We prefer email, in general, but also know that is not everyone's reality and will do our best to use your preferred method whenever possible.)

Legal History

Do you have any arrests and/or convictions on your record?

Yes No

Do you have any liens against you?

Yes No

Incident Information

Target defendant(s)?

Date of incident?

Is this an on-going problem?

Yes No

Where did the incident happen?

Briefly, what happened?

Is there evidence? (photos or videos)

Yes No

Are there witnesses?

Yes No

Have filed any complaint(s) in connection with this incident?

Yes No

Did you go to the hospital?

Yes No

Are there charges against you?

Yes No

Source

How did you hear about Saffold Law, PLC?

Another attorney/lawyer Friend/family Current or former client Print Media (ie: Austin American Statesman, Austin Women's Magazine) Television Interview (ie: KUT, KVUE, KXAN) Social Media (ie: LinkedIn, Twitter, Instagram, Facebook, Yelp) Non-Profit Partner (NELA, TELA, TimesUp, Legal Network for Gender Equality) Internet Search Engine (Google, Bing, etc.)

What else haven't we asked about that you'd like us to know?

THANK YOU
Thank you so much for contacting our law office! Please read the privacy policy below, and then fill out this form in its entirety.

In order to be contacted by the firm, you must complete this form first. By completing the intake form for Saffold Law, PLC (“the Firm”), you agree that you have reviewed and agree to the following:
1. While the Firm may give advice where appropriate, the Firm is not agreeing to represent you in any disputes at this time.
2. If you are called by the firm for any follow up conversation you may not record the phone call.
3. If you are not available at the time of the follow up phone call, a message will be left and follow up will be at the Firm's discretion.
4. The follow up phone call shall last no longer than 15 minutes. The 15 minute time-limit may be extended solely at the Firm's discretion.
5. If the attorney conducts the phone call, they will not review documents as part of the 15 minute consultation.

REQUIRED NOTICE: The State Bar of Texas investigates and prosecutes professional misconduct committed by Texas attorneys. Although not every complaint against or dispute with a lawyer involves professional misconduct, the State Bar Office of the General Counsel will provide you with information about how to file a complaint. For more information, please call 1-800-932-1900. This is a toll-free phone call. Thank you so much for completing this intake questionnaire. This information will be extremely helpful in evaluating your case. We will contact you as soon as possible with any updates. Please click the SUBMIT button below when you have finished answering all questions.