New Client Information Sheet | Mark Jepson Law | Hamilton, Waikato, NZ

* Full legal name

Please provide a valid entry.

* Physical Address

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Postal Address (If different from above)

* Email address

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* Mobile phone number

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Secondary phone number

Personal Information

* Date of Birth

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* Employment Status

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* Employer or Company Name

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* Occupation

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Instructions

* Instructions

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Next Court Date and Time

Court Location or Closest Court

Comments

Proof of Identification and Address

Once you receive a confirmation email from this form please reply with proof of identification and proof of address. The confirmation email sent to you once submitting this form includes detailed instructions as to suitable forms of identification and proof of address.

Agreement to Terms of Instructions and Engagement

I agree to instruct Mark Jepson Law as outlined in the Terms of Instructions (a copy can be requested at any time) as set out in the following link

You must agree before submitting.

I have read and understand the Terms of Engagement (a copy can be requested at any time) as set out in the following link

You must agree before submitting.

If you are having issues with this form please email mail@jepson.co.nz or visit the Contact page for further contact information.

Mark Jepson Law

Criminal and traffic law, Hamilton, NZ.

Phone or text 021 633 460

New Client Information Form

Contact Information

Personal Information

Instructions

Proof of Identification and Address

Agreement to Terms of Instructions and Engagement