Simple Will Intake Form

Please complete the form below so Ireland Law can review your request for a Simple Last Will and Testament.

Submitting this form does not create an attorney-client relationship. Representation begins only after Ireland Law agrees to represent you in writing.

Client Information

First name

Last name

Date of birth

Month

Day

Year

Street address

City

State

ZIP code

Phone number

Email address

Conflict Check

Have you ever been represented by Ireland Law?

Yes

No

Has anyone else involved in this matter ever been represented by Ireland Law?

Yes

No

Family members or individuals involved in your Simple Will

Simple Will Information

Are you requesting

Individual Simple Will

Married Couple Simple Wills

Not Sure

Questions or special requests regarding your Simple Will

Legal Benefit Plan

Preferred Contact Method

Preferred contact method

Phone

Email

Text Message

Acknowledgments

I understand that submitting this form does not create an attorney-client relationship. Representation begins only after Ireland Law agrees to represent me in writing.

I certify that the information I have provided is true and accurate to the best of my knowledge.

I authorize Ireland Law to contact me regarding this request.

How to Complete Your Simple Will Intake Form

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