Law Office of Erin H. Winkles P.S.
1424 16th Avenue
Longview, WA 98632
(360) 578-1392
Thank you so much for contacting our law office! Please read the privacy policy below, and then fill out this form in its entirety prior to our consultation. We will contact you once completed to get you scheduled.
Privacy Policy
All information received from a client is strictly confidential. Our firm takes every step possible to protect your privacy. The data submitted via this form is encrypted and secured using industry-standard 128-bit SSL encryption.
Your Social Security Number and other personal information will only be used in the event that you hire the firm to represent you in your legal matter, and then only when necessary in limited use during the course of your case.
Social Security Numbers are most often used to positively identify parties. Most courts require Social Security Numbers of all parties in a case. Some other examples of how this information may be used include:
initial service
in court orders
in required reports or other documents filed with the State
If you have any questions, please don't hesitate to contact our law office. We look forward to working with you!
Contact information: Prospective Client Information
Prefix
First name
*
Middle name
Last name
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Date of birth
Company
Emails
Address
*
Type
Upon submission, a copy of this form will be sent to the primary email.
Work
Home
Other
Primary
Default email false
Add email
Addresses
Street address
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Chile
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Cook Islands
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Mali
Malta
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Mayotte
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Micronesia, Federated States of
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
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Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
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North Macedonia
Northern Mariana Islands
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Panama
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Portugal
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Romania
Russian Federation
Rwanda
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin (French part)
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten (Dutch part)
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Korea
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syrian Arab Republic
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Türkiye
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
United States Minor Outlying Islands
Uruguay
Uzbekistan
Vanuatu
Venezuela
Vietnam
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Virgin Islands, U.S.
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United States Minor Outlying Islands
Utah
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Virgin Islands, U.S.
Vermont
Washington
Wisconsin
West Virginia
Wyoming
Province/Region
Zip/Postal code
Address type
Work
Billing
Home
Other
Primary
Default address false
Add address
Phone numbers
Phone number
Type
Work
Home
Mobile
Fax
Pager
Skype
Other
Primary
Add phone number
Prospective Client Social Security Number
Prospective Client Driver's License Number
Preferred Contact Method
Select an option
Telephone
Email
No Preference
Prospective Client's Gender
Select an option
Female
Male
Non-Binary
Trans M to F
Trans F to M
What is your maiden name, if any?
Marital Status
Single
Married
Full Name of Spouse
Separated
Full Name of Former Spouse
Divorced
Full Name of Former Spouse
Widowed
Full Name of Former Spouse
Do you need an interpreter?
Yes
No
Contact information: Opposing Party Information
Prefix
First name
*
Middle name
Last name
*
Date of birth
Company
Emails
Address
*
Type
Work
Home
Other
Primary
Default email false
Add email
Addresses
Street address
Country
Australia
Canada
United Kingdom
United States
---------------
Afghanistan
Åland Islands
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Congo, The Democratic Republic of the
Cook Islands
Costa Rica
Côte d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czechia
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands (Malvinas)
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See (Vatican City State)
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Kosovo
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia, Federated States of
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Korea
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Réunion
Romania
Russian Federation
Rwanda
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin (French part)
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten (Dutch part)
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Korea
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syrian Arab Republic
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Türkiye
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
United States Minor Outlying Islands
Uruguay
Uzbekistan
Vanuatu
Venezuela
Vietnam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
City
State/Region
Alaska
Alabama
Arkansas
American Samoa
Arizona
California
Colorado
Connecticut
District of Columbia
Delaware
Florida
Georgia
Guam
Hawaii
Iowa
Idaho
Illinois
Indiana
Kansas
Kentucky
Louisiana
Massachusetts
Maryland
Maine
Michigan
Minnesota
Missouri
Northern Mariana Islands
Mississippi
Montana
North Carolina
North Dakota
Nebraska
New Hampshire
New Jersey
New Mexico
Nevada
New York
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
United States Minor Outlying Islands
Utah
Virginia
Virgin Islands, U.S.
Vermont
Washington
Wisconsin
West Virginia
Wyoming
Province/Region
Zip/Postal code
Address type
Work
Billing
Home
Other
Primary
Default address false
Add address
Phone numbers
Phone number
Type
Work
Home
Mobile
Fax
Pager
Skype
Other
Primary
Add phone number
Contact information: Opposing Party's Attorney, if any
Prefix
First name
*
Middle name
Last name
*
Company
Emails
Address
*
Type
Work
Home
Other
Primary
Default email false
Add email
Phone numbers
Phone number
Type
Work
Home
Mobile
Fax
Pager
Skype
Other
Primary
Add phone number
If a case has already been filed: Case Number
County where case is/will be filed or where property is located?
If there is/ will be a court case, which court is it in?
Select an option
Superior
District
Are you the Petitioner/Plaintiff? (i.e. the one starting the case and suing, divorcing, etc the other party)
Select an option
Yes
No
What area do you need assistance in?
Select an option
Real Estate Purchase/Sell (Residential)
Real Estate Purchase/Sell (Commercial)
Real Estate Litigation- Boundary, Adverse Poss, etc
Foreclosure/Forfeiture
Drafting Lease/Option/Rental/Well, etc- Real Property Contracts
Unlawful Detailer/Eviction (Landlord Only)
Family Law- Divorce without kids
Family Law- Divorce with kids
Family Law- Parenting Plan New (non- married parents)
Family Law- Parenting Plan Modification
Minor Guardianship (Emergency/Full)
Adoption
Committed Intimate Relationship
Child Support Modification
Contempt Actions
Protection Orders
All other areas of Civil Litigation
Business Law- contracts, minutes, membership agreements, etc
Estate- with will
Estate- no will
Trust and Will drafting
Transfer on Death/ Non-Probate
Personal Representative
Receiver
Municipal
All other areas of civil law
Please provide a brief description of the case/real estate issue/etc
Full Name of Your Prior Attorney, if any
How were you referred?
If our law firm ends up representing you in this matter, will you be the person paying the legal fees?
Yes
How do you plan to pay?
Source of funds- confirm ability to pay
No
Full Name of Person who will be paying
Phone Number
Email Address
NOTICE
The purpose of this initial intake is to determine if Law Office of Erin H. Winkles P.S. can assist you with your legal needs. The initial consultation will then try to inform you about the services our firm provides, and to discuss the potential agreement for the provision of legal services and formation of an attorney-client relationship. This intake and the initial consultation (if any) does not create an attorney-client relationship and does not mean Law Office of Erin H. Winkles P.S. will act as your attorneys. After the initial consultation, if your case/matter is accepted by Law Office of Erin H. Winkles P.S. and you desire to retain Law Office of Erin H. Winkles P.S. as your attorneys, we will provide you with a written fee agreement which will set forth the terms of the agreement for legal services. Upon receipt of the signed fee agreement and the required retainer, we will begin to act as your attorneys.
Your legal rights may be affected by laws that place time restrictions on certain legal claims or may be otherwise affected if prompt action is not taken. If Law Office of Erin H. Winkles P.S. does not accept your case/matter or you decide not to retain our services you should seek alternate legal counsel immediately to ensure that your legal rights are not affected.
LAW OFFICE OF ERIN H. WINKLES P.S. WILL NOT TAKE ANY ACTION ON YOUR BEHALF PRIOR TO RECEIPT AND ACCEPTANCE BY OUR LAW FIRM OF A SIGNED FEE AGREEMENT AND REQUIRED RETAINER FEE. I HEREBY ACKNOWLEDGE THAT I HAVE READ THE FOREGOING NOTICE AND UNDERSTAND THAT LAW OFFICE OF ERIN H. WINKLES P.S. WILL NOT ACT AS MY ATTORNEYS OR TAKE ANY ACTION ON MY BEHALF UNLESS AND UNTIL A WRITTEN FEE AGREEMENT SIGNED BY BOTH PARTIES AND THE REQUIRED RETAINER FEE ARE RECEIVED AND ACCEPTED BY OUR LAW FIRM.
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THANK YOU FOR YOUR TIME
Thank you so much for completing this intake questionnaire. This information will be extremely helpful in evaluating your case. We will contact you as soon as possible with any updates.
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