Consultation Request
Please click on the Submit button to submit the form details.

* indicates required fields 
  *I would like to request:
  *I need a criminal defense attorney because:
  *What specific crimes are accused?:
  Date of the arrest?:
  *The accused is currently:
  Bail has been set at the amount of:
  *Date of next court Apparance:
  Name and location of the Court:
  Purpose for next court appearance:
  Prior to this incident, the accused has had:
  Number of prior arrests:
  Number of prior misdemeanor convictions:
  Number of prior felony convictions:
  Number of prior juvenile convictions:
  *The accused is currently on probation:
  Personal background information of the accused:Age:
  Gender:
  Citizenship or residency status:
  Race (if discrimination was a factor):
  Occupation:
  *Please provide a one line summary of your case:
  Describe your case in 300 words:
  Do NOT make any admissions or confessions.:
  Include only facts that support your case.:
  *Please provide your contact information:
  Your privacy is respected. Discretion will be used:
  in all contacts from our office.:
Please click on the Submit button to submit the form details.
 
 
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