PLEASE BE ADVISED THAT BY COMPLETING THIS FORM, WE HAVE NOT YET ENTERED INTO AN ATTORNEY-CLIENT RELATIONSHIP. INSTEAD, YOU HAVE, AT YOUR DIRECTION, ASKED THIS FIRM TO REVIEW YOUR CASE FOR POTENTIAL RETENTION. ALL INFORMATION WILL BE HELD STRICTLY
CONFIDENTIAL. AN ATTORNEY-CLIENT RELATIONSHIP WILL BE INITIATED UPON THE COMPLETION OF A MUTUALLY AGREEABLE FORMAL RETAINER AGREEMENT.