Landlord Intake Form

Filing out this form does not create an attorney-client relationship, which means that until that relationship exists, information you provide to us about your case may not fall under the attorney-client privileged information rule. For this reason, you should not submit any highly sensitive facts in this form. Also, this form is not a guarantee that our firm will take your case.

Please fill out the information below, so that we can proceed with scheduling your free 30-minute consultation. If you have any additional emails, photographs, letters, or information, please email it to jmac@jlm-law.com.

Salutation

^•First Name

^•Middle Name

^•Last Name

Company Name

Street Address

City

State/Province

Zip/Postal Code

Phone (Primary)

Work Number

Cell Number

What date did the failure, breach, or issue first occur?

Please attach a copy of the lease agreement:

Add attachment

Upload the lease

Drop files here, or click to select files to upload.