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MERIDIANPREMIER COUNSEL, PLC

DEA Registration & Administrative Defense

Tell Us About Your Legal Matter

Completing this form before your consultation helps us prepare and make the best use of your time.

The purpose of this form is to collect some preliminary information regarding your case so we can determine if it is something we can assist you with and whether or not you have any upcoming court dates. We will contact you if we have any additional questions. If a question does not apply, please put N/A. If the form request a date and a date does not apply, please use the date you are completing the form to answer the question. Upon completion of this form, someone you will hear from our office within 1-3 business days to schedule an appointment or otherwise tell you if we can assist you. Thank you for completing this form. We look forward to working with you.

PLEASE NOTE THAT COMPLETING THIS FORM IS NOT AN AGREEMENT OR GUARANTEE THAT WE WILL BE ABLE TO PROVIDE YOU WITH LEGAL REPRESENTATION.

Upon submission, a copy of this form will be sent to the email address you give below.

About you

First and last name are required, and at least one way for us to reply.

We send a copy of your answers to this address.

Your matter

You are completing the DEA Registration & Administrative Defense intake. Nothing below is required — tell us what you can.

New or Existing Client
The Current Problem is: (check all that apply)

Tick everything that applies — more than one is fine.

My case is in

If your matter is not in court, choose Not applicable.

Virginia

Florida

New Jersey

Federal

Please classify your urgency in concluding this matter:
This form was completed by the prospective client
This form was completed by Lawyerline
This form was completed by LRB

Other parties — for our conflicts check

Before we can act we have to check that we have no conflict of interest. If you know who else is involved, naming them here saves time. This never delays your submission — if you do not know, or there is nobody, say so below and send the form anyway.

Is the Opposing Party Represented by Counsel?

Documents

Please upload any pertinent documents related to your matter or contracts for contract review quote here

PDF, Word, Excel, plain text or an image. Up to 20 MB each, 10 files.

Completing this form does not create an attorney-client relationship and does not mean the firm has agreed to represent you. Please avoid including highly sensitive or time-sensitive information until representation has been confirmed in writing.

When you are finished, please click the “Submit” button. If you would rather speak to someone, call 540-369-8004.

Not sure this is the right area? Read about DEA Registration & Administrative Defense or use the general form— it asks exactly the same questions.