FLADER & HIRJI, LLP

ATTORNEYS AT LAW

NEW CLIENT INFORMATION FORM

PRIVILEGED & CONFIDENTIAL ATTORNEY/CLIENT INFORMATION AND WORK PRODUCT

WARNING: PLEASE DO NOT DISCUSS YOUR CRIMINAL MATTER WITH ANYONE OTHER THAN A CRIMINAL DEFENSE ATTORNEY. ALL INFORMATION YOU PROVIDE TO US WILL BE KEPT PRIVATE AND CONFIDENTIAL.

QUESTIONS / PLEASE WRITE YOUR ANSWERS IN THIS COLUMN
Name of the Person Accused or facing investigation. (Note: This person will be referred to as the “Accused” in the remainder of this form.)
Address of the Accused.
Telephone Number for the Accused.
E-mail address for the Accused.
Date of Birth of the Accused.
Driver’s License Number & State of Issue for the Accused.
Gender of the Accused.
Height of the Accused.
Weight of the Accused.
Hair Color of the Accused.
Eye Color of the Accused.
Race of the Accused.
What was the date of that the event leading to this matter took place?
What Stage is the case in? Investigation, Arrested but not charged, Charged, Sentencing, or Post Conviction.
Describe the Legal Problem facing the Accused.
What are the charges that have been filed against the Accused? (Please list the Penal Code Sections if available)
What is the Name and the address of the Court in which the Accused has to appear?
What is the Case Number?
What is the next Court Date for the matter?
Did the Accused make any statements to the police or other law enforcement officers?
Was the Accused advised by these officers of his/her right to remain silent?
Was the Accused advised by these officers of his/her right to have an attorney be present?
Was the Accused threatened by these officers?
Was the Accused’s residence searched?
Did the law enforcement officers have a search warrant to conduct the search?
Did the Accused give consent to the search?
Was the Accused’s car searched? If yes, please describe the circumstances that led to the Accused’s car being searched.
Was any other property of the Accused searched? Please provide details.
If arrested and not released on bail, please provide the name and address of the jail where the Accused is presently being held.
If arrested but released on bail, please provide the name and the telephone number of the bail company that issued the bail bond to the Accused.
Are there any co-defendants?
If yes, please provide the namesof the co-defendants.
Are there any witnesses? If yes, please provide the name, address and telephone number of the witnesses. Please attach a separate page providing this information for each witness if there are multiple witnesses and the space being provided is not enough to provide the information for all witnesses.
Has the Accused been convicted of any crimes in the past? If yes, please provide the dates of those convictions, the charges for which the Accused was convicted, and the case numbers (if you have them).

Once you have completed this form, please fax it to (909) 860-9005 or e-mail it to .