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Case Intake Forms

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False Arrest Case Intake Form

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I want to file a claim against a:

I was the victim of:


I was charged with a crime:

The area of the incident had video cameras:

I have, or can get the name of, a witness to the incident:


After the incident, I sought medical or hospital care:

I injured my:


The injuries have caused me to:

Additional Information:

I understand that the transmission of this information does not create an attorney client relationship but is, instead, a request for a free consultation with an attorney about the details of my potential case.