Criminal Defense Intake Form - Guest And Gray P.C.

How This Works

Complete the secure form in a few steps

Our team reviews your information

We’ll reach out promptly to discuss your case and next steps

Criminal Client Information Form

Let’s start with some basic details so we can open your file and stay in touch.

Please share how we can reach you.

We use this information to properly identify you in legal and court records.

Please add any Backup Contact (In case we can not reach you).

Tell us about the charges you’re facing and what outcome you’re hoping for.

List all charges you are seeking representation for:

Let us know if you have other cases pending or if you’re currently on probation or parole.

Do you have other criminal cases pending, or are you currently on probation or parole?

If you have any prior arrests please list your entire criminal history including charge, dates and case outcome

List any previous criminal history, including:

Are there witnesses who may be important in your case? Please share their names and contact info if you have it.

Have you ever been diagnosed with or treated for any mental health condition? This information is confidential and may be important to your defense.

Please review your information for accuracy before submitting.

1. Basic Personal Details

Full Name:

Date of Birth:

U.S. Citizen:

How did you hear about our firm:

Primary Phone:

Work Phone:

Email Address:

Mailing Address:

City:

State:

Zip Code:

County of Residence:

TDCJ Number (if applicable):

Social Security Number:

Driver’s License Number and State:

Employer:

Job Description:

Related Contact Name & Relationship:

Related Contact Phone:

Related Contact Email:

Emergency Contact Name & Relationship:

Emergency Contact Phone:

Emergency Contact Email:

List all charges you are seeking representation for

Offense:

Arresting Agency:

County of Offense:

Date of Offense:

What is your goal for this case? What outcome are you hoping for?:

Do you have other criminal cases pending, or are you currently on probation or parole?:

If yes,

Charge:

Country:

Name and contact info of your attorney:

List any previous criminal history, including:

Charge:

Country:

Final resolution (e.g. probation, conviction, deferred, dismissed, etc.):

Names and contact information of any witnesses:

Have you ever been diagnosed or treated for any mental health condition?:

I confirm the information provided is true and complete to the best of my knowledge.

Submitting this form does not create an attorney-client relationship. We will review your information and contact you to discuss your case.

Frequently Asked Questions

Yes. We use secure technology to protect your data, and everything you share is confidential.

Most people finish in about 5-10 minutes.

No, submitting this form does not create an attorney-client relationship. We’ll review your information and reach out to discuss next steps.

Submit Your Criminal Defense Case Information Today