CONFIDENTIAL CLIENT INFORMATION FORM
This is a questionnaire to prepare your claim for personal injuries and is held strictly confidential. The information you furnish is for our office only and will not be released.
As your attorney, I must know all about you and your case. One surprise because of an incorrect or incompleteanswer could cause you to lose your case. All of the questions are important, even though they may not appear to have anything to do with your case.
PLEASE COMPLETE ALL ANSWERS. This information is very important in helping us evaluate and pursue your case.