B, S. Johnson Law, PLLC

101 N. Pinetta Dr. Unit 35853

Richmond, VA 23235

(804) 762-0416

Consultation Request Form

Thank you for contacting B. S. Johnson Law, PLLC. To help us better understand your legal matter, please complete the following questionnaire. A member of our team will be in touch soon.

Privacy Policy

Your privacy is important to us. All information provided is strictly confidential, and we take every possible step to protect it. The information you submit in this form is encrypted and secured with industry-standard 256-bit SSL encryption.

Your Social Security Number and other personal information will be used only if you hire our firm, and then only when necessary for limited purposes related to your case. Courts often require SSNs to identify parties accurately. Examples of how this information may be used include:

Initial service
In court orders
In required reports or documents filed with the state

If you have any questions, please feel free to contact us at intake@bsjohnsonlaw.com or info@bsjohnsonlaw.com.

Your Information:

Contact information

Prefix

First name *

Middle name

Last name *

Date of birth

Emails

Address *

Type

Upon submission, a copy of this form will be sent to the primary email.

Addresses

Street address

Country

City

State/Region

Zip/Postal code

Address type

Phone numbers

Phone number

Type

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Is it okay to communicate with you via text message? (Please note that standard message rates may apply and you my opt-out at anytime.)

Yes

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Do you have any previous names?

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What type of legal matter are you contacting us about?

Divorce

Spouse's First Name Spouse's Last Name Do you have any minor children together?

Indicate "Yes" or "No"

How long have you been separated? Do you both agree on all aspects of the divorce, including support, marital home, distribution of assets, etc.? If not, please explain. Please upload a picture of your marriage certificate.

Personal Injury

Restoration of Firearm Rights

Please list your felony conviction(s), the court where found guilty, and the approximate year. Do you have any federal felonies?

Indicate "Yes" or "No"

Have you ever been charged with assault, battery or domestic violence?

Indicate "Yes" or "No"

Has anyone ever had protective or restraining order against you?

Indicate "Yes" or "No"

Has the Governor restored your right to vote?

Indicate "Yes" or "No"

Please upload a picture of the order restoring your civil rights (if applicable).

Estate Planning (Wills and Trusts)

Other

Attachment Upload

Please upload any additional documents or photos relevant to your case that you would like the attorney to review. Relevant attachments can include copies of court orders, copies of contracts or agreements, potential evidence, etc.

Attachment #1:

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Attachment #3:

How did you hear about us?

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Please use this space to provide the attorney with any additional information that may be relevant.

ACKNOWLEDGEMENT AND ACCEPTANCE

I acknowledge that I have read and hereby accept the above privacy policy regarding use of my personal information.

THANK YOU

Please click the SUBMIT button below when finished.