Experienced Legal Representation
George T. Freeman, Inc., P.S.
Attorneys at Law
3409 McDougall Avenue
Ste 288
Everett, WA 98201
(425) 317-9000 phone
(866) 384-7767 toll free
(425) 258-9412 fax

Criminal Intake Form

*Name:
*Address:
*City:
*State:
*Zip:
*E-mail address:
*Home Phone:
Business Phone:
Cellular or Pager:
Facsimile:
Are you known by any other names?
YesNo
If yes, list other names you have used:
What is your marital status?
Does this matter involve a business you own or run?
YesNo
If yes, provide the business name, address, and phone:
If a business is involved, how is the business organized (if known)?
Are you employed?
YesNo
If yes, please provide your job title and employer's name and address:
Can you be contacted at work?
YesNo
What area of law does your situation involve (if known)?
Describe your situation, including any relevant dates:
How would you rate your legal needs described here?
Are any other people involved?
YesNo
If yes, provide names, addresses (if known), and their relationship to you, if any:
Do you have any documents that could help explain your situation?
YesNo
If yes, list those documents and their dates:
Are there other documents that you do not have access to that could be of assistance?
YesNo
If yes, list those documents and their dates and location (if known):
Describe how this situation has impacted you:
Describe what you would like to happen to resolve your issue (your preferred outcome):
Have other attorneys worked on this matter?
YesNo
If yes, provide names, addresses, and a brief description of their involvement:
Special Concerns:
Where did you hear about this website?
*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?
YesNo
If yes, when?
Have you been convicted of other offenses?
YesNo
If yes, what and when?
Are you on probation or parole?
YesNo
For what?
Do you have any other cases pending?
YesNo
Was anyone else arrested?
YesNo
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?
YesNo
If so, who did you discuss it with and what did you tell them?
Were there any witnesses to the alleged crime?
YesNo
If yes, provide names and contact information if known:
What is the amount of the bond you posted?
Are there any special bond conditions?
YesNo
Were you referred by somebody else?
YesNo
Who?
Special Concerns:
Where did you hear about this website?
 

NOTE: The use of the Internet for communications with the firm will not establish an attorney-client relationship and messages containing confidential or time-sensitive information should not be sent.

The information you obtain at this site is not, nor is it intended to be, legal advice. You should consult an attorney for individual advice regarding your own situation.

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