New Client Contact Form

Please complete the following form as thoroughly as possible. In order to give you accurate guidance regarding our services we need as much information as you are able to provide. All information will be kept confidential.

Thank you for carefully completing the form. After you have submitted the information, Ms. Erica Sessions will contact you within three (3) business days to discuss your case and our firm’s services.

Please complete the form below

Contact Name:

First Name

Last Name

Contact Phone Number:

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Contact Email Address:

Relationship to Person Under Conviction:

Contact Mailing Address:

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

How did you hear about our firm?

PERSON UNDER CONVICTION

Name:

First Name

Last Name

G.D.O.C. #:

E.F. #:

Current Institution:

Offense(s):

Date(s) of Offense(s):

County of Conviction:

The person under conviction...

Sentence:

Date of Sentencing:

Sentencing Judge:

Superior Court Case Number:

Attorneys who have represented the person under conviction in this matter:

Please describe the status of any appeals that have been filed:

Please describe the status of the case with the Parole Board:

What are you trying to accomplish for the person under conviction?:

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The transmission and receipt of information contained on this website, in whole or in part, or communication with Michael Kennedy McIntyre & Associates via the Internet or e-mail through this website does not constitute or create an attorney-client relationship between us and any recipient.

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