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Criminal Law Intake Questionnaire

Please provide detailed information about your criminal matter. Your complete and honest answers will help us evaluate your case and determine the best legal strategy. All information is confidential.
985-612-7220 | stephen@aertkerlegal.com | www.aertkerlegal.com | 229 N. Vermont St., Covington, LA 70433
PLEASE READ FIRST. Submitting this questionnaire does not create an attorney-client relationship and does not by itself make you a client or prospective client of the firm. No representation begins until the firm has checked for conflicts of interest and you and the firm have signed a written engagement agreement. Please do not include confidential strategy, settlement positions, or other sensitive details until the firm has confirmed it can represent you. Please be sure to identify the opposing party or parties so the firm can check for conflicts of interest. Information you submit is handled confidentially consistent with Louisiana Rule of Professional Conduct 1.18.

How to Complete This Form

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1 Your Information
2 Case Type & Current Status

Felony Charge Details

Misdemeanor Charge Details

DWI/DUI Charge Details

Juvenile Case Details

Expungement & Record Clearing Details

Other Case Details

3 Arrest & Law Enforcement Details
4 Prior Criminal History
5 Witnesses & Evidence
6 Attorney & Court History
7 Employment & Professional Impact
8 Personal Circumstances
9 Conflicts Check
For conflicts purposes, we need to know all parties who will be involved in your case.
10 Your Goals & Additional Information
11 Acknowledgment & Authorization

Attach up to three documents relevant to your matter — for example an existing will, deed, contract, police report, or correspondence. PDF, Word, or image. You may bring or email additional documents to your consultation.

Maximum ~10 MB. For larger or highly sensitive files, please bring them to your appointment.