98%* Success Rate to Win, Reduce or Eliminate the penalties on all cases we handle, Criminal Charges, DWI, DUI, Shoplifting, Assault and Drug Charges, Traffic Tickets, put our success rate to work for you!

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Click here for a link on the methodology of each award

Please click below and print out the appropriate Client Information Form and bring this form with you for your consultation

Initial Client Interview Form

For clients that have a general matter they need to discuss with the Attorney.

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Initial Client Interview Form

Please complete all the information below. Any information provided on this form is Attorney Client privileged and will not be provided to anyone except by court order or by your consent. Due to this fact all information must be provided otherwise we cannot provide you with a consultation with an Attorney. This information sheet is the property of the Law Office of H. Scott Aalsberg, Esq., P.C. and all information provided will remain confidential, and may be destroyed at any time at the discretion of the Law Office of H. Scott Aalsberg, Esq., P.C.

Date(Required)

Email Address(Required)

Your Appointment Date(Required)

Your Appointment Time(Required)

Full Name(Required)

First Middle Last

Home Street Address(Required)

City(Required)

State / Province / Region(Required)

ZIP / Postal Code(Required)

Mailing Address if Different

Home/Cell Phone #:(Required)

Work Phone Number(Required)

May We Call You At Work if you hire our office to represent you(Required)

Yes

Date of Birth(Required)

Social Security Number (required for criminal cases only)

Drivers License Number(Required)

Are You in the Military Including Reserves(Required)

Employers Name and Address(Required)

Job Title(Required)

Do you have a professional license and if so please list(Required)

Spouses Name(Required)

May we talk or contact your spouse(Required)

Opposing Parties Name(Required)

Attorney for Opposing Party if Known

Have we ever represented you in the past

Have we ever represented the opposing party(Required)

Type of Matter you need a consultation for (Example: Accident, Ticket, Will)(Required)

Your Reason For Coming Here today (please explain fully your legal problem)(Required)

How did you hear about us?(Required)

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Press the Submit Button. Please call our office at (732) 257-5040 or 1-800-9-RIGHTS after submitting this form to confirm our receipt and your consultation. If you do not see the Thank You for submitting your form page after hitting the submit button that means we have not received your intake form. Please check the form and see if any required areas are missing your answer. Any questions, please call us.

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Forms

No Aspect of this Attorney Advertisement or the Awards or Accolades mentioned herein have been approved by the Supreme Court of NJ
Click here for a link on the methodology of each award

Please click below and print out the appropriate Client Information Form and bring this form with you for your consultation

Municipal Court Interview Form

Criminal Court Interview Form

Initial Client Interview Form

1-800-9-RIGHTS

Forms

No Aspect of this Attorney Advertisement or the Awards or Accolades mentioned herein have been approved by the Supreme Court of NJ Click here for a link on the methodology of each award

Please click below and print out the appropriate Client Information Form and bring this form with you for your consultation

Municipal Court Interview Form

Municipal Court Interview Form

Criminal Court Interview Form

Criminal Court Interview Form

Initial Client Interview Form

Initial Client Interview Form

1-800-9-RIGHTS

No Aspect of this Attorney Advertisement or the Awards or Accolades mentioned herein have been approved by the Supreme Court of NJ
Click here for a link on the methodology of each award