New Client Intake Form – Plea

New Client Intake Form - Plea Bargain

Client Name *

First

Last

Your name.

Client Email *

Your email address.

Client Phone Number *

Your Phone Number.

Client Home Address *

Client Home City/State/Zip *

Inmate's Full Name (First/Middle/Last) *

Inmate's Date of Birth

Inmate's Prison Unit *

Inmate's ID Number

Inmate's Marital Status

Do you or the inmate have any documents for the case? (Be sure to upload them to the Client Portal when you can.)

City/County/State where alleged crime took place. *

Defense Attorney's Name *

First

Last

Defense Attorney's Address *

Defense Attorney's Phone Number *

Was the attorney hired or court appointed?

Court in Which Case Took Place (example: 371st District Court) *

Investigating Police Agency *

Lead Detective's Name *

Anything else we need to know?

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