LawLinq Application

Membership Application & Agreement

Join an exclusive network of California lawyers growing their practices with pre-screened case referrals from LawLinq.
* NOTE: Membership panels can close at any time without notice. No membership is created unless and until LawLinq has received and communicated acceptance of all membership documents and the membership, itself.

First Name *

Last Name *

Firm Name *

Firm Size *

Address *

City *

State *

Postal Code *

Country *

Website

Email Address *

Phone Number *

Fax Number

Office Hours *

Law School *

Graduation Date *

CA State Bar Number *

Bar Admission Date *

Insurance *

Do you currently have a policy of professional liability insurance?

Discipline *

Have you ever been the subject of disciplinary proceeding by the State Bar of California or by the bar of any other jurisdiction?

Client Disputes *

Have you ever been sued by a client?

Fee Disputes *

Have you ever been a party to an attorney-client fee dispute?

Languages

Select the languages in which you are able to take and represent clients:

Accessibility *

Is your office accessible to physically disadvantaged persons?

Fees / Retainers *

Do you take contingency cases?

Do you accept credit cards? *

Visa, MasterCard and/or American Express

Expertise

Specialties

Certified Specialization

Practice Counties *

Please select the California counties in which you practice and would like to receive case referrals:

Practice Areas *

I understand there is a $500 annual placement fee for each practice area panel. Upon application approval, I will be invoiced for my membership fees associated with the chosen practice area panels. I hereby apply to be a Participating Attorney on the following practice area panel(s) and I request referrals for matters in the following panel(s):

Modest Means *

I am willing to handle matters at 50% of my regular rate for a Modest Means client. *Panel attorneys will pay reduced percentage fees of 10% to LawLinq for Modest Means clients.

Documentation Required

Please upload the following documents: Insurance Declaration Page, Business Card and Firm Letterhead. Accepted formats: .jpg, .jpeg, .png, .pdf with a 20MB limit per file

Insurance Declaration Page *

Status: Please select a file

Business Card *

Status: Please select a file

Firm Letterhead *

Status: Please select a file

I certify under penalty of perjury that I am qualified to participate on the selected panels (requirements).
I certify under penalty of perjury that the information contained in this Application is true and correct.
I agree to LawLinq's Terms & Conditions and Rules of Operation.

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SUBJECT PANEL STATEMENT OF QUALIFICATIONS

Education Requirements:

Library Requirements:

Experience Requirements:

Request for Exemption:

Membership Application & Agreement

Incomplete Form

Documentation Required