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Potential Client Intake Form

If you have scheduled a consultation with immigration attorney Scott Mossman, please complete the intake form linked below. Do not submit the completed form until Scott Mossman (or a criminal defense attorney consulting with him) requests it. The Law Office of Scott A. Mossman needs to check for conflicts of interest before you submit your confidential information.

Instructions: Do not complete the intake form in a web browser window—your answers will not be saved. Instead, download it and open the form in the free Adobe Acrobat Reader. Or print out the form and complete it using a black pen. Email the completed form to [email protected] or fax it to 510-835-1116.

Download Intake Form

(7-19-2019 version)

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