1. Nature of charge (check appropriate box below)?
Traffic Violation
Criminal Offence
Provincial Offence
Other

2. What is the date you were charged or made aware of the charge?

3. Where were you charged?

4. When is your court date (leave blank if none)?

5. What are you charged with?

6. Do you need someone to represent you?
yes                   no

7. Please fill in the following information to help us answer your questions:

Your Full Name:

Address:

Tel:

Cell:

Fax:

e-mail:

Nature of legal issues (briefly please):

Best times to contact you:

8. Please hit submit below. We will contact you shortly.