-or- complete the CASE EVALUATION FORM BELOW

All Fields MUST be completed in full.

First Name:
Last Name:
Address:
City:
State:
Zip Code:
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, Criminal Defense Lawyer, Inc. with a preliminary evaluation of your case. This form does not constitute an attorney-client relationship.