Client Intake Form


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Orange County Law Offices of Stull & Stull

15615 Alton Parkway suite 450
Irvine, Ca. 92618
Phone: 877-815-7421
Fax: 949-271-6486
Email: info@expungecriminalrecordcalifornia.com

 

Intake Information
Last Name:
First Name:
Middle:
Address:
Address 2:
City:
State:
Zip Code:
Home Phone:
Cell Phone:
City / State of Arrest:
County:
Email:
Brief Description of What Happened and Charges Brought Against You:
Date Pled or found Guilty: :
Charges You Pled Guilty To:
Case No.:
Misdemeanor or Felony :
What courthouse did you appear in?:
Are you currently on probation?:
Did You Complete Probation?: Yes No
Have you paid all fines, fees and restitution?: Yes No
Are you currently charged with a new offense? Yes No
 
Additional Details, Comments, or Questions:
 
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Orange County Law Offices of Stull & Stull
Criminal Defense Attorney
15615 Alton Parkway suite 450
Irvine, Ca. 92618
Phone: 877-815-7421
Fax: 949-271-6486
Email: info@expungecriminalrecordcalifornia.com