Law Office of Jon F. Hays PLLC

14347 Glen Manor Drive
Chantilly, VA 20151

Thank you for contacting the Law Offices of Jon F. Hays. This form helps us understand the basic nature of your matter, conduct an initial conflict check, and determine which follow-up intake form may be appropriate.

Submitting this form does not create an attorney-client relationship. The firm does not represent you unless and until both you and the firm sign a written engagement agreement

Your Information

Contact information: Your Information

Prefix

First name *

Middle name

Last name *

Date of birth

Emails

Email Address *

Type

Upon submission, a copy of this form will be sent to the primary email.

Add email

Addresses

Street address

Country

City

State/Region

Zip/Postal code

Address type

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Phone numbers

Phone number

Type

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Communication Notice

The firm does not use text messaging for regular client communications. Text messages are appropriate only for urgent scheduling or logistics issues, such as being late for court or needing immediate scheduling coordination.

Matter Type

Please briefly identify the type of legal matter for which you are seeking assistance.

What type of matter do you need help with?

Do you have an ARAG legal insurance plan?

Yes

Other Party / Conflict Information

Contact information: Other Party / Opposing Party

Prefix

First name *

Middle name

Last name *

Date of birth

Emails

Email Address *

Type

Add email

Addresses

Street address

Country

City

State/Region

Zip/Postal code

Address type

Add address

Phone numbers

Phone number

Type

Add phone number

List any other people or entities involved in this matter and their relationship to the matter.

Court Date, Deadlines, Urgency

Important deadline notice: The firm generally does not accept new litigation matters for hearings, trials, or filing deadlines scheduled less than 15 days from the date of initial contact. Submission of this form does not mean the firm has agreed to represent you or protect any deadline. If you have a court date, filing deadline, appeal deadline, statute of limitations, or other time-sensitive matter, you should continue to protect your rights unless and until the firm signs a written engagement agreement with you.

Is there a court case, court date, hearing, filing deadline, summons, or other time-sensitive issue?

Yes

Not sure

Brief Description

Please briefly describe the matter and what has brought you to seek legal assistance.

What outcome are you hoping for?

Document Upload

Please upload any document that helps explain the matter, including court notices, summonses, petitions, orders, agreements, tickets, letters, emails, deeds, tax records, or other relevant documents.

Upload relevant documents

Add attachment

Acknowledgment

Please review and acknowledge the following before submitting this form:

I understand that submitting this form does not create an attorney-client relationship.

I understand that the Law Offices of Jon F. Hays does not represent me unless and until both I and the firm sign a written engagement agreement.

I understand that deadlines may apply to my matter and that I remain responsible for protecting my rights unless and until the firm agrees in writing to represent me.

I understand that the firm may use the information I provide to conduct an initial conflict check and determine whether the firm can assist with my matter.

I acknowledge and agree.

Yes