Initial Contact Form

(Criminal Defense Cases)

Thank you so much for contacting our law office! Please read the privacy policy below, and then fill out this form in its entirety so an attorney can review and make a determination as to whether we can represent you. This form does not create an attorney-client relationship until and unless an attorney-client contract is signed by you and an attorney from our office. All information is subject to potential-client confidentiality and/or privilege protections. If you have any questions, please don't hesitate to contact our law office. We look forward to working with you!

PERSONAL INFORMATION

Contact information: Criminal Client

Prefix

First name *

Middle name

Last name *

Date of birth

Company

Emails

Email Address *

Type

Upon submission, a copy of this form will be sent to the primary email.

Add email

Addresses

Street address

Country

City

State/Region

Zip/Postal code

Address type

Add address

Phone numbers

Phone number

Type

Add phone number

CASE DETAILS

ACKNOWLEDGEMENTS

All information received from a client is strictly confidential. Our firm takes every step possible to protect your privacy. The data submitted via this form is encrypted and secured using industry-standard 256-bit SSL encryption. Your Social Security number and other personal information will only be used in the event that you hire the firm to represent you in your legal matter, and then only when necessary in limited use during the course of your case. Social Security numbers are most often used to positively identify parties. Most courts require Social Security numbers of all parties in a case. Some other examples of how this information may be used include: Initial service, in court order, in required reports or other documents filed with the State

Initial Contact Form

(Criminal Defense Cases)

PERSONAL INFORMATION

Contact information: Criminal Client

Social Security Number

Drivers License Number

Current Employer

CASE DETAILS

Case Number

Date of Arrest

Date of Arraignment (first appearance)

What are the criminal charges?

Provide names of witnesses to the alleged crime.

Tell us what happened, in as much detail as possible?

Are you able to pay for a private attorney?

Next Court Date

Who referred you to MANN Trial Attorneys?

ACKNOWLEDGEMENTS

Do you understand that we will not represent you unless and until an attorney-client engagement agreement (contract) has been signed by you and an attorney from our law firm?

Do you agree to receive communications (email, text messages, letters, and/or phone calls) from our office regarding this case and other potential matters which you may be interested in?

Privacy Policy