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NEW CRIMINAL CASE INFORMATION REQUEST

Please complete the following form

Name
Address
City, State Zip
Contact Phone
Cell Phone
E-mail

Are you the Defendant?

 

Please provide the following information about the Defendant

Name
Date of Birth
Sex Male Female

Is the Defendant in jail?

Do you need a Bond Hearing?

Enter the date of arrest:

-- mm/dd/yy

If in jail, which jail?     

What is the Defendant charged with?

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Revised: 12/21/09

Hanson Law Office
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