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Case Intake Form

Please provide detailed information about your eviction case. All fields marked with * are required. We will review your case and contact you within 24–48 hours.

Free 15-Min Consultation Available

Client Information

Your Full Name*

Your Email*

Your Phone Number*

Property Information

Property Address*

City*

ZIP Code*

County*

Property Type*

Tenant Information

Tenant Full Name*

Tenant Phone

Tenant Email

Lease Start Date*

Monthly Rent Amount*

Case Details

Service Type*

Reason for Eviction*

Urgency Level*

Total Amount Owed

Last Payment Date

Notices Already Served

Additional Information

Additional Details or Special Circumstances

Ready to Submit?

We'll review your case and contact you within 24–48 hours.

By submitting this form, you agree to be contacted by Eviction Services LLC regarding your case.

Important Disclosure

Eviction Services LLC provides end-to-end landlord services — leases, consulting, and evictions when needed. We are not your attorney and we do not provide legal advice as part of our services to you. Eviction cases can take several weeks to several months to resolve in many instances. We work to procure the eviction as quickly as we can, but it could take up to several months to resolve. We provide services and we can share some information, however some information is kept in confidence until the case is resolved.