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When you visit the Essex Law Firm, P.C. we ask you fill out a short interview form. If afterward you decide to hire us for your legal representation, we ask that you fill out a more detailed form. We have provided the short interview form for you that you may fill out and send to us via email, or you may print out the forms on your personal computer, and bring them to us on your visit.

Short Interview Form
Detailed Form

Short Interview Form

What is the purpose of your visit today? *

Full Name *

Date of Birth *

Age *

Last three digits of TDL *

Date of Marriage and Separation *

Maiden Name (if applicable)

Residence Address *

City and State *

Zip Code *

Residence Phone Number

Mobile Phone

Employer *

Work Phone

Email Address *

Who referred you to this office?

Have you consulted or retained any other attorneys on this matter before coming to this
office? *
YesNo

If so, please state who and when:

Please leave this field empty.

NOTICE OF CONFIDENTIALITY

THE INFORMATION IN THIS FORM IS SUBJECT TO THE ATTORNEY-CLIENT PRIVILEGE, AS PROVIDED IN THE TEXAS RULES OF EVIDENCE. THE CONTENTS OF THIS DOCUMENT CONSTITUTE ATTORNEY WORK PRODUCT. THE CONTENTS OF THIS DOCUMENT ARE CONFIDENTIAL AND ARE NOT TO BE DISCLOSED TO THIRD PERSONS OTHER THAN THOSE TO WHOM DISCLOSURE IS MADE IN FURTHERANCE OF THE RENDITION OF PROFESSIONAL LEGAL SERVICES.