Criminal Intake Form - The Kitchen Law Firm

Fields marked with an * are required

Name *

Email *

Phone *

Date of Arrest *

Location of Arrest *

Arresting Agency (Sheriff/Police) *

Case Number *

Charges *

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Did you do a field sobriety test?

Yes
No

Did you blow in a breath-a-lyzer?

Yes
No

Did you have your blood drawn?

Yes
No

Your summary of events *

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