Thank you so much for contacting our law office! Before we can discuss the specifics of your problem with you, we need to make sure that we do not already represent someone involved, or have some other conflict of interest. We need you to provide us with your contact information, and the identity of other people that may be involved. This would include the following:

*The identity of all people or companies that are on the other side of the dispute with you;

*The identity of all people or companies on the same side of the dispute with you;

*Any witnesses that would be involved in any sort of trial or hearing;

*In cases involving property, any co-owners; or

*In matters involving wills or trust, anybody that would inherit the property or assets at issue.

All information provided will be used to make sure we have no conflict and can meet with you to evaluate your issue.

All information received from you using this form is strictly confidential. Our firm takes every step possible to protect your privacy. The data submitted via this form is encrypted and secured using industry-standard 256-bit SSL encryption.

By submitting this form, no attorney/client relationship is established. Such a relationship will only be complete once you meet with our attorney and sign an engagement letter related to your issue.

If you have any questions, please don't hesitate to contact our law office. We look forward to meeting with you!

Contact information: for Potential Client

Prefix

First name *

Middle name

Last name *

Date of birth

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

THANK YOU

Thank you so much for completing this intake questionnaire. This information will allow us to determine whether we can meet with you to evaluate your case. We will contact you as soon as possible to schedule an appointment, or otherwise update you on whether we can help you.

No attorney/client relationship exists between you and the Gagnon Law Firm, LLC at this time.

Please click the SUBMIT button below when you have finished answering all questions.

Contact information: for Potential Client

Preferred Contact Method

Gender

Marital Status

Are you currently employed?

Are there any other people that are involved with your issues?

BRIEFLY describe why you are seeking legal advice. Only include information that is not confidential at this time.

How were you referred to our law firm?

ACKNOWLEDGEMENT AND ACCEPTANCE

THANK YOU