-or- complete the CASE EVALUATION FORM BELOW

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First Name:
Last Name:
Address:
City:
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Phone Number: (where we can contact you)
E-mail Address:
Date
Type of case or questions.
Describe the circumstances in detail:

This form is intended to assist Barry Gerald Sands, DMV Defense Lawyer, Inc. with a preliminary evaluation of your case. This form does not constitute an attorney-client relationship.

Please see disclaimer for more information.