The Law Office of James & Reynolds
1716 Briarcrest Drive
Suite 505
PO Box 1146
Bryan, Texas 77806
Phone: (979) 846 1934
Fax: (979) 846 3028

Criminal Intake Form

*Name:
*Address:
*City:
*State:
*Zip:
*E-mail address:
*Home Phone:
Business Phone:
Cellular or Pager:
Facsimile:
Booking #:
Court Date:
Time:
Court Name:
Division/Room:
Arresting Officer's Name and Badge:
City of Arrest:
What were you arrested for (include Code section if known)?
Was the crime for which you were arrested a
Have you been convicted of a similar crime before?
Yes No
If yes, when?
Have you been convicted of other offenses?
Yes No
If yes, what and when?
Are you on probation or parole?
Yes No
For what?
Do you have any other cases pending?
Yes No
Was anyone else arrested?
Yes No
If so, name(s) of all persons arrested:
What statements do you remember making to the police about the alleged crime?
Describe the order of events leading up to the arrest:
Have you discussed the alleged crime with anybody else?
Yes No
If so, who did you discuss it with and what did you tell them?
Were there any witnesses to the alleged crime?
Yes No
If yes, provide names and contact information if known:
What is the amount of the bond you posted?
Are there any special bond conditions?
Yes No
Were you referred by somebody else?
Yes No
Who?
Special Concerns:
Where did you hear about this website?
 

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