HOME
REQUEST TO BOOK
PRACTICE AREAS
RESOURCES
ABOUT
More
Potential Client Intake Form
Do NOT include sensitive information such as social security numbers or policy numbers.
I certify that the information I have provided in this form is true and complete to the best of my knowledge.
I understand that this information will be kept confidential by The Law Offices of Carolina Nunez, P.A. for purposes of evaluating my case.
I further understand that the completion of this form does not create an attorney-client relationship, and legal representation will only begin after a formal written agreement is signed and accepted by the firm.*
By signing above, I acknowledge and agree to the above terms. I understand that my electronic signature has the same legal validity and enforceability as a handwritten signature.
