Cameron E. White & Associates, APLC
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CRIMINAL CONSULTATION APPLICATION
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A Professional Law Corporation
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CRIMINAL CONSULTATION APPLICATION
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Parish, State
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Are there criminal charges pending against you or a loved one??
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Myself
A loved one(s)
Both
No criminal charges
Was an arrest made?
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Yes
No
Date of arrest or summons?
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List the full name(s) and D.O.B of person(s) seeking representation.
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List all pending charges of person(s) seeking representation.
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Are you currently represented by an attorney?
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No
Yes
I was, but not anymore
Briefly describe incident.
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Name
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First
Last
Date of Birth
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Social Security Number
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Phone Number
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Email
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Primary home address
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Submit your application
