Criminal Defense Contact Form
 

Criminal Defense Contact Form

Name:

Email Address:

Phone Number:

Business Phone;

Cellular or Pager

Address

City:

State:

Zip:

Booking No.:

Driver's License No.:

Court Date:

Time:

Court Name:

Division/Room:

Arresting Officer's Name and Badge:

City of Arrest:

  

Have you been convicted of a similar crime before?

 Yes No

If yes, when?

Have you been convicted of other offenses?

 Yes No

If yes, what and when?

Are you on probation or parole?

 Yes No

For what?

Do you have any other cases pending?

Was anyone else arrested?

 Yes No

If so, name(s) of all persons arrested

What statements do you remember making to the police about the alleged crime?

Describe the order of events leading up to the arrest

Have you discussed the alleged crime with anybody else?

 Yes No

If so, who did you discuss it with and what did you tell them?

Were there any witnesses to the alleged crime?

 Yes No

If yes, provide names and contact information if known

What is the amount of the bond you posted?

Are there any special bond conditions?

Were you referred by somebody else?

 Yes No

Who?

Special concerns