Solano County Bar Association
744 Empire Street, Suite 201, Fairfield, CA 94533
Ph (707) 422-5087 fax (707) 422-3860 LRS (707) 422-0127

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Referral Intake Sheet

Date
Client Name  
Address  
Phone   Work Phone  
Where did they hear about LRS?  
Nature of Problem
Opposing Party and/or Counsel  
Time/Days available for appointment    
Location Request  
Attorney referred to     Date/Time of Appointment  
       
 
 
   

© 2004 Solano County Bar Association.  All rights reserved.