Traffic Case Evaluation Form

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Below you will find the Traffic Case Evaluation Form. Please complete it to the best of your knowledge and Thomas C. Mooney will contact you ASAP. If you are unsure of some information leave it blank. The information you provide is protected by Attorney-Client privilege. After you finish providing the information click "Submit" and your responses will be sent to Thomas C. Mooney.

Remember you can discuss the same information directly with Thomas C. Mooney over the phone or in person. Call his office at (301) 574-0800. Additionally you have the option of faxing him the print version of this form.

Contact Information
Full Name
Address
City
State
Zip
Primay Phone
Secondary Phone
E-mail
Contact Preference Please include your preference as to how/when/where you'd like to be contacted.
Accused Information
Name of accused individual
Birth date of accused individual
Is he or she a U.S. citizen?	yes     no
Is he or she in custody?	yes     no
Amount of bail
Name of jail	(only accepts cases from the state of Maryland)
Booking number
Prior arrests
Basic Case Information
Charges/accusations.
Did an arrest occur?	yes     no
Arrest Date
Case Number
Name of court
Next Court Date
Case Details
Please state your version of the case including all the information, even if you feel its irrelevant.
Indicate any search and/or confession issues, if any
Indictate any witness issues, if any.
Other defense issues, if any
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