Clarke Law Office

831 Massachusetts Street
Lawrence, KS 66044

(785) 832-2181

Why We Ask These Questions

Thank you for reaching out to our office. The information requested here is limited to what we need to:

Check for any conflicts of interest,
Confirm whether your matter is within our practice area, and
Determine whether we may be able to assist you.

We keep this form brief and ask only for the essential information we need at this stage. Completing this form does not establish an attorney–client relationship, and your case will not be discussed in detail until we have determined that we can represent you. The information you provide will be kept confidential and used solely for conflict checks and to determine whether we can assist you. Please limit your responses to the information requested.

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.

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Addresses

Street address

Country

City

State/Region

Zip/Postal code

Address type

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Phone numbers

Phone number

Type

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County/City and State of Charges

Court (if known)

Case number (if known)

Type of charge(s) (short description: DUI, drug, assault, theft, etc.)

Next court date (if known)

List the names of any co-defendants (if known)

List the names of any alleged victims (if known)

List the names of any key witnesses (if known)

Do you currently have any other open criminal cases? (Yes / No / Not sure)

If yes, where? (County/City and State; court if known)

Next court date (if known)

Are you currently on probation or parole? (Yes / No / Not sure)

If yes, which county/state?

Do you currently have an attorney on this case?” (Yes/No).

If yes, attorney’s name?

Attach a copy of the Complaint if you have it.

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