Page Title

Any information you give the attorney or any other individual in this office is held in strict confidence and will not be discussed with anyone without your specific permission.

Student ID No.

Student Type

Freshman Sophomore Junior Senior Graduate INTO Other (Post-bac, exchange)

International Student?

Yes No

Country

U.S. Citizen?

Yes No

Last Name*

First Name*

Other Names Used

Preferred Pronouns

She, Her, Hers He, Him, His They, Them, Theirs Other

Other Pronouns

Address

City

State

Zip

Cell/phone

Have you ever used this office before?

Yes No

Date

Opposing Party Name

Opposing Party Address

Opposing Party Phone

Is the Opposing Party a Student at OSU?

Yes No

Preferred Appointment Time (Mon-Fri, 8:30am – 5:00pm)

The submission of this request form does not create an attorney client relationship, nor does this form constitute legal advice. Thank you for your submission. Someone from our office will contact you soon for scheduling.