Client Intake Form Template and Sample Document

Client Intake Form Template

Document ID: TR-CLI-001 Effective Date: [01/01/2026]

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Instructions for Use:

• This form must be completed in its entirety by the prospective client or their authorized representative.
• Retain the completed form and all attachments in the client's physical and/or digital matter file.
• Required attachments: Government-issued photo ID (for individuals), Business registration documents (for entities), and Signed Engagement Letter.

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Section 1: Client Information

1.1 Client Type: [ ] Individual [ ] Entity

1.2 Full Legal Name / Entity Name: [____________________] 1.3 Doing Business As (DBA) / Trade Name (if applicable): [____________________] 1.4 Primary Contact Person (for entities): [____________________] 1.5 Title of Contact Person: [____________________]

1.6 Street Address: [____________________] 1.7 City: [____________________] 1.8 State/Province: [__________] 1.9 Zip/Postal Code: [__________] 1.10 Country: [____________________]

1.11 Primary Phone Number: [____________________] 1.12 Alternate Phone Number: [____________________] 1.13 Email Address: [____________________] 1.14 Website (if applicable): [____________________]

1.15 Tax ID / EIN (for entities) / SSN (last 4 digits for individuals, if required for billing): [__________]

• Note: Providing SSN is optional unless required for specific tax or regulatory filings. Please discuss with counsel.

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Section 2: Matter / Case Information

2.1 Matter Name / Brief Description: [__________________________________________________]

2.2 Nature of Engagement: [ ] Litigation [ ] Transactional [ ] Advisory [ ] Regulatory [ ] IP/Patent [ ] Other: [__________]

2.3 Opposing Party(ies) / Counterparty(ies) (if applicable, for conflict check):

• Party 1: [____________________]
• Party 2: [____________________]
• Party 3: [____________________]

2.4 Key Related Parties (e.g., shareholders, directors, subsidiaries, affiliates, witnesses):

• Party 1: [____________________]
• Party 2: [____________________]
• Party 3: [____________________]

2.5 Primary Jurisdiction of Matter: [____________________] 2.6 Date Event/Issue Arose (approximate): [____/____/____] 2.7 Critical Deadlines (if known): [____/____/____]

2.8 Brief Background of Matter (attach separate sheet if necessary): [________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________]

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Section 3: Conflict Check & Ethical Considerations

3.1 Have you or your entity ever retained this firm previously? [ ] Yes [ ] No If Yes, please specify matter(s): [____________________]

3.2 Are you aware of any potential conflicts of interest concerning this firm, its attorneys, or existing clients relating to this matter? [ ] Yes [ ] No If Yes, please explain: [__________________________________________________________________]

3.3 Has the firm confirmed a conflict check has been performed and cleared? (For Internal Use Only) [ ] Yes [ ] No [____/____/____] (Date) [__________] (Performed By)

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Section 4: Billing & Fee Arrangement

4.1 Proposed Fee Structure: [ ] Hourly [ ] Flat Fee [ ] Contingency [ ] Retainer [ ] Other: [__________]

4.2 If Hourly: [__________] (Attorney Rate) [__________] (Paralegal Rate) 4.3 If Flat Fee: [__________] (Amount) 4.4 If Contingency: [__________] (Percentage) 4.5 If Retainer: [__________] (Amount)

4.6 Billing Contact Name (if different from Section 1.4): [____________________] 4.7 Billing Email Address (if different from Section 1.13): [____________________] 4.8 Billing Address (if different from Section 1.6-1.9): [____________________]

4.9 Preferred Billing Frequency: [ ] Monthly [ ] Quarterly [ ] Upon Completion [ ] Other: [__________]

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Section 5: Client Acknowledgment & Consent

I, the undersigned, certify that the information provided in this Client Intake Form is true and accurate to the best of my knowledge. I understand that this form is for initial intake purposes and does not establish an attorney-client relationship. An attorney-client relationship will only be formed upon the signing of a formal Engagement Letter by both parties.

I acknowledge that I have received, reviewed, and understand the terms outlined in the proposed Engagement Letter.

I consent to the firm collecting and processing my/our personal/entity information for the purpose of client intake, conflict checks, legal services, billing, and regulatory compliance.

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Section 6: Internal Use Only

6.1 Assigned Attorney(s): [____________________] 6.2 Matter Number: [____________________] 6.3 Date Opened: [____/____/____] 6.4 Originating Attorney: [____________________] 6.5 Firm Client Number: [____________________]

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Execution & Signature Block

By signing below, the client or their authorized representative acknowledges and agrees to the information provided herein.

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Disclaimer: This document is provided as a standardized framework. Consult qualified legal counsel for jurisdiction-specific statutory compliance.