50%
Welcome to Webb Family Law Firm
Potential New Client Information Form
Date
*
Meet with Attorney:
*
Select One
Natalie L. Webb
Brant M. Webb
Gregory S. Beane
Lon M. Loveless
Kelvin Malone
First Name:
*
Middle Name:
*
Last Name:
*
Your Address:
*
City
*
County of Residence
*
State
*
Select One
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
We service clients in specific Texas.
Zip
*
Your Email Address (to receive email):
*
Password
*
Preferred phone contact number
*
Phone Number:
Home Phone Number
Work Phone Number
Cell Phone Number
Please fill in the phone number of the person to contact in case of emergency:
*
Referred By:
*
Case Type (Choose one):
*
Select One
Divorce
Modification
Paternity
Pre-Nup
Enforcement
Has anything been filed?
Yes
No
Court:
*
County:
*
Name of previous attorney:
*
Name of opposing party:
*
Name of opposing counsel:
*
Date of Marriage/Divorce (if applicable):
*
Are there children?
Yes
No
If so, how many?
Select Children
1
2
3
4
5
6
7
8
9
10
Do you or any potential party to this lawsuit own or possess any firearms (including component parts thereof) or ammunition (including primers, casings, bullets, and/or powder)?
Yes
No
Do you or any potential party to this lawsuit possess a license giving the right to carry a concealed weapon?
Yes
No
SAVE
Next
Welcome to Webb Family Law Firm
Child
*
Date of Birth
*
Parents of Child
*
Both
guest
Child SSN Number
*
Last 4 digit
×