Criminal Law Interview Sheet Please use this extended form if you are ready to complete the full Criminal Law interview sheet. Date: (required) Name: (required) Mailing Address: (required) City: (required) State: (required) Zip Code: (required) Place of Work: Home Phone: (required) Work Phone: (required) Mobile Phone: (required) Your Email: (required) How did you hear about our attorneys/services? Closest Relative Not Living With You: Relationship To You: Relative's Phone: Relative's Address: City: State: Zip Code: Offenses: Ticket/Warrant No.: Arresting Officer/Agency: Bondsman: Phone: Previous Arrest/Convictions: ***You must notify this office of any changes in your address, teelphone number or place of employent. This office cannot be responsible for otifying you of the status of your case including your required court appearances unless you keep your information current. *** My typed name here signifies that I understand the above statement. No Attorney / Client relationship is formed without a written agreement from the LAW OFFICES OF MICHAEL L. BROWN, Jr. An initial consultation, telephone conversation or E-mail does not constitute such an agreement. DO NOT SEND any confidential information or specific details about a case or pending case -- unless submitted to your attorney in person.