Protecting your rights in all five boroughs and beyond.
1872 Lexington Avenue, Suite 252
New York, NY, 10035
(292) 244-0035
Thank you so much for contacting Gotham Criminal Defense! Please read the privacy policy below, and then fill out this form in its entirety prior to our consultation.
Privacy Policy
All information received from a client is strictly confidential. Our firm takes every step possible to protect your privacy. The data submitted via this form is encrypted and secured using industry-standard 128-bit SSL encryption.
If you have any questions, please don't hesitate to contact our law office. We look forward to working with you!
Are you the client, or are you completing this form on their behalf?
I am the client
I am completing this form on behalf of the client
Your Name
Your Phone
Your Email
Your Relationship to the Client
Do you have permission to act of their behalf?
Client Information
Contact information
Prefix
First name
*
Middle name
Last name
*
Emails
Email Address
*
Type
Upon submission, a copy of this form will be sent to the primary email.
Work
Home
Other
Primary
Default email false
Add email
Phone numbers
Phone number
Type
Work
Home
Mobile
Fax
Pager
Skype
Other
Primary
Default number false
Add phone number
Do you have an emergency contact or someone else we can contact?
Yes
Name
Relationship to You
Phone
Address
No
CASE INFORMATION
Did the incident happen in the state of New York?
Yes
No
Representation Type
Representation for an OPEN criminal case where there has been at least 1 Court Appearance
URGENT representation for an arrest but not yet appeared before a judge
Representation because the Police are looking for me
Representation because I have been harmed by an accident or actions of others.
Police
Company
Individual
In your own words, how did the the incident occur?
Have you been formally charged?
Yes
What are the charges?
No
Summons or Citation Number
Date of Arrest
Date of Alleged Crime
Location of Alleged Crime
Are there any witnesses or co-defendants?
Yes
Please list their names and contact information
No
COURT INFORMATION
Court Name
Court Date
Did you miss a court date?
Yes
If so, is there a warrant for your arrest?
No
E-ACKNOWLEDGEMENT
ACKNOWLEDGEMENT AND ACCEPTANCE
I acknowledge that I have read and hereby accept the above privacy policy regarding use of my personal information.
THANK YOU
Thank you so much for completing this intake questionnaire. This information will be extremely helpful in evaluating your case. We will contact you as soon as possible with any updates.
Please click the
SUBMIT
button below when you have finished answering all questions.