Submit Your Case to the Charles Johnson Law Firm

Information submitted on this form cannot be used against you in any way. This information is confidential and protected under the attorney client privilege. This information will be used to contact you and to schedule your free consultation.

Contact Information

Full Name
Home Phone
Work Phone
Cell Phone
E-Mail
Mailing Address
City, ST, Zip
Best day to contact
Best time to contact
or a specific date for contact

Client Information

Full Name, if different
Date of Birth
Is client in custody?	Yes No
Bail amount, if known
Booking number
Number of prior arrests
Type(s) of prior cases

Case Information

Charge(s)
Was client arrested?	Yes No
Arrest Date
Name of police department
Case number
Which court?
Next Court date?
Currently on probation or parole?	Yes No

Case Facts

Describe situation where you got arrested
Describe results of any searches
Describe any confessions given
Describe any sobriety tests or blood/breath tests results
Describe any witnesses that may have a bearing on this case
Include any other information which you deem important to this case

Your initial consultation is free. Call 1-877-308-0100 any time day or night to gain a better understanding as to how you can begin the process of defending yourself and your reputation immediately. This is the most important call you will ever make. Our firm's philosophy involves intense preparation and an aggressive posture when advocating our client's position.

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