If we can help with this form, feel free to call, or you can use the shorter, general contact form.

    How can we help?

    Your Name as shown on ticket:

    Your Address:

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    Other Phone:

    Your Email:

    Preferred Contact:

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    Charge:

    Date of Offense:

    Court Date:

    County:

    Name of Charging Officer:

    Additional Comments

    How did you hear about our law firm?

    Please email or fax a copy of your ticket to 828-265-4228.