Intake Form: Criminal Law

Email *

Matter Details

Type of Criminal Matter: *

Domestic Violence
DWI
Child Abuse or Neglect
Violation of Orders
Substance Abuse-Related Offenses
Parental Kidnapping / Custodial Interference
Child Endangerment
Failure to Pay Child Support
Sexual Offenses
Stalking
Elder Abuse
Financial Crimes
Other
No elements found. Consider changing the search query.
List is empty.

Please describe the criminal charge(s):

Did you submit to any DNA, blood, breath, urine, or any other tests? *

Yes

N/A

Was this a field sobriety tests for the police?

Yes

Do you know what the results are?

Please explain.

Are there any witnesses who you believe may be helpful to your case? *

Yes

N/A

State their names here and tell us why they may be helpful:

We can get other identifying information at a later time.

Have you been arrested for anything in your life, anywhere in the United States? *

Yes

Describe your past arrest:

Including the nature of the charges, approximate date, place, and final results. The government will know this. Therefore, your lawyer needs to know as well.

Are you currently on probation or parole? *

Yes

What are you on probation or parole for?

Again, the government will know this. Therefore, your lawyer needs to know as well.

Is anything else that you think might be important for us to know?

Supporting Document Upload

Attachment

Please upload any documents relevant to this matter.

CONSENT CHECKBOX - Consents to receiving communications from Gillespie, Shields & Tylor, including emails, text messages, and phone calls, for the purpose of receiving updates, important information, and legal assistance related to my inquiry or case.

Intake Form: Criminal Law

Matter Details

Supporting Document Upload

Submit