Justin King Assesment - Initial Client Interview Form A CLIENT PERSONAL INFORMATION Name Justin King Address 123 Main Street Chicago Illinois 60601 Home

Justin King Assesment - Initial Client Interview Form A...

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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 The client, Justin King, was a singer who was recently involved in a car accident after being pronounced the winner of The “National Idol Regional Contest” in Chicago. Mr. King was awarded with a three year recording contract for $275,000 a year and a percentage of sales with MCI Records. On April 8 th of last year, just after celebrating his win and signing his contract, Mr. King was riding his motorcycle in the left hand lane on the southbound Interstate 57 when he noticed a truck with a Coops, Coops Light, or Coops Ultra beer logo behind him headed in the same direction flashing his lights. Mr. King claims that he was traveling

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