First Name

Last Name

Street Address

City

State

Zip Code

Home Phone

Work Phone

E-mail

Drivers License Number

Date of Birth (MM/DD/YYYY)

Referred By

Legal Problem: Please state the type of ticket you received. IMPORTANT: Do not fill out this form if the citation is due within five days or if you currently have more than three citations or if you have a criminal citation. If this applies to you, please contact our office by telephone at (305) 371-6760 to make an appointment.

Online Information Submission… the Fastest and Easiest Way to Retain an Attorney

Please fill out the following form to retain an attorney with our firm.

All Civil Traffic Infractions $59.99* Guaranteed NO POINTS or your money back**

Enter your citation number(s) & the date of the citation(s)

Citation Number

Date of Issue

County

Citation Number

Date of Issue

County

Citation Number

Date of Issue

County

This form is solely for inquiries. Because every case is different and requires personal, individualized attention, you have NOT retained an attorney until you receive confirmation from our office. This generally occurs within 24 hours of submitting your information.

To confirm the establishment of an attorney-client relationship, you may call our office at (305) 371-6760.
*plus court costs, if any
** Non-criminal, civil traffic infractions only. Guarantee is limited, call for details.

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