The Dobkin Criminal Law Center | Contact Us

Contact Details | New Matter Inquiry Form | Contact Form

Please fill out the following information pertaining to the individual needing our representation:

First & Last Name: (Required)
Middle Initial:
Name on Arrest Form or Other Alias:
Case Number:
Date of Birth:
Driver’s License No.:
Jail Location (within the jail):
Jail Number:
Judge:
Sex (Male/Female): (Required)
Race: (Required)
Charges:
Describe what happened and where it happened (if you know):
Bond:	No Yes, Amount:
Do you need a bail bondsman:	No Yes
Is the arrested individual still in custody:	No Yes
Is the arrested individual a juvenile:	No Yes
Did he or she make statements to the police:	No Yes
If yes, choose one:	Taped Written Court Reporter Oral
Are we the first law firm that you consulted regarding this matter:	No Yes
Have you ever been represented by an attorney before:	No Yes
Has the person seeking representation ever been convicted of a crime before:	No Yes
If so, was the crime a:	Misdemeanor Felony State Federal
Have you ever been known by any other names? If so, list all names (fictitious, maiden, former, or nickname):
How did you learn about our firm:	Friend Client Lawyer Florida Bar Yellow Pages Website Other
E-mail Address: (Required)
Phone: (Required)