Initial Interview Information Sheet
Law Office Of
Maurice J. LaRiviere, Jr.
Initial interview information sheet
Date ________________________
Name ______________________________________
Address ____________________________________
Home Phone _________________________________
Business Phone _______________________________
Cell Phone ___________________________________
Email _______________________________________
Referring Party ________________________________
Issue reviewed
________________________________________________________________
Initial consultation sheet
Law office
of
Maurice J. LaRiviere, Jr.
_________________________________
Name Printed
__________________________________________
Address
By my signature hereto I Acknowledge and agree that I met the day and date stated above
for an initial review and consultation of a legal matter stated below.
______________________________________________________________________________________________________________________________________
I recognize that at this conference;
1) I will be assessed a fee no more than that set by the Mass Bar assoc. Lawyer
Referral Service Fee Rules by Maurice J. LaRiviere, Jr.
2) That at this time and until such time as Maurice J. LaRiviere, Jr. signs a fee agreement he
will not be considered for any purpose as my counsel in this matter or any other
unless otherwise specified in this document.
3) That this initial consultation is intended simply to review the matter identified above
and is not to be considered legal advice upon which I could or should reasonably rely in taking or failing to
take any present or future action in this matter.
4) I acknowledge further that no legal representation, appearance or preparation will begin in this matter
unless and until Maurice J. LaRiviere, Jr. agrees in writing to be my counsel of record.
5) I further understand that Attorney LaRiviere intends to keep the interview confidential
but at this time the attorney client privilege does not apply to any conversation had between him and myself.
____________________ ______________________
Signed Dated
This document is signed of my own free will and only after I have read and understood its terms and conditions.