Criminal/DUI Interview Form

Standard Questionnaire - Criminal

Interview Form - DUI

*Name:

*Address:

*City:

*State:

*Zip:

*E-mail address:

*Home Phone:

Business Phone:

Cellular or Pager:

Facsimile:

Are you known by any other names?
Yes  No 

If yes, list other names you have used:

What is your marital status?

Does this matter involve a business you own or run?
Yes  No 

If yes, provide the business name, address, and phone:

If a business is involved, how is the business organized (if known)?

Are you employed?
Yes  No 

If yes, please provide your job title and employer's name and address.

Can you be contacted at work?
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What area of law does your situation involve (if known)?

Describe your situation, including any relevant dates:

How would you rate your legal needs described here?

Are any other people involved?
Yes  No 

If yes, provide names, addresses (if known), and their relationship to you, if any:

Do you have any documents that could help explain your situation?
Yes  No 

If yes, list those documents and their dates:

Are there other documents that you do not have access to that could be of assistance?
Yes  No 

If yes, list those documents and their dates and locations (if known):

Describe how this situation has impacted you:

Describe what you would like to happen to resolve your issue (your preferred outcome):

Have other attorneys worked on this matter?
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If yes, provide names, addresses, and a brief description of their involvement:

Special concerns:

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The San Jose criminal defense attorneys at the Moore Law Firm with offices in San Jose and Fresno, represent clients facing serious state and federal criminal charges such as drug crimes, domestic violence, and drunk driving, including repeat and felony DUI offenses in the South and East Bay Area, Santa Clara County, Palo Alto, Sunnyvale, Gilroy, Saratoga, Monte Sereno, Fremont, Milpitas, Hayward, Morgan Hill, South San Francisco, Redwood City, San Martin, Watsonville, Salinas, Santa Clara, Campbell, San Mateo County, Santa Cruz County, Alameda County, San Francisco County, Contra Costa County, Monterey County, Stanislaus County.

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