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Initial Client Interview Form A. CLIENT PERSONAL INFORMATIONName: Justin KingAddress: 123 Main Street, Chicago, Illinois 60601Home Phone: (913)123-4567Work Phone: (913)890-1234Social Security Number: 123-45-6789Driver’s License Number: IL39562243Date of Birth: 7/14/83Marital Status: SingleDependents: NoneMilitary Status: N/AOccupation: Student/RetailEmployer Name, Address, Phone Number: __________________________________________________________ Membership in Union or Professional Organization: N/A Police Record (if any): N/AHave you ever filed bankruptcy? If so, please explain. N/AB. CLIENT EMPLOYMENTType of Work: Retail SalesJob Title: CashierImmediate Supervisor’s Name: Jill JanesSalary or Hourly Rate: $7.75/hourNumber 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 8thof 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