Client Intake Form

New Client Intake Form

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Name*

First Last

Phone*

Birthday*

Email*

Address*

Street Address City State ZIP Code

Are You A United States Citizen?*

If you are NOT a citizen of the United States of America, entering a plea of guilty or nolo contendre on a criminal offense may result in your deportation, exclusion from admission to this country or denial of naturalization under Federal law.

Do you currently have any other pending charges?*

Pending Cases

Please list any other pending charges you may have and the county the cases are pending out of.

Do you currently have a valid driver's license?*

Would you like help with your driver's license?

Driver's License or ID Number*

Last 4 digits of your SS No.*

This information is required to run your driver's license.

Name

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What Client’s Say

Mr. Haddad is a very professional and reliable attorney. He was always quick to my texts/calls whenever I had a question regarding the case. He is very straightforward and honest and will keep you updated with important court dates. I would highly recommend Mr. Haddad.

Rating: ★★★★★

Paul W., Client

He was a court appointed attorney, but man he sure didn’t work as if he was one to me. He is genuinely a good guy inside and out that works hard for you and your case to provide the best outcome. I am more then grateful for him and his services! Two thumbs all the way up!

Rating: ★★★★★

Roberto L., Client

Mr. Haddad Law Firm was sufficient and prompt in handling our case along with answering any concerns we had. We would definitely work with this team again.

Rating: ★★★★★

Perry W., Client

New Client Intake Form

What Client’s Say

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