Client Pre-Screen Form

Thank you for reaching out to VA Real Estate Law Firm PLLC. The purpose of this form is to help us understand the issue you are facing, and to determine if we are able to provide the legal services you require.

Please note that the information you share on this form is confidential. However, filling out this form does not mean that we will act as your legal counsel. We will let you know if we can represent you after we have received and reviewed your responses to this form. If so, we will send you a written engagement agreement for you to sign at that time, should you wish to proceed.

Lastly, please be aware that there may be time restrictions that impact your ability to exercise certain legal rights. This is why it is important to submit your responses to us as promptly as possible. Please reach out to us (info@varealestatelawfirm.com) if you have any questions.

Note: All field are required. If a question is not applicable, please insert N/A.

After you complete this form, you will be redirected to a website that will let you schedule an appointment.

Contact Information

First Name

Last Name

Email Address

Phone Number

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Business Name

Business Address

Names of opposing parties and other people/entities known to be involved

Please briefly describe the issue. What is your biggest concern?

What are you hoping to achieve?

Have you hired legal services before for this issue? If so, please help us understand what is prompting your search for new representation.

If you have any documents relevant to the matter, please list them.

Is there anything else we should know?

I acknowledge that the information I am providing on this form is accurate and complete to the best of my knowledge.

Yes