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Criminal Appeal Intake Questionnaire
Thank you for contacting Creed & Gowdy, P.A. with your representation needs. To streamline your inquiry, please fill out, as best you can, the following form. Once you have completed the form, click "Submit." All information submitted is confidential. Once we have received the completed questionnaire, one of our attorneys will review the information and determine if we are best suited to handle your type of case.
Contact Information
Name
*
First
Last
Phone
*
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Email
Is this your case?
Yes
No
If this is your case, please proceed to the Case Information section.
If this is not your case, on whose behalf are you inquiring?
First
Last
What is your relationship to the potential client?
Is the potential client currently incarcerated?
Yes
No
If the potential client is currently incarcerated, where are they located?
What is the potential client's sentence length?
What is the potential client’s DC/Inmate number?
What is the potential client’s date of birth?
MM
/
DD
/
YYYY
Case Information:
Please complete as much information as possible.
Case Location State:
*
Please select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Case Location County:
*
State Court Case Number:
District Court of Appeal Case Number (if available):
Are there any other case numbers? (For example, have there been any prior appeals?)
Yes
No
I'm not sure
If you are aware of any additional case numbers, please list them here, along with the court name.
Please list the crime(s) the potential client is charged with.
Did the potential client plead guilty or was there a trial?
Entered guilty plea
Went to trial
What is the date of the lower court ruling/sentencing?
MM
/
DD
/
YYYY
Is there anything else about the situation you would like us to know?
Other Information
Please complete as much information as possible.
Please list any attorney(s) who have represented or are currently representing the potential client.
Will anyone else be assisting with attorney's fees?
Yes
No
I'm not sure
Did anyone refer you to us? If so, please let us know so we can thank them.
First
Last
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