Criminal Law Intake Form Take the First Step Toward Protecting Your Rights Begin Your Criminal Defense the Right Way Complete our secure intake form to help us understand your situation and prepare for your consultation. Contact InformationCase DetailsType of ChargeFelonyMisdemeanorTrafficProbation ViolationCurrently in Custody?YesNoBackground InformationPrior Convictions?YesNoSpoken to Law Enforcement or Prosecutor?YesNoPending Cases in Other Counties?YesNoCase SummaryGoals & ConcernsFinancial Information (Optional)Employment StatusEmployedUnemployedStudentSelf-EmployedPreferred Payment OptionFlat FeePayment PlanNot SureAcknowledgmentConsent *I understand this submission does not create an attorney-client relationship.Consent * I certify the information above is true and complete to the best of my knowledge. Submit Intake *Note : You must schedule your free consultation for your intake form to be reviewed.