Non-Litigation Information Sheet

Click here to download this Form as a word file. PLEASE FILL OUT COMPLETELY THIS CONFIDENTIAL INTERVIEW FORM AND FAX OVER TO OUR OFFICE at FAX # (732) 572-0030. KENNETH VERCAMMEN & ASSOCIATES, PC ATTORNEY AT LAW 2053 WOODBRIDGE AVENUE EDISON, NJ 08817 732-572-0500 PLEASE PRINT NAME ______________________________________________________________ ADDRESS ___________________________________________________________ CITY _______________________________ STATE _____ ZIP _______________ CELL-PHONE (_____)_______________________________ (Area Code Needed) PHONE-DAY (____)__________________ NIGHT (______)__________________ E-MAIL ADDRESS ___________________________________________________ ADVERSARY PARTIES IF ANY: _______________________________________ ADDRESS OF THE OTHER PARTY: ____________________________________ REFERRED BY: ______________________________________________________ If referred by a person, is this a client or attorney? If you heard about the law office on the internet, which search engine? What search terms did you use? TODAYs DATE: _____________________________________________________ DESCRIPTION OF MATTER: ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ QUESTIONS TO ASK ATTORNEY:_____________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ___________________________________________________________________