CLIENT INTAKE FORM / CLIENT INFORMATION

SHEET
(LAW FIRM)

Address:
Phone:
Matter Reference No.:

Date: ___ / ___ / _______

1. CLIENT CATEGORY (Tick as

applicable)
☐ Individual Client
☐ Corporate Client / Business Name
☐ NGO / Foundation
☐ Government / Public Institution
☐ Other: ___________________________

2. CLIENT INFORMATION
2.1 Individual Client Details (Complete if applicable)
Full Name: ____________________________________________
Residential Address: ___________________________________

Phone Number(s): ______________________________________

Email Address: _________________________________________
Nationality: ___________________________________________
Occupation/Employer: ___________________________________

Means of Identification (Tick): ☐ NIN ☐ Int’l Passport ☐ Driver’s Licence ☐ Voter’s Card
ID Number: ___________________ Date Issued: ___________ Expiry Date: ___________

Next of Kin (Name): ____________________________________

Next of Kin Phone No.: _________________________________
2.2 Corporate Client Details (Complete if applicable)
Registered Name of Company/Entity: ______________________________
Trading Name (if any): __________________________________________
RC Number / BN Number: ________________________________________
Nature of Business: _____________________________________________

Registered Office Address: ______________________________________

Business Address (if different): _________________________________

Official Email Address: __________________________________________

Phone Number(s): _______________________________________________
Website (if any): _______________________________________________

Key Contact Person (Primary Representative)

Name: ___________________________________________
Position/Role: ___________________________________
Phone: __________________________________________
Email: ___________________________________________

Authorized Signatory (if different)

Name: ___________________________________________
Position: ________________________________________
Phone: ___________________________________________
Email: ___________________________________________

3. CAPACITY, AUTHORITY &

REPRESENTATION
Are you instructing us for yourself/your organisation? ☐ Yes ☐ No

If NO, state the person/entity you represent: __________________________

Relationship/Capacity (tick): ☐ Agent ☐ Director ☐ Employee ☐ Family ☐ Trustee ☐
Other: _________
For Corporate Clients: who has authority to issue binding instructions?
☐ CEO/MD ☐ Company Secretary ☐ Legal/Compliance Officer ☐ Board Representative ☐
Other: ________

Will certain decisions require board/management approval? ☐ Yes ☐ No

If yes, specify (e.g., settlement, executing agreements, payment commitments):

4. MATTER DETAILS
Type of Matter (Tick as applicable):
☐ Advisory/Consultation
☐ Contract Review/Drafting
☐ Corporate/Commercial
☐ Employment/HR
☐ Property/Land/Real Estate
☐ Litigation/Dispute
☐ Regulatory/Compliance
☐ Family/Probate
☐ Criminal Defence
☐ Debt Recovery
☐ Intellectual Property
☐ Other: ________________________________________

Brief Description of Matter/Issue:

Client’s Objective/Expected Outcome:

Key Dates / Deadlines (if any):

Is the matter urgent? ☐ Yes ☐ No

If yes, state reason: _______________________________________________
5. LITIGATION / DISPUTE
INFORMATION (Complete if applicable)
Court/Tribunal: _______________________________________________
Judicial Division/Location: _____________________________________
Suit/Case No.: ________________________________________________
Current Stage (tick): ☐ Pre-action ☐ Filed ☐ Pleadings ☐ Trial ☐ Judgment ☐
Enforcement ☐ Appeal

Opposing Counsel (if known): ____________________________________

Has any court order/injunction been made? ☐ Yes ☐ No
If yes, attach and provide brief details: ____________________________

Next Court Date (if any): ___ / ___ / _______

Key Reliefs sought by/against you:

Have you made any admissions/settlement offers already? ☐ Yes ☐ No

If yes, provide details: ___________________________________________

6. OPPOSING / RELATED PARTIES

(CONFLICT CHECK SECTION)
Opposing party/counterparty name(s):

Relationship to client (e.g., employer, spouse, business partner, vendor):

Related persons/entities involved (directors, shareholders, affiliates, witnesses, agents):

Do you have any subsidiaries, sister companies, or affiliates relevant to this matter? ☐ Yes ☐
No
If yes, list: _______________________________________________________
Have you previously engaged another lawyer for this matter? ☐ Yes ☐ No
If yes:
Lawyer/Firm Name: _____________________________________________
Reason for change (optional): ____________________________________

7. ENGAGEMENT RISK SCREENING

(Internal Protection + Client Clarity)
Have you been threatened, pressured, or rushed to conclude this matter urgently? ☐ Yes ☐
No

Is this engagement connected to any of the following? (Tick if applicable)

☐ Large/Unusual payments
☐ Politically exposed persons or sensitive public interest
☐ Cross-border transactions
☐ Multiple intermediaries/agents
☐ Anonymous “beneficial owner” not disclosed
☐ Requested secrecy from counterparties beyond normal confidentiality
☐ Any suspected fraud/forgery/document alteration

If any box is ticked, provide details:

Source of Funds (if applicable for transactions/settlement payments):

☐ Salary/Personal savings ☐ Business revenue ☐ Loan ☐ Investor funds ☐ Gift ☐ Other:
_________

8. DOCUMENTS RECEIVED /
REQUIRED
8.1 Documents Provided by Client (Tick all submitted)
☐ Valid ID (Individual)
☐ Utility Bill (Proof of Address)
☐ CAC Certificate/Status Report (Corporate)
☐ MEMART (Corporate)
☐ Board Resolution / Authorization (where applicable)
☐ Contract/Agreement in question
☐ Demand Letter / Correspondence
☐ Evidence/Documents supporting claim/defence
☐ Court Processes (if any)
☐ Police Report (if any)
☐ Title Documents / Survey / Deed (Property matters)
☐ Tax documents (if relevant)
☐ Other: _______________________________________

8.2 Additional Documents Required (To be submitted)

9. COMMUNICATION & PRIVACY

PREFERENCES
Preferred communication channel (Tick):
☐ Email ☐ WhatsApp ☐ Phone Call ☐ Physical Meeting ☐ Video Meeting

Preferred email address for sensitive documents: _____________________

Preferred phone number/WhatsApp: __________________________________

Important privacy note:

Do you share your phone/email with anyone else? ☐ Yes ☐ No
Do you use a work email that your employer can access? ☐ Yes ☐ No
If yes, provide an alternative secure channel: _______________________

Consent to receive drafts/updates via WhatsApp or email: ☐ Yes ☐ No

10. FEES, BILLING & DISBURSEMENTS

Billing preference (Tick):
☐ Consultation Fee
☐ Fixed Fee
☐ Hourly Billing
☐ Retainership (Monthly/Quarterly)
☐ Stage-Based Fees (Milestones)
☐ To be agreed

Fee Estimate/Proposed Budget (if known): ₦_________________________

Retainer/Deposit Required? ☐ Yes ☐ No
If yes, amount: ₦______________________
Disbursements (third-party costs) may include filing fees, transport, searches, stamp duties,
courier, and documentation charges (where applicable).
Client agrees to pay disbursements: ☐ Yes ☐ No

Billing Contact Person (for corporate clients): ______________________

Billing Email: _______________________ Phone: _____________________

11. SERVICE STANDARDS / CLIENT

RESPONSIBILITIES
The Client acknowledges that:

1. The quality of legal service depends on receiving full and accurate information.
2. Drafts may require review and approval before finalization/filing.
3. Timelines may be affected by third parties (courts, registries, regulators,
counterparties).
4. The Lawyer may suspend work where agreed fees/retainers are unpaid (subject to
professional obligations).

Client confirms understanding: ☐ Yes ☐ No

12. CONFIDENTIALITY & DATA

HANDLING
Confidentiality: All client information will be treated as confidential in line with
professional obligations.

Data Handling Consent:

By submitting this form, the Client authorizes [Law Firm Name] to collect, process, store,
and use personal and/or business information provided solely for the purpose of providing
legal services, including file opening, conflict checks, billing, regulatory correspondence,
and record keeping.

Consent given: ☐ Yes ☐ No

13. THIRD-PARTY DISCLOSURE

CONSENT (Where Necessary for the Brief)
The Client authorizes the Firm, where reasonably required to conduct the brief, to share
relevant information with:
☐ Courts/Tribunals
☐ Registries (CAC/Land Registry/Corporate registries)
☐ Regulators/Agencies (where applicable)
☐ Banks/payment partners (where relevant)
☐ Counterparties and their counsel (for negotiations/transactions)
☐ Consultants (surveyors, valuers, auditors) strictly for the matter

Consent given: ☐ Yes ☐ No

If NO, state limitations: __________________________________________

14. COMPLAINTS / ESCALATION

CONTACT
If the Client has concerns about the service, communication, or billing, complaints may be
escalated to:
Name/Role: ______________________________________________
Email: _________________________________________________
Phone: _________________________________________________

15. CLIENT DECLARATION

I/We confirm that the information provided in this form is true and complete to the best of
my/our knowledge. I/We understand that this intake form does not by itself constitute a
final engagement, and that a Letter of Engagement / Retainership Agreement will
confirm scope, fees, and terms.

Client Name: ___________________________________________

Signature: _______________________ Date: ___ / ___ / _______

For Corporate Clients (Authorized Signatory):

Name: _________________________________________________
Designation: ___________________________________________
Signature/Stamp: __________________ Date: ___ / ___ / _______
16. FOR OFFICE USE ONLY (Law Firm
Internal)
Matter Type: ___________________________________________
Assigned Counsel/Handler: _______________________________

Conflict Check Conducted: ☐ Yes ☐ No

Conflict Outcome: ☐ Cleared ☐ Flagged ☐ Declined
Notes/Reason:

Consultation Held? ☐ Yes ☐ No

Consultation Fee Paid? ☐ Yes ☐ No
Receipt No.: ______________________

Engagement Letter Issued? ☐ Yes ☐ No

Retainer Received? ☐ Yes ☐ No
Client ID Verified: ☐ Yes ☐ No
Date File Opened: ___ / ___ / _______