Used Chatgtp to Create a new intake form. What do you think?
Civil Lawsuit Defense Intake Form
Date: ____________________________
Personal Information
Full Name: ______________________________________________________________
Date of Birth: __________________________
Phone Number: __________________________
Email Address: __________________________
Home Address: __________________________________________________________
Preferred Method of Contact (Phone/Email): _______________________________
Case Details
- Are you the defendant in a lawsuit? (Yes/No) ___________________________
- What is the nature of the lawsuit? (e.g., breach of contract, personal injury, property dispute, etc.) __________________________
- Who is the plaintiff? __________________________________________________
- Case Number (if applicable): ____________________________________________
- Court Name and Jurisdiction: ___________________________________________
- When were you served with legal papers? _______________________________
- Have you filed a response? (Yes/No) ___________________________________
- Deadline to respond or appear in court: ________________________________
- Briefly describe the allegations against you:
- Do you have any relevant documents? (e.g., contracts, correspondence, notices) (Yes/No)If yes, please list or describe:
Legal History
- Have you been involved in legal proceedings before? (Yes/No) ____________If yes, please provide details:
- Have you ever been represented by an attorney before? (Yes/No) ________
- Are there other parties involved in the case? (e.g., co-defendants) (Yes/No)If yes, please provide names and roles:
- Have there been any settlement discussions? (Yes/No)If yes, please summarize:
Goals and Expectations
- What is your primary objective in defending this case?
- What outcome are you hoping to achieve?
- Do you have any concerns about the case or legal process?
Financial Information
- Have you budgeted for legal representation? (Yes/No)
- Do you have legal insurance coverage? (Yes/No)If yes, please provide details:
- Are you interested in discussing payment plans? (Yes/No)
Additional Information
- Is there anything else we should know about the case or your circumstances?
- How did you hear about our law firm?
Acknowledgment
I acknowledge that completing this intake form does not establish an attorney-client relationship. The information provided is for evaluation purposes only and will remain confidential.
Signature: ____________________________
Date: ____________________________