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Please fill out the form below. All answers are strictly confidential. We will contact you within 24 hours.
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The field marked with (*) are required fields.
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First Name
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Last Name
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Address Line 1
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Address Line 2
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City
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State
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Zip Postal Code
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Country
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Preferred telephone number(s) for us to contact you.
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Email Address (We would like to be able to respond to your questions by email. We will not share your email address with anyone.)
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How old are you?
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What have you been charged with?
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When and where (county, city) did the incident occur?
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Please give a brief but thorough description of your version of what allegedly happened. (Please be honest, your information is confidential.)
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Did you make a statement or say anything at all to the police about what happened? If yes, when, and what did you say?
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Did the police have a search warrant to obtain evidence from you? Did you see it? Do you have a copy?
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Did you submit to any DNA, blood, breath, urine, or any other tests? If you know of any results, what are they?
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Did you perform any field sobriety tests for the police (usually applicable to DUI cases)? If so, please tell us what tests you performed and how well you believe you performed them.
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Are there any witnesses who you believe may be helpful to your case? If yes, please state their names here and tell us why they may be helpful. (We can get other identifying information at a later time.)
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If you have ever been arrested for anything in your life, anywhere in the United States, please tell us what you were arrested for, including, nature of the charges, approximate date, place, and final results. The government WILL KNOW this. Therefore, your lawyer needs to know as well.
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Are you currently on probation or parole? If yes, where, and for what?
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Do you already have a lawyer working on your case?
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If there is anything else that you think it might be important for us to know, please tell us.
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