Form

Thank you so much for contacting Melone Hatley! Please read the privacy policy below, and note that we require this information to be able to schedule you. You must fill out this form in its entirety prior to your appointment.

Please click the SUBMIT button below when you have finished answering all questions.

Privacy Policy

All information received 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.

If you have any questions, please don't hesitate to contact our office. We look forward to speaking with you!

First name*

Last name*

Date of birth

Occupation

Income Range

Email*

Phone number*

Best contact number to reach you

Street address*

City*

State/Region*

Postal code*

Case Type*

Office Location*

Do you have an upcoming court date?*

Yes

Opposing Party*

Full name of opposing party. This is your spouse or other party (NOT YOU)

Opposing Party's Last Known Address

We ask this information for a conflict check - we will not contact them

Briefly Explain Your Case

Please include what city and state location your case is based in

I acknowledge that I have read and hereby accept the above privacy policy regarding use of my personal information. I acknowledge that I have the right to attorney-client confidentiality for anything discussed during the initial consultation. I understand that by allowing anyone else to be present for the consultation, I am waiving my rights to confidentiality.

I accept