This is a test page Warm Transfer Intake Script - Vocatum Multi-step Subscribe Vocatum Multi-Step Intake ScriptIntake Agent Name- Select -Carlos ZambranaGary SanchezGerson AnguloHillary RodriguezIsaac RiveraJay MappusJeffry VargasJhosson ChavezJimena ZúñigaJuan Carlos SalasKendall PotoyKimberly VargasKristin RodriguezMaria Gabriela FonsecaRangel MorganSteven RodriguezCallers IDExisting Lead/Project ID (will update existing lead)Organization- Select Organization -Ben Martin Law GroupCalhoun MeredithCosta Rica Legal ExpertsCriden LoveDeGaris LawKeller PostmanKrolikowskiMcDonald Worley, P.C.Marcari - MRSBShepherd Law GroupStanley LawStay N USThompson StamUnsureCase Type- Select Case Type -TESTTEST ItemAdoptionAppealAsbestosAutoBair Hugger Heating BlanketBankruptcyBicycle AccidentBroker Marketing ManipulationBusiness LawCalhoun CriminalCamp LejeuneChild CustodyCivil LitigationClass ActionCriminalCosta Rica Fishing KingsImmigration CR Legal ExpertsReal Estate CR Legal ExpertsImmigration Stay N USDeel Mass TortDisabilityDivorceDog BiteDUI/DWIEmployment DiscriminationEstateExpungementFamily LawFederal AppealsHarassmentHair RelaxerHernia MeshTriten Hernia MeshHip ImplantHuman TraffickingImmigrationInfant Formula RecallInsurance- First Party LitigationIntellectual PropertyIVC FilterJUULKrolikowski AutoKrolikowski Personal InjuryKrolikowski Non PILandlord/TenantLegal MalpracticeLemon LawLicense DefenseLGBTQ+Mass Tort - AstroworldMed MalMissouri Train DerailmentMotorcycleNursing HomeOil & GasParagard IUDParaquatPedestrian AccidentPersonal InjuryPharmaceutical DrugPhilips CPAPPremisesProbate Enhanced ArcherProbate EnhancedProperty DamageRound UpSexual AssaultSexual HarassmentSlip & FallSSDTalcum PowderTraffic ViolationTrain/BoxcarTo Be DeterminedWage & HourWorkers Compensation CaseWork InjuryWrongful DeathXarelto / PradaxaZantacAFFF - Firefighting FoamInjection Port DeviceBard PowerPortAuto - Sub Casetype - Select -18 Wheeler AccidentBus AccidentCommercial AccidentDefective TiresDefective VehicleDiminished ValueHead On CollisionHigh Limit Personal PolicyHigh Ploicy Limits Liability InsuranceIntersectionLeft TurnMinimum PolicyParking LotPersonal InjuryRear EndRed LightRight TurnRolloverSideswipeSnow and IceStop SignTo Be DeterminedTrain AccidentU TurnMotorcycle - Sub Casetype - Select -18 Wheeler AccidentBus AccidentCommercial AccidentDefective TiresDefective VehicleDiminished ValueHead On CollisionHigh Limit Personal PolicyHigh Ploicy Limits Liability InsuranceIntersectionLeft TurnMinimum PolicyParking LotPersonal InjuryRear EndRed LightRight TurnRolloverSideswipeSnow and IceStop SignTo Be DeterminedTrain AccidentU TurnPersonal Injury - Sub Casetype - Select -AssaultAstroworldAuto AccidentBirth DefectBlindnessBlood ClotBoeingBrain DamageBreast CancerBroken BonesBroken CurbBruisesBus AccidentCommercial AccidentCommercial PolicyContaminated BloodCross OverDeathDefective BrakesDefective DesignDefective GuardDefective PartDefective Railroad CrossingDefective SeatbeltDefective StairwayDefective StepsDefective TiresDefective WarningsDepressionFailure to RemoveFailure to Sand or SaltFailure to Timely DiagnoseFailure to Timely TreatFalling DebrisForeign BodyFraudGopherHigh PolicyImprisonmentImproper DesignImproper DiagnosisImproper RemovalImproper RepairLadderMesotheliomaMinimum Policy LimitsMissouri Train DerailmentMotor Vehicle PolicyNon-SubscriberParking LotPedestrian - Hit and RunPedestrian vs DriverPeloton TreadmillPersonal InjuryProbateProduct DefectRoadwayRolloverScaffoldSidewalkSlip and FallSnow and IceStairwayTo Be DeterminedUber/LyftUM Auto AccidentUnknownVehicle DefectVision LossWrongful DeathPremises - Sub Casetype - Select -Animal bite needing surgeryAnimal bite not seriousCeiling CollapseCommercial PolicyCribCross WalkDeathDefective StairwayDefective StepsHead TraumaImproper DesignImproper RepairLadderLoose HandrailParking LotSidewalkSlip and FallSnow and IceStairwaySub Type UnknownTo Be DeterminedLead Source- Select Lead Source -Triple DigitalHub NationalJarred - Sue the Collector (STC)xSocialLS5Top Class ActionTriten LawArcherFocus DMGLawsuit LegalLeadsForceDavis CrumpMorgan and MorganUnsureCaller's First NameCaller's Last NameCaller's Phone/MobileAre you calling for yourself or someone else?- Select -MyselfSomeone ElseIf Someone ElseFirst NameLast NameRelationship to Caller (Spouse, Parent, Guardian, Sibling, Care Taker, Granschild, Father, Mother, Child, Other - Explain)Is the person you are calling on behalf of a minor? Yes NoAre they deceased? Yes NoDate of DeathCause of DeathIn what capacity do you represent your loved one?- Select -Executor/administrator of estateTrusteeConservatorLegal GuardianAttorney-in-fact (power of attorney)ParentOther AgentDo you have legal authority to sign on their behalf? Yes NoCall SIDPreviousNextAuto, Motorcycle and Bicycle Accident1. Were you given a ticket for this accident? Yes No2. Was the accident more than 18 months ago? Yes No3. Do you already have an attorney? Yes NoThank you (Mr./Ms. Last Name) for reaching out but after reviewing your information, unfortunately, we will not be able to assist at the time. However, you may contact your local Bar association for further assistance. Restart Form4. In what state did this incident occur?- Select State -AlabamaAlaskaArizonaArkansasAmerican SamoaCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasTrust TerritoriesUtahVermontVirginiaVirgin IslandsWashingtonWest VirginiaWisconsinWyoming5. Did you seek medical attention within 48 hours? Yes NoPlease advise the caller to seek medical attention before scheduling a callback.Thank you (Mr./Ms. Last Name) for reaching out but after reviewing your information, unfortunately, we will not be able to assist at the time. However, you may contact your local Bar association for further assistance. Restart FormPersonal Injury1. Did you sustain any injuries in this accident? Yes No2. Can you briefly describe the accident?3. Were you taken by ambulance to the hospital? Yes No4. What state did the accident occur in?- Select -AlabamaAlaskaArizonaArkansasAmerican SamoaCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasTrust TerritoriesUtahVermontVirginiaVirgin IslandsWashingtonWest VirginiaWisconsinWyomingThank you (Mr./Ms. Last Name) for reaching out but after reviewing your information, unfortunately, we will not be able to assist at the time. However, you may contact your local Bar association for further assistance.Restart FormPreviousNextIn case we are unable to reach you by phone, what is your email address?Can I also get a good mailing address for you?Country- Select -AndorraUnited Arab Emirates (the)AfghanistanAntigua and BarbudaAnguillaAlbaniaArmeniaAngolaAntarcticaArgentinaAmerican SamoaAustriaAustraliaArubaÅland IslandsAzerbaijanBosnia and HerzegovinaBarbadosBangladeshBelgiumBurkina FasoBulgariaBahrainBurundiBeninSaint BarthélemyBermudaBrunei DarussalamBolivia (Plurinational State of)Bonaire, Sint Eustatius and SabaBrazilBahamas (the)BhutanBouvet IslandBotswanaBelarusBelizeCanadaCocos (Keeling) Islands (the)Congo (the Democratic Republic of the)Central African Republic (the)Congo (the)SwitzerlandCôte d'IvoireCook Islands (the)ChileCameroonChinaColombiaCosta RicaCubaCabo VerdeCuraçaoChristmas IslandCyprusCzechiaGermanyDjiboutiDenmarkDominicaDominican Republic (the)AlgeriaEcuadorEstoniaEgyptWestern SaharaEritreaSpainEthiopiaFinlandFijiFalkland Islands (the) [Malvinas]Micronesia (Federated States of)Faroe Islands (the)FranceGabonUnited Kingdom of Great Britain and Northern Ireland (the)GrenadaGeorgiaFrench GuianaGuernseyGhanaGibraltarGreenlandGambia (the)GuineaGuadeloupeEquatorial GuineaGreeceSouth Georgia and the South Sandwich IslandsGuatemalaGuamGuinea-BissauGuyanaHong KongHeard Island and McDonald IslandsHondurasCroatiaHaitiHungaryIndonesiaIrelandIsraelIsle of ManIndiaBritish Indian Ocean Territory (the)IraqIran (Islamic Republic of)IcelandItalyJerseyJamaicaJordanJapanKenyaKyrgyzstanCambodiaKiribatiComoros (the)Saint Kitts and NevisKorea (the Democratic People's Republic of)Korea (the Republic of)KuwaitCayman Islands (the)KazakhstanLao People's Democratic Republic (the)LebanonSaint LuciaLiechtensteinSri LankaLiberiaLesothoLithuaniaLuxembourgLatviaLibyaMoroccoMonacoMoldova (the Republic of)MontenegroSaint Martin (French part)MadagascarMarshall Islands (the)Republic of North MacedoniaMaliMyanmarMongoliaMacaoNorthern Mariana Islands (the)MartiniqueMauritaniaMontserratMaltaMauritiusMaldivesMalawiMexicoMalaysiaMozambiqueNamibiaNew CaledoniaNiger (the)Norfolk IslandNigeriaNicaraguaNetherlands (the)NorwayNepalNauruNiueNew ZealandOmanPanamaPeruFrench PolynesiaPapua New GuineaPhilippines (the)PakistanPolandSaint Pierre and MiquelonPitcairnPuerto RicoPalestine, State ofPortugalPalauParaguayQatarRéunionRomaniaSerbiaRussian Federation (the)RwandaSaudi ArabiaSolomon IslandsSeychellesSudan (the)SwedenSingaporeSaint Helena, Ascension and Tristan da CunhaSloveniaSvalbard and Jan MayenSlovakiaSierra LeoneSan MarinoSenegalSomaliaSurinameSouth SudanSao Tome and PrincipeEl SalvadorSint Maarten (Dutch part)Syrian Arab RepublicEswatiniTurks and Caicos Islands (the)ChadFrench Southern Territories (the)TogoThailandTajikistanTokelauTimor-LesteTurkmenistanTunisiaTongaTurkeyTrinidad and TobagoTuvaluTaiwan (Province of China)Tanzania, United Republic ofUkraineUgandaUnited States Minor Outlying Islands (the)United States of AmericaUruguayUzbekistanHoly See (the)Saint Vincent and the GrenadinesVenezuela (Bolivarian Republic of)Virgin Islands (British)Virgin Islands (U.S.)Viet NamVanuatuWallis and FutunaSamoaYemenMayotteSouth AfricaZambiaZimbabweAddress Line 1Address Line 2CityState - 2 Letter ID- Select -AlabamaAlaskaArizonaArkansasAmerican SamoaCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasTrust TerritoriesUtahVermontVirginiaVirgin IslandsWashingtonWest VirginiaWisconsinWyomingZipCountyWould you like to add an emergency contact? Yes NoEmergency Contact InfoEmergency Contact First NameEmergency Contact Last NameEmergency Contact Relationship to youEmergency Contact Phone NumberHow did you hear about us?- Select -Attorney ReferralFamilyFriendsBusinessOnlineRadioTVAnd what station/program was that on?Thank you for reaching out to our firm. We are going to pass this information along to our attorney to review and we will get back to you shortly.Lead SummaryLead SummaryLead Status- Select -Send Email of Lead to FirmSend Retainer ContractSend Printed Retainer ContractRetainer Sent By TextAdminNew LeadRejectedDisqualifiedVerified Quality LeadIntake NotesTriple Intake Status- Select -Declined Retainer ContractDisqualifiedDuplicate LeadEmailed to FirmLCC PursuingLost - AmenitiesLost - AvailabilityLost - OtherLost - PriceOtherPossible Refer OutRejectedRejection Email SentRetainedRetainer SentReviewing FIrm's PreferenceSet AppointmentSet Appointment on CalendlyTriple PursuingUnable to ReachUnder ReviewVerifiedLanguage- Select -EnglishSpanishCreolePortugueseOther - See Intake Notes Previous Submit Form
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