Thank you for accessing the Activate Law Intake Questionnaire.

By submitting this secure form, you are providing background information about your legal needs so that we can assess how to best assist you.

Please be assured that all information received from via this form is kept strictly confidential. Activate Law takes every measure to protect your privacy.

The data submitted through the Client Intake Form is encrypted and secured. We do not share any client information with outside parties without your explicit consent.

Once submitted, we will thoroughly review the details provided in your intake form. We will then contact you shortly to discuss how Activate Law can address your legal needs and outline any next steps.

Please feel free to reach out with any questions you may have during this initial process. We look forward to assisting you and hope to earn your business.

Contact Information

Name

Primary Email Address

Alternate Email Addresses

Address

Address

Company Information

What is your Job Title? Founder? CEO? *The* Boss?
Is your company incorporated in Ohio? If not, what state is the company organized or incorporated in? Type “None” if the company has not yet been formed.
Are you currently involved in, or do you anticipate becoming involved in, negotiations, disputes, disagreements, or any adversarial matters with another party (person or company)? If so, please provide the name(s) of the person(s) and/or company(ies) involved.

Additional Details

How were you referred to our firm?
Billing Contact
If our law firm ends up representing you in this matter, will you be the person who pays the legal fees?

Birthday

We’d love to celebrate you! šŸŽ‚