The Law Office of Pamala J. Favreau
Toll Free 1-877-875-3899

Experienced Criminal Defense



The Law Office of Pamala J. Favreau
30 Lafayette Square, Suite 101
Vernon-Rockville, CT 06066
Telephone: 860-875-3800
Windham County: 860-423-9729
Toll Free: 1-877-875-3899
Fax: 860-875-2121

Criminal Law Intake Form

CRIMINAL INTAKE

CLIENT: _________________________________________________ DATE:__________________

ADDRESS: ___________________________________________ PHONE:____________________

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LICENSE # AND STATE: ________________________________ SS#______________________

AGE______ DOB:_________ COURT AND COURT DATE_______________________________

DATE OF ARREST_________________ POLICE DEPARTMENT___________________________

PRIOR CONVICTIONS______________________________________________________________

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PROBATION OR PAROLE: _________________________________________________________

ANY OTHER CASES PENDING IN ANY OTHER COURT OR STATE:________________________

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IMMIGRATION STATUS: ____________________________________________________________

NOTES:__________________________________________________________________________

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The Law Office of Pamala J. Favreau is located in Vernon, Connecticut and provides criminal defense to individuals throughout Northern Connecticut and Eastern Connecticut in cities such as Vernon, Danielson, Enfield, Manchester, New London, Norwich, Rockville, Willimantic and Windsor and in Tolland County, Hartford County, New London County and Windham County.

The information you obtain at this site is not, nor is it intended to be, legal advice. You should consult an attorney for individual advice regarding your own situation.

Copyright © 2012 by The Law Office of Pamala J. Favreau. All rights reserved. You may reproduce materials available at this site for your own personal use and for non-commercial distribution. All copies must include this copyright statement.