Intake Form

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APPEALS INTAKE FORM

Paul D. Sullivan, Appellate Attorney

CLIENT INFORMATION ATTORNEY INFORMATION

Name

Address

Phone

Email

CASE INFORMATION

Cause No.: Date of Decision:

Judicial District: Judge:

Has Notice of Appeal Been Filed? ☐ Yes ☐ No

Do You Wish to Remain Involved in the Appeal? ☐ Yes ☐ No

Brief Description

ISSUES FOR APPEAL (brief description)

Email: paul@paulsullivanlaw.com
Fax: 406.837.4122
Phone: 406.837.9970

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