Harbor & Vale LLP
Confidential Client Intake Questionnaire
Client name
Jordan Lee
Adverse party
Northstar Logistics, Inc.
Date of incident
09/14/2026
Referred by
Google search
Matter type
Jordan Lee
11/02/2026
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Harbor & Vale LLP
| Harbor & Vale LLP | Form CI-01 Rev. 06/26 |
Confidential Client Intake QuestionnaireComplete all applicable sections. Print clearly. | |
| Section 1 - Requesting Party | |||
| Legal name | Jordan Lee | jordan.lee@mail.com | |
| Adverse party | Northstar Logistics, Inc. | ||
| File ref. | HV-26-0418 | Received | 06 / 03 / 2026 |
| Section 2 - Matter Type | ||
| 1 | Personal injury | |
| 2 | Employment | |
| 3 | Family law | |
| 4 | Business dispute | |
| Section 3 - Client Certification | ||
Client signature | 06 / 03 / 2026 Date | Authorized |
Official Use Only - Do Not Fill Internal processing and review fields | |||||
| Intake clerk | Queue code | Reviewer | Approved Yes No | Archive box | Scan ID |
| Internal comments | Follow-up required NoneCallEmail | Disposition notes / retention schedule | |||
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