Criminal Client Intake
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TimestampFull legal nameSample Question 2Address, including street, PO, city, state, and zipHome or primary telephone number including area codeMobile telephone numberWork telephone numberEmail addressBrief description of legal issue:Crime chargedWho charged you?Date you were charged, or arrestedDate of any upcoming hearing, or court appearanceCitation or Warrant NumberPlease list any previous convictions for any crime or traffic offense with approximately the date of the conviction.Are you currently on probation or parole?If you are currently on probation or parole, when do you believe that your probation or parole will end?Are you currently employed?Date of BirthSocial Security NumberArresting Officer's Name, and Department Arresting Officer's Business AddressIf applicable, Preliminary Hearing Court name, and addressProsecuting AgencyProsecutor and Prosecuting AgencyProsecutor and business addressCounty in which arrest occuredCircuit in which arrest occuredType of CourtState of S.C. or MunicipalityTrial Court AddressClerk of Court's Address
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