Prospective Client Intake Form

Contact Information

Full Name

Email Address

Phone Number

Business / Organization Name, if applicable

Legal Matter

What type of legal matter do you need assistance with? (Select all that apply.)

Contracts & AgreementsTrademarks & Intellectual PropertyBusiness & EntrepreneurshipSports & EntertainmentDispute Resolution & LitigationGeneral CounselOther
Briefly describe your legal matter

What would you like to accomplish?

Who else is involved in the matter?

Is another attorney currently involved?

YesNoUnsure

Is there an upcoming deadline, court date, or other time-sensitive issue?

YesNo
If yes, please provide the date and details

Documents

Upload any documents relevant to your inquiry (PDF, DOC, DOCX, JPG, or PNG; up to 10 MB per file)

Additional Information

Is there anything else Legally Naiya Law should know?

Next Steps

Please select your preferred next step.

Free 15-Minute Discovery Call — A brief conversation to discuss your potential matter and determine the appropriate next step.$350 Legal Consultation (Up to 1 Hour) — A substantive consultation regarding your legal matter.

Acknowledgment

I understand that submitting this form does not create an attorney-client relationship. Legal representation does not begin until the matter is accepted, a written engagement agreement has been signed, and any required retainer payment has been received.
I certify that the information provided is accurate to the best of my knowledge and consent to be contacted by Legally Naiya Law regarding the matter described in this form.
Electronic Signature (type your full name)

Date

What Happens Next?

After reviewing your inquiry form, I will reach out to you regarding your selected preference and the next steps.