BFLF Intake Form Date MM DD YYYY Current Time Client Name First Name Last Name Phone (###) ### #### Is it okay to call back/leave a message at this number? Yes No How did you hear about our office? (If attorney referral, make sure to get correct spelling of attorney name) Tell me what's going on What county do you live in? If not Oakland or Macomb, see Randy/Shannon/Mariell first. What county does other side live in? Is there a case already filed? If so, what is the status of the case? Do you already have a lawyer? If so, who? Employee name * Thank you!
