New Client Intake Form

Our Intake Form is now available in both Word and PDF form. You can enter your information directly into the fields provided, and then save or print prior to sending to our office for evaluation of your claim. The PDF file can be filled out and saved using Acrobat Reader. The DOCX file can be filled out and saved using Microsoft Word or Open Office. Please read the additional instructions and important information on Page 4 of the document before proceeding.

You may send your completed document as an email attachment directly to our office at

Intake Form | 440kb Acrobat PDF

Intake Form | 248kb Word DOCX

Updated February 20, 2018.

Contact Information

Santa Barbara Office
805.845.9630 TEL
805.845.9634 FAX
Long Beach Office
562.216.8027 TEL
562.684.0143 FAX

Additional Contact Info »

Employee Rights Law Firm Proudly Serving Santa Barbara, San Luis Obispo, Ventura, Santa Maria, Paso Robles, Arroyo Grande & Pismo. © 2018 Adams Law, Santa Barbara, California