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TICKET / CHARGE / CITATION / INDICTMENT / COMPLAINT INFORMATION:

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Jurisdiction (Municipal, County Court, District Court)

Were you arrested?

Date of your arrest

Time of your arrest

Location of your arrest

Individuals present at the time of your arrest:

Do you have a court date? When?

Have you already seen a Judge? When?

Did you post bond?

How much?

List any special conditions on bond

Have you signed any papers or taken any steps through the court procedure yet? Please explain

Briefly list the facts of your case

Please list ANY RELEVANT INFORMATION TO YOUR CASE – Such as, but not limited to, important witnesses, alibi information, significant documents, and other parties involved:

Do you have any other criminal matters pending? If so, please list the name of the court, jurisdiction, case numbers and charges

PRIOR CONVICTIONS / PRIOR ARRESTS

List all any/all prior arrests & convictions, if any

Are you currently on probation or parole? If so, please explain

HOW DID YOU HEAR ABOUT OUR PRACTICE?

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First Name*

Last Name*

Family Name

Date of Birth*

Current Age*

SSN#

DL#

Current Address*

Address*

Telephone

Home*

Cell*

Work*

Email*

Place of Employment*

Place of Birth*

Are you a US Citizen?*

Educational Background (GED, High School, College, Trade School)

Served in the Armed Forces?

Married?

If you have children, how many?

Whom do they live with?

What school district is the child in?

Are any other minor children in the household?

What grade is the child in?

Is the child in special education?

Has the child ever been arrested before?

Does the child live in a 2 parent household?

Has the child been arrested for the court case?

Has the child had a first court date?

Has the child been diagnosed with any psychological or educational issues?

Are you currently on any medications? Please explain

Have you ever received mental health or substance abuse counseling?

TICKET / CHARGE / CITATION / INDICTMENT / COMPLAINT INFORMATION:

Name of Agency

Booking #

Jurisdiction (Municipal, County Court, District Court)

Were you arrested?

Date of your arrest

Time of your arrest

Location of your arrest

Individuals present at the time of your arrest:

Do you have a court date? When?

Have you already seen a Judge? When?

Did you post bond?

How much?

List any special conditions on bond

Have you signed any papers or taken any steps through the court procedure yet? Please explain

Briefly list the facts of your case

Please list ANY RELEVANT INFORMATION TO YOUR CASE – Such as, but not limited to, important witnesses, alibi information, significant documents, and other parties involved:

Do you have any other criminal matters pending? If so, please list the name of the court, jurisdiction, case numbers and charges

PRIOR CONVICTIONS / PRIOR ARRESTS

List all any/all prior arrests & convictions, if any

Are you currently on probation or parole? If so, please explain

HOW DID YOU HEAR ABOUT OUR PRACTICE?

Internet search/magazine/yellow pages/local directory/referred (if you were referred please indicate by whom)

214-994-5562

Reggie.london@londonlawdfw.com

8111 Lyndon B. Johnson Freeway Stuie 1502, Dallas, Texas 75251

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Contact Us

214-994-5562

Reggie.london@londonlawdfw.com

8111 Lyndon B. Johnson Freeway Stuie 1502, Dallas, Texas 75251

Get in touch with us

Quick links

Practice Areas

Newsletter

Criminal Law Intake Form

Juvenile Intake Form