Intake agent:
Assigned automatically
Live Call Intake
Brinton Firm — Complete during the call
📁 CREATE CASE FILE
Basic Info
Name
*
Phone
*
Email
Property / Incident Address
Case Type(s)
*
— check to select, ★ to mark as primary
Fire or Burn Injuries
Carbon Monoxide Poisoning
Water Damage / Mold
Asbestos
Vermin Infestation
Lead Paint Poisoning / Toxic Exposure
Personal Injury
Severe Landlord Harassment / Wrongful Eviction
Dangerous or Illegal Units
Other
Case Source
Assigned Attorney
— Unassigned —
— Unassigned —
Matt Brinton
Lusine Adzhemyan
Nick Solish
Ramon (Law Clerk)
Primary Language
*
— Select —
— Select —
English
Spanish
Other
Secondary Language
— None —
— None —
English
Spanish
Other
Case Info
Description of the Incident
*
Date of Incident
Time of Incident
Hr
Hr
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Min
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AM
AM
PM
Adults & Children Affected
Adults
+ Add Adult
No adults added
Children
+ Add Child
No children added
Evidence Available
Incident Report (Fire, Police, Arson)
Citations (Housing, Health, Building)
Medical Records/Treatment
Photos and Videos
Communications (text, voicemails, emails, work orders)
Other
Upload Evidence Files
Create the case file folder first, then upload evidence files into that Google Drive folder.
Insurance Company Involved?
Yes
No
Triage
When did this happen?
Within last year
1–2 years ago
2+ years ago
Urgency / Triage Flags
🩹 Severe Injuries
👶 Minor Children Affected
🕯️ Wrongful Death
🏥 Hospitalized
⚠️ Issue Ongoing
💊 Medical Treatment
Follow-Up
Best Callback Time
Documents to Request
Incident Report (Fire, Police, Arson)
Citations (Housing, Health, Building)
Medical Records
Photos and Videos
Other
Submit Intake