TNG Legal, PLC

1320 Central Park Blvd. Ste. 200
Fredericksburg, VA 22401

Phone: (540) 479-1966/Fax: 1(800) 391-5701

Prospective Client Data Sheet

The purpose of this form is to collect some preliminary information regarding your case so we can determine if it is something we can assist you with and whether or not you have any upcoming court dates. We will contact you if we have any additional questions. If a question does not apply, please put N/A. If the form request a date and a date does not apply, please use the date you are completing the form to answer the question. Upon completion of this form, someone you will hear from our office within 1-3 business days to schedule an appointment or otherwise tell you if we can assist you. Thank you for completing this form. We look forward to working with you.

PLEASE NOTE THAT COMPLETING THIS FORM IS NOT AN AGREEMENT OR GUARANTEE THAT WE WILL BE ABLE TO PROVIDE YOU WITH LEGAL REPRESENTATION.

Contact information

Prefix

First name *

Middle name

Last name *

Company

Emails

Address *

Type

Upon submission, a copy of this form will be sent to the primary email.

Add email

Addresses

Street address

Country

City

State/Region

Zip/Postal code

Address type

Add address

Phone numbers

Phone number

Type

Add phone number

New or Existing Client

New Client

Existing Client

How did you hear about our firm?

Brief Statement of Situation:

Please list your 3 main concerns or questions regarding this matter:

Please classify your urgency in concluding this matter:

Critical - Personal safety or continuation of business depends on it; I have to be in court tomorrow

Very Important - Severe hardship, personal or financial inconvenience if this matter is not resolved quickly

Important - Matter interferes with business or personal financial stability

Needs to be done, but no immediate hardship or rush

Just thought I'd see if it was worth pursuing, but not ready to hire an attorney at this time

Just thought I'd see if it was worth pursing and I am ready to hire an attorney

Just want to know my rights, I will get back to you if I decide to pursue this

Date of Administrative Hearing / Real Estate Closing Date / Other specific deadline [please indicate details]:

Details of deadline:

Please upload any pertinent documents related to your matter or contracts for contract review quote here

Add attachment

Opposing Party's Name for Conflicts Check:

Is the Opposing Party Represented by Counsel?

Yes

Unsure

If you know the Opposing Party's Attorney's name, please list it here:

This form was completed by the prospective client

Yes

This form was completed by Lawyerline

Yes

This form was completed by LRB

Yes

THANK YOU

When you are finished, please click the "Submit" button.