Criminal law client intake form

These questions and answers are only to help assist in your defence. All answers are held in strict confidence and are protected by solicitor-client privilege. Answer only the questions you feel comfortable disclosing. You may wish to disclose more if you retain our services.

Your information

How did you hear about us?

Educational information

Are you a high school graduate?
Are you a college/university graduate?

Employment information

Personal information

Marital status
Do you have any previous marriages?
Do you have any children?
Any addictions, previous or current?
Please select all that apply
Have you ever been treated for addiction?
Have you ever been treated by a psychologist, psychiatrist, or other mental health care professional?

Information about arrest

What is the stage of the process?
Have you been to court on this file?
What level of court?
Has there been any application before the court?
Was a court order entered?
Did the police have a warrant?

Criminal record history

Please list—to the best of your knowledge—all previous criminal charges.

Have you ever been in custody?
Do you have a disclosure package?

Co-accused information

Is there a co-accused?

Other details

Are you in custody?