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Criminal Defense Case Evaluation Form

*Name:

*Address:

*City:

*State:

*Zip:

*E-mail address:

*Home Phone:

Business Phone:

Cellular or Pager:

Facsimile:

Booking #:

Court Date:

Time:

Court Name:

Division/Room:

Arresting Officer's Name and Badge:

City of Arrest:

What were you arrested for (include Code section if known)?

Was the crime for which you were arrested a

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?
Yes  No 

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?
Yes  No 

Were you referred by somebody else?
Yes  No 

Who?

Special concerns:

Where did you hear about this website?

The contents of this contact form are provided by and are the responsibility of the person posting the email communication. Your email will not create an attorney-client relationship and will not necessarily be treated as privileged or confidential. You acknowledge that any reliance on material in email communications is at your own risk.

*CV, BV, and AV are registered certification marks of Reed Elsevier Properties Inc., used in accordance with the Martindale-Hubbell certification procedures, standards, and policies.

An AV rating is Martindale-Hubbell’s highest rating. The AV rating signifies an ethics rating of "very high" and a legal ability rating of "very high to preeminent." The BV rating signifies an ethics rating of "very high" and a legal ability rating of "high to very high."

Martindale-Hubbell is the facilitator of a peer review rating process. Ratings reflect the confidential opinions of members of the Bar and the judiciary. Martindale-Hubbell ratings fall into two categories - legal ability and general ethical standards.