Appointment Schedule Appointment Please include this information when requesting an appointment for the first time. This form is designed to help us provide legal assistance to more people. Note that this form is not a secure means of communication. We will ask for information about your legal issue, but please do not enter any private or confidential information here, specifically if it relates to any ongoing or anticipated litigation. It will take you approximately 2-5 minutes to complete this form. Please note we can not and will not provide free legal advice via this platform. Submitting this form neither guarantees that we can help nor establishes any attorney client relationship. We do not provide immediate or urgent assistance using this form. Appointment PolicyYes, I agreeNo, I do not agreeName* First Last Mobile*Please input any valid mobile number that you have sole access to for SMS and Two Factor AuthenticationEmail* Enter Email Confirm Email Please input a valid email address that you have sole and regular access to in order to keep our communications with you secure.Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code United StatesAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Don't worry about whether the address is current or changing or business or residential or this or that, but preferably provide a secure address where you personally can reliably and safely receive written correspondence from our offices. If you feel more comfortable putting 123 Sesame Street for now, go right ahead. Name you would prefer us to call youCompany/PersonJane Doe Inc.PersonCompanyBoth Company and PersonAre you acting for or on behalf of a company? Or both?Company detailsPlease provide name of entity(s) - Where registered and where resident (e.g. Incorporated in Delaware and resident in Washington) UBI or EIN if knownRequested Appointment Time : HH MM AM PM Please note our office accepts appointment requests on a first come first serve basis. Our office appointment hours are Monday-Friday 9:30AM-5:00PM. Requested Appointment Date Date Format: MM slash DD slash YYYY What are you trying to achieve? What are your legal goals?*How do you think we will be able to help you?Person Responsible at Wheat Legal PLLCAttorneyKiyah LeeJeffery WheatChristine Phillips(if known)Referral Source*How did you hear about us?Mercer Island Chamber of CommerceBetter Business BureauWebsiteReferral from another client/attorneyOtherPhoneThis field is for validation purposes and should be left unchanged.