Individual Intake Form

INTAKE FORM

This form is for individuals.

If you are looking to book a consultation for a business, please use our business intake form here. After receipt of your information, Mint Legal will reach out within two (2) business days to finalize a date and time for the appointment.

Name

First Name

Last Name

Date of Birth

MM

DD

YYYY

Home Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

####

Occupation

Email

Area of Law

Opposing Party

Preferred Appointment Date

MM

DD

YYYY

How did you hear about us?

Additional Comments

The information in this form is collected as a part of checking pre-consultation conflicts of interest. Mint Legal will not sell or share your personal information with any third parties, but will retain the information you provide for the purpose of avoiding any future conflict of interest.