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Criminal Defense Inquiry Form

Title: First Name: MI: Last Name:
 
E-mail Address:
Retype E-mail:
Home Phone:
- -
Mobile Phone: - -
Work Phone: - - ext.
   
   
Street Address:
Apt/Suite:
City:
State/Zip: /

What is the best way to reach you?
Please provide the best place, time and method for contacting you.





Criminal Defense Case Information

What are you charged with?

What court is the case pending in?

When did they say it happened?

Are you out on bail ? yes no

How Much Was Your Bail?

Do you presently have a lawyer? yes no

If so: name of present lawyer:

When is your next court appearance?


 
Disclaimers:

Yes No - I agree that this matter may be referred to an attorney in my area who may contact me.

Yes No - I agree that by submitting this question, I will not be charged for the initial response. I understand that I am forming only a semi-confidential relationship.

Yes - I agree that the above does not constitute a request for legal advice and that I am not forming an attorney client relationship by submitting this question. I understand that I may only retain an attorney by entering into a fee agreement, and that I am not hereby entering into a fee agreement. I agree that the information that I will receive in response to the above question is general information and I will not be charged for the response to this e-mail question. I further understand that the law for each state may vary, and therefore, I will not rely upon this information as legal advice. Since this matter may require advice regarding my home state, I agree that local counsel may be contacted for referral of this matter.


By Clicking the appropriate box below, I agree to:


or

 
 
December 27, 2007 11:36 PM

Serving all of New York State with experience in the Federal courts and State courts covering the counties of Albany, Brooklyn, Dutchess, Orange, Rockland, Sullivan, Ulster, Greene, Columbia, Rennselaer, Washington, Saratoga, Fulton, Montgomery, Nassau, Suffolk, Warren, Essex, Clinton, St. Lawrence, Onandoga, Erie, Broome, Delaware, Otsego, Oswego, Hamilton and Westchester
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