Thank you so much for contacting the Starbuck Law Firm! Please read the privacy policy below, and then fill out this form in its entirety prior to our consultation.
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 256-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 questions, please contact the Starbuck Law Firm. We look forward to working with you!
Contact information
Prefix
First name
*
Middle name
Last name
*
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
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Australia
Canada
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Burundi
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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
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El Salvador
Equatorial Guinea
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Eswatini
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France
French Guiana
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French Southern Territories
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Guadeloupe
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Heard Island and McDonald Islands
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Honduras
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Hungary
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Indonesia
Iran
Iraq
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Mali
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Mayotte
Mexico
Micronesia, Federated States of
Moldova
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Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
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North Korea
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
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Paraguay
Peru
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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
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Spain
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Sudan
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Switzerland
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Tanzania
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Turkey
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Turks and Caicos Islands
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Ukraine
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Uruguay
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Virgin Islands, U.S.
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Texas
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Virgin Islands, U.S.
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Washington
Wisconsin
West Virginia
Wyoming
Province/Region
Zip/Postal code
Address type
Work
Billing
Home
Other
Primary
Default address false
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Phone numbers
Phone number
Type
Work
Home
Mobile
Fax
Pager
Skype
Other
Primary
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Preferred Contact Method
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Email
Phone
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Gender
Male
Female
Social Security Number
Driver's License Number
Marital Status
Single
Married
Spouse's Full Name
Separated
Spouse's Full Name
Divorced
Former Spouse's Full Name
Widowed
Former Spouse's Full Name
Are you currently employed?
Yes
Employer Name
Job Title
Employer Phone Number
Employer Address
Current Salary
No
How were you referred to the Starbuck Law Firm?
Friend or family member
Input the person's full name:
Another attorney
Input the attorney's full name:
Online search or lawyer directory website
Input the name of the website:
For example, "Avvo", "Facebook", or "LawFirmName.com"
Billboard, bus stop, phone book, newspaper, or other physical advertisement
Where was the ad located?
Radio or TV advertisement
What radio or TV station?
Bar Association
Which Bar Association?
Other
Please explain how you found us:
If our law firm ends up representing you in this matter, will you be the person who pays the legal fees?
Yes
How do you plan to pay?
Please indicate the source of funds or otherwise confirm that you have the ability to pay your legal fees.
No
Input the full name of the person who will pay the legal fees:
Input his/her phone number:
Input his/her email address:
What type of case are you seeking legal help for?
Family Law
Criminal Defense
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Other
Please describe the issues for which you are seeking legal help.
If there is a court cause number or multiple cause numbers associated with your case, please list the entire cause number(s) here:
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Please acknowledge that you have read and hereby accept the above privacy policy regarding use of my personal information by typing your full legal name below
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THANK YOU
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.
Please click the
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