Todays Date: |
|
Your Name: (required field) |
|
Your Telephone Number: (required field) |
|
E-Mail Address: (required field) |
|
Nature of consultation (charged with crime, accident, etc.) |
|
What court (if known) & where (county) (if any) |
|
When is your Court Date and time? (if any) |
|
Would you like to Schedule a Telephone Consultation or Office Visit?
|
Free telephone consultation Telephone Consultation is preferred during Covid Pandemic
Free office visit and consultation
|
Requested Consultation Date:
|
|
Requested Time for Consultation:
We will do our best to contact you on the date and time you request, but cannot make any promises or guarantees
|
As Soon as Possible
Morning (9:00 p.m. - 12:00 p.m.)
Early Afternoon (12:00 p.m. - 3:00 p.m.)
Late Afternoon (3:00 p.m. - 6:00 p.m.)
Evening (after 6:00 p.m.)
|
Provide More Details, Questions or Comments: |
|