Set an Initial Appointment for Criminal Case

Use the form below to set up an initial appointment to discuss your criminal case with Benezra & Culver.

PLEASE NOTE:Your responses are protected by attorney/client privilege and will be held in strict confidence. Do not speak with anyone other than counsel (including your spouse or family members) about your case!

Section 1: Contact Information

First Name (required)

Last Name (required)

Address (required)

Address 2

City (required)

State (required)

Zip/Postal Code (required)

Contact Phone (Cell or Home) (required)

Your Email (required)

Section 2: Charges and Court in Which Charges are Pending

Name of all potential or actual charges:*

Section 3: Dates of Alleged Offense

Please enter all dates of alleged offenses:*

Section 4: Arresting Agency (i.e.: FBI; Colorado State Parole; County/City):

Section 5: Court Appearances

Identify each and any upcoming court appearance / date, time and location:

Section 6: Bail

Are you on Bail? If so, state type of bond (PR, COPR, cash, and who and how it was posted:

Section 7: Documents:

Please bring all relevant documents to your consultation. Errr on the side of bringing too many documents as failure to bring all relevant documents will impede and delay our ability to provide you with an opinion regarding your potential claims. Include all charging documents, police reports or documents from the court.

ENTER THE CODE ABOVE: