Contact information: Clients Contact and Biographical Information
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Charge Information – Tell Us About Your Case
Please answer the following questions to help us understand the type of charges you're facing. This helps us determine how we can best assist you and whether any special legal considerations apply, such as family violence, weapons involvement, or eligibility for record clearing.
What type of legal help do you need? Please select the option that best describes your situation. You can choose more than one if needed.
I was recently arrested and need legal help.
I believe I may be arrested soon and need help preparing.
I need help clearing my record (non-disclosure or expunction).
I need an occupational driver's license.
I’m dealing with consequences of an arrest (like problems with employment, licensing, housing, or school).
I have a hearing coming up where I've been required to retain counsel & show proof of that to the court.
I need help with a legal issue not listed above. (Please describe below.)
If other, please describe below.
Do any of the following apply to your current charges?
(Please select the options that best apply to your current charges. You may select more than one.)
Drug Offense (e.g., possession, delivery, manufacture of a controlled substance)?
Provide more details about the nature of your charges including the offense level (felony or misdmeanor) and whether there are any punishment enhancements (drug-free zone or due to prior convictions)
Assault (including simple assault, aggravated assault, or assault involving dating, roommates, or family)?
Was a weapon involved in the incident or included in the charge?
Did the charge include (or relate to) family violence?
Have you previously been charged or convicted of an offense related to family violence? If so, describe that below.
Did the accusation include the word(s) "strangulation" or "impeding breathing"?
Driving While Intoxicated (DWI) or Driving Under the Influence (DUI)?
Was there an accident involved?
Was there injury or property damage that resulted from the accident?
Was there anyone under the age of 15 in the vehicle?
Are you accused of with having either (1) Blood Alcohol Content of .15 or above or (2) having 1 prior conviction? If so, please provide the Blood Alcohol Level and/or information about the prior charge of DWI.
Theft (including shoplifting, burglary, robbery, or fraud)?
Describe the level of offense (misdemeanor or felony) and any enhancements, if known.
Was a weapon allegedly involved?
Sex offense (e.g., indecent exposure, sexual assault, solicitation, etc.)?
Provide more details about the level and nature of the charges.
Any charge involving minors (e.g., injury to a child, endangering a child, or contributing to the delinquency of a minor)?
Provide more details about the level and nature of the charges.
Any probation or parole violations? Motions to Revoke Probation, Motions to Adjudicate
Provide more details about the level and nature of the charges below.
Class "C" Ticket
Provide the citation number, offense listed, and any immediate hearings that need attention.
Juvenile Charges
Provide more details about the level and nature of the charges below.
What school is the child enrolled in?
School Disciplinary Issues
Provide more details about the level and nature of the charges below.
Other
Provide more details about the level and nature of the charges below.
Court & Hearing Information – Upcoming Dates and Details
Please provide information about any upcoming court dates, deadlines, or hearings. This helps us assess how urgent your situation is and where your case is being handled so we can assist you as quickly and accurately as possible.
Are There Pending Court Settings?
Yes
Court?
Cause Number?
Provide the dates for those hearings.
No
Background & Impact – Arrest, History, and What’s at Stake
Please share details about your arrest, any prior criminal history, and whether you're out on bond. We also want to know if you're a student or hold a professional license, so we can understand how this case might affect your education, job, or future opportunities.
Arrest Information
Briefly describe what law enforcement alleged to be the reason for their arrest.
Briefly describe what your version of the circumstances surrounding the arrest.
Have You Made Any Statements About These Charges?
To Law Enforcement
Briefly Describe What Was Said
To School Officials
Briefly Describe What Was Said
No.
Use This Area to Describe Anything Else You Wish For Us to Consider.
Bond Information
Have you been released on bond?
Yes. I was released on bond.
Is your bond supervised or unsupervised?
If supervised, do you have any special bond conditions? (ex. EPO, DWI Conditions, Travel Restrictions)
Name of your bond supervisor, if known. *This person works at the probation department & oversees your bond compliance. It's not your bondsman.*
Name of your bondsman
No. I'm in custody.
Are you requesting legal assistance to file a motion to have your bond lowered?
Address of the facility you are currently detained
Do you have out-of-county warrants or detainers?
If you've experienced complications while detained that need immediate attention, please describe those below
Bond amount?
Are you unable to afford a bond & only asking for legal assistance to lower the bond?
Past Charges – Information That Could Affect Your Case
We ask about any past charges or convictions because they can affect how your current case is handled in court. This helps us give you accurate legal advice and understand your options. Your answers will stay private and are only used to help you.
Do You Have Prior Criminal History?
No
Yes. Misdemeanors
Provide details of the prior criminal charges, here. Include court, date of conviction, and type of offense.
Yes. Felonies
Provide details of the prior criminal charges, here. Include court, date of conviction, and type of offense.
Yes. Both
Provide details of the prior criminal charges, here. Include court, date of conviction, and type of offense.
I'm Not Sure
Are you on Probation or Parole?
Yes. I'm on probation
State the underlying charge, sentence, and anticipated discharge date
Yes. I'm on parole
State the underlying charge, sentence, and anticipated discharge date
Are you seeking legal representation for a parole revocation hearing?
Has this been set for a hearing?
Date?
Location?
Parole Officer?
No
Education & Licensing – How This Case Could Affect Your Future
If you’re currently a student or hold (or are applying for) a professional, occupational, or trade license, your case could impact your status. Please answer the following questions so we can help protect your education and career opportunities.
Are You Currently a Student?
Yes. I'm in a college/university
What is your expected graduation date?
Name of the institution you attend.
Yes. I am a student (not college/university)
State the name & address of your school, and your area of study.
I am seeking assistance for a minor who is still enrolled in K-12 school. *Juvenile*
Not currently but looking to enroll in the future.
Describe the school and program you anticipate applying to in the future.
We understand that legal issues can create serious challenges for students. Please let us know if you’re worried about how this situation could impact your education, financial aid, or career plans. This helps us support you better and prioritize what matters most right now.
Financial Aid or Scholarship
Admission or Academic Standing
Disciplinary Proceedings (Title IX/Title IV)
Student Housing
Extracurricular Involvment
Immigration Concerns
My student visa or international student status
My academic program or ability to graduate on time
Something else I’m concerned about (please describe):
Please describe your school related concerns here:
Have you received notice of any school hearings or investigations?
Yes. A disciplinary hearing has been scheduled.
Provide details regarding any contact, investigation, or hearings.
Are you seeking legal assistance for these purposes?
Yes. I was notified but no date has been set.
No
I'm Not Sure
Professional or Occupational Licenses – Protecting Your Career
If you have or are applying for a license to work in a field like healthcare, education, law, driving, or skilled trades, even a minor legal issue can affect your ability to keep working. We ask these questions to help protect your license and guide you through options that won’t risk your livelihood.
Do you currently hold, or are you pursuing, any professional or occupational licenses?
No
I'm Not Sure
Yes
Are you a gun holder?
What type of license do you currently hold or intend to pursue?
Medical License (MD, PA, RN, LVN, etc.)
Legal License (law student, JD graduate, or licensed attorney)
CDL (Commercial Driver's License)
Teaching Credential
Bartender or TABC Certification
Real Estate License
Cosmetology License
Other
Please Describe The License
Firearm Ownership – Why We're Asking
Some criminal charges or convictions can affect your right to own or possess a firearm in the future, sometimes permanently. We ask this question to understand if gun ownership is something that’s important to you — whether for personal safety, work, hunting, or any other reason — so that we can take that into account when planning your legal strategy.
Do you currently own or possess a firearm, or plan to in the future?
Yes
Is maintaining your right to own a firearm important to you?
No.
Military Service – Your Background and Experience
If you’ve served in the U.S. Armed Forces, we’d like to know more about your service. This information can be important in understanding your case and identifying resources or benefits you may qualify for.
Have you ever served in the U.S. military?
Yes
Branch of service:
No
Current status
Active Duty
Reservist
National Guard
Veteran (not currently serving)
Type of discharge (if applicable)
Dates of service (approximate)
Were you ever deployed to a combat zone or in a combat role?
Yes
Please provide background information on this deployment, if possbile.
No.
Prefer not to share.
Have you received any military awards or honors (e.g., medals, commendations)?
Do you currently receive any VA benefits (such as healthcare, disability, or housing)?
Yes
Please describe those benefits here
No.
Prefer not to answer.
Have you ever participated in or been referred to a veterans’ court or diversion program?
Have you ever participated in or been referred to a veterans’ court or diversion program?
Yes
Please provide details regarding the program
Were you discharged successfully or unsuccessfully from the program?
No.
Is there anything else you’d like us to know about your military service?
How Do You Want to Handle Your Case?
People approach criminal cases differently depending on their goals, finances, and life circumstances. Your answer helps us plan the best next steps for you.
Which of the following best describes how you want to move forward?
I want to avoid a conviction if at all possible — I’m willing to fight the charge for a dismissal, reduction, or win at trial.
I’m not sure yet. I want to understand my options before deciding.
It depends on the consequences (e.g., record, immigration, school, job).
Other.
Please explain here.
Do You Have Any Urgent Issues or Upcoming Deadlines?
Some legal situations come with deadlines, court settings, or emergencies that can’t wait — and missing them can seriously hurt your case. If you have any time-sensitive concerns, it’s important that you let us know right away so we can respond quickly and protect your rights.
Please tell us if any of the following apply:
I have a court date or deadline coming up soon.
I’ve been ordered to take action (e.g., classes, community service, drug testing, surrendering documents).
I’ve been contacted by a prosecutor, court, law enforcement, or agency (like CPS).
I’ve been told I may be arrested or issued a warrant.
I’m at risk of being kicked out of school, losing my job, license, or housing.
I have a safety concern or urgent personal situation (health, family, etc.).
I’m not sure if something is urgent, but I’m worried about it.
None of these apply right now.
If you checked any of the above, please describe briefly ⚠️ If you do have a court date, legal deadline, or other emergency, please call our office immediately so we can help you as fast as possible.