Initial Client Interview Form

Unit 1: The Justin King Case

Amber Lidster

Kaplan University

PA110: Civil Litigation I

Prof: Leah Westerman

November 13, 2012

Initial Client Interview Form

A. CLIENT PERSONAL INFORMATION

Name: Justin King

Address: 123 Main Street, Chicago, Illinois 60601

Home Phone: (913)123-4567 Work Phone: (913)890-1234

Social Security Number: 123-45-6789

Driver’s License Number: IL39562243

Date of Birth: 7/14/83

Marital Status: Single Dependents: None

Military Status: N/A

Occupation: Student/Retail

Employer Name, Address, Phone Number:

__________________________________________________________

Membership in Union or Professional Organization: N/A

Police Record (if any): N/A

Have you ever filed bankruptcy? If so, please explain. N/A

B. CLIENT EMPLOYMENT

Type of Work: Retail Sales Job Title: Cashier

Immediate Supervisor’s Name: Jill Janes

Salary or Hourly Rate: $7.75/hour

Number of Hours Worked Weekly - Before Accident 20 - After Accident 0

Benefits (Company car, pension plan, vacation, expense account, etc.) N/A

D. CLIENT’S FACTS/STORY: BE AS DETAILED AS YOU CAN BE. INCLUDE DAMAGES AND ALL NAMES TOLD BY CLIENT

Justin King was a singer in the National Idol Regional contest in Chicago, IL in April 2011. He was the finalist in the contest and won. After winning the contest he signed a contract with MCI records. Mr. King’s contract with MCI records consist of a Three (3) year contract getting $275,000 a year. He was in an accident around the 8th of April a couple of days after the concert. He was going home to tell his family he was going to be a millionaire. He was traveling south on interstate 57 going 60-65 mph in the left hand lane, when a beer truck (possible names on the truck are Coops, Coops Light, Coops Ultra) traveling in the same direction on 57 came behind him flashing his lights to make Mr. King get over to the right so the beer truck could...