EKH Law

Local 312.425.9100

230 W. Monroe Suite 1900
Chicago, IL 60606

Employment Intake Form

Name:

Address:

City:

State:

Zip:

Email Address:


Phone:

Are you known by any other names?
Yes   No 

List other names you have used:

What is your marital status?

Does this matter involve a business you own or run?
Yes   No 

Provide the business name, address, and phone:

How is the business organized?

Are you employed?
Yes   No 

Provide your job title and employer's name and address:

Can you be contacted at work?
Yes   No 

What area of law does your situation involve?

Describe your situation, including any relevant dates:

How would you rate your legal needs described here?

Are any other people involved?
Yes   No 

Provide names, addresses (if known), and their relationship to you, if any:

Do you have any documents that could help explain your situation?
Yes   No 

List those documents and their dates:

Are there other documents that you do not have access to that could be of assistance?
Yes   No 

List missing documents and their dates and locations (if known):

Describe how this situation has impacted you:

Describe what you would like to happen to resolve your issue (your preferred outcome):

Have other attorneys worked on this matter?
Yes   No 

Provide attorney names, addresses, and a brief description of their involvement:

Special concerns: (optional)

Where did you hear about this website?