Initial Consultation Form

Below you will find a form you should copy and bring with you to the consultation

Initial Interview Information Sheet

Law OfficeOfMaurice J. LaRiviere, Jr.  

Initial interview information sheet 

Date  ________________________ 

Name ______________________________________ 

Address ____________________________________ 

Home Phone _________________________________ 

Business Phone _______________________________ 

Cell Phone ___________________________________ 

Email _______________________________________ 

Referring Party ________________________________ 

Issue reviewed  

  ________________________________________________________________  

Initial consultation sheet

 

Law office

of

Maurice J. LaRiviere, Jr.

Name Printed __________________________________________

Address    _________________________________

 

By my signature hereto I Acknowledge and agree that I met the day and date stated above for an initial review and consultation of a legal matter stated below.

______________________________________________________________________________________________________________________________________I

I recognize that at this conference;

1) I will not be assessed a fee or other charge by Maurice J. LaRiviere, Jr.

2) That at this time and until such time as Maurice J. LaRiviere, Jr. signs a fee agreement he will not be considered for any purpose as my counsel in this matter or any other unless otherwise specified in this document.

3) That this initial consultation is intended simply to review the matter identified above and is not to be considered legal advice upon which I could or should reasonably rely in taking or failing to take any present or future action in this matter.

4) I acknowledge further that no legal representation, appearance or preparation will begin in this matter unless and until Maurice J. LaRiviere, Jr. agrees in writing to be my counsel of record.

5) I further understand that Attorney LaRiviere intends to keep the interview confidential.

_________________________  

Name- signed and printed

Dated____________________