Complete information below then hit Submit

* Name
First Name:

Middle:

Last Name:

Title:

Company:

Primary Address:
Address Type:

* Street:

* City:

 * State:

* Zip Code:

Phone/E-Mail:

Primary:

 * Office Phone:

* Home Phone:

*Mobile Phone:

 * Fax Number:

* E-Mail:

Web Site:

 

Client #:
Matter #:
Matter Name:
Billing Attorney:
Name to appear on Bill (if different):
Title to appear on Bill (if different):

Client Matter Description: (Insert one-sentence description of matter so that all

attorneys will become familiar with the full nature of this representation when they

read about it in the New Matters Bulletin.)

Is Client a publicly traded company? Yes         No
Does Client have international ops? Yes         No
If yes, where: Western Europe Central Eastern Europe
  Pacific Rim Latin America
  Other  
Client's Industry Code:
Does Client own any commercial or industrial real estate in Illinois?  Yes   No

Client   is   is not    involved in lobbying activities.

If this is a construction matter, please

give the name of the project:

If a construction-related matter, list all subcontractors and/or general

contractors involved in the subject job.

If a bankruptcy matter, identify all secured creditors and/or principal creditors.

If an estate planning matter, identify the individual client's employer and/or company

 in which he or she has an equity interest

Area of Practice that will handle this matter:

Business & Corporate Transactions Commercial Finance & Secured Transactions Construction Law
Creditors' Rights & Bankruptcy Labor and Employment Law Litigation
Real Estate Real Estate Tax Assessment Tax, Estate Planning and Wealth Preservation
Health Care   

 

If Litigation (include Adversary Proceeding in Bankruptcy), give court, venue, case

number and ad damnum:

 (a) List all parties named in the lawsuit, including co-plaintiffs, co-defendants, third-party plaintiffs and/or third-party defendants.  To the printed copy, please attach a copy of the court case caption if numerous parties are named in the litigation:
Opposing counsel:

Source of Business:

Article Placement Association Contact Existing Client
Expert Witness Firm Alert Advisory Firm Newsletter
Local Counsel Media Exposure Opposing Counsel
Other Referral Request for Proposal
Seminar Speech Web Site

If 'other', specify:

Referral Source (if applicable):

First Last Company

If a referral, indicate Referral Source's Business Type and Code:

019 Amusement/Recreation 031 Banking Credit Related 034 Accounting Services
041 Legal Services 043 Other Business and Professional Services 050 Construction
060 Other Financial Services 070 Individual 087 Manufacturing Durable
098 Manufacturing Nondurable 112 Public Admin Govt 120 Real Estate
Other   

 

Add Client to lists checked below:

 Firm Announcements Holiday Card Holiday Gift
Other Newsletters? Real Estate Newsletter Tax, Estate Planning & Wealth Preservation Newsletter

If 'other', specify:

  Billing Status:

    File Type:  Regular   Large Brown w/ elastic   Large Brown w/o elastic

 

Case Type Code:            Bill Code  Monthly   Other
Bill Format:             
   
Client Chargeable - Hourly at Standard  
Other-Hourly at $ Per Hour Approved by:
Other-Contingent at $ Approved by:
Other-Flat Fee of $ Approved by:
Other-Client Non-Chargeable Approved by:

Retainer Amount: $    Deposit in: Regular Account   Trust Account
Date Retainer Received:

Approval to publish in internal

 business development update:

 Yes     No

   New Client Engagement Letter

   Date signed:       Submitted by:

Approval to Handle Matter: