Kenneth Vercammen & Associates
A Law Office with Experienced Attorneys for Your New Jersey Legal Needs
      

Click here to download this Form as a word file.

PLEASE FILL OUT BOTH PAGES OF OUR CONFIDENTIAL INTERVIEW FORM AND FAX OVER TO OUR OFFICE at FAX # (732) 572-0030.

KENNETH VERCAMMEN & ASSOCIATES, PC
ATTORNEY AT LAW
2053 WOODBRIDGE AVENUE
EDISON, NJ 08817
732-572-0500
PLEASE PRINT

NAME ____________________________________________________

ADDRESS _________________________________________________

CITY _______________________ STATE ____ ZIP ______________

CELL #(_____)_________________ PHONE-DAY(____)________________

NIGHT (______)_________________

TODAY'S DATE ____/_____/_____ E-MAIL ________________________

Referred By: __________________________________
If referred by a person, is this a client or attorney?

CHARGES/TICKETS ISSUED [provide tickets, hearing notice and other important
papers to front desk to be copied]

1. ____________________________________________________

2. ____________________________________________________

3. ____________________________________________________

4. ____________________________________________________

IMPORTANT INFORMATION

Date of Offense: __________________ Time: _____ (A.M./P.M.) Your Age _____

Town: ___________________________ (street/location)?________________________

What Happened: ______________________________________________________________

____________________________________________________________________________

____________________________________________________________________________

____________________________________________________________________________

____________________________________________________________________________

Write additional details on the back of this page.


Other Persons Arrested or Witnesses:

_______________________________________________________________________

co-defendant/ Witness Name Their Address Phone No.

_______________________________________________________________________

Name Address Phone No.

What statements did you give to the police? ____________________________________

________________________________________________________________________

________________________________________________________________________

Occupation: _____________ Employer: _______________ Town: ________

Do you need your drivers license for work? _______ Distance driven to work: _______


Prior criminal convictions or arrests (include description of each charge, date of conviction, and place of conviction. If none, write none):

____________________________________________________________________________

____________________________________________________________________________

____________________________________________________________________________


Prior motor vehicle convictions, town and year(ex: drunk driving, no insurance, driving while suspended, etc. If none, write none):

____________________________________________________________________________

____________________________________________________________________________

____________________________________________________________________________

____________________________________________________________________________


Prior Traffic ticket downgrades to no point tickets since 1999 [39:4-97.2]:

1. Town _______________________ Year ___________ [if none, write none]

2. Town _______________________ Year ___________


[Please note the DMV/MVC only permits 2 "no point" downgrades in 5 years.]


What questions do you have/ how can we help you and anything else important:

____________________________________________________________________________

____________________________________________________________________________

____________________________________________________________________________

All new clients are entitled to receive our Free Email Newsletter featuring updates in Traffic Law, Criminal and Personal Injury.

All paid clients receive a T-shirt upon request. This page must be filled out before meeting with the attorney. Thank you.

YOU MUST FILL OUT ALL THE PREVIOUS QUESTIONS PRIOR TO SEEING THE ATTORNEY.

KEEP THE FOLLOWING PAGES

1. Legal Services To Be Provided- Pleaseread!

We will review and research necessary statutes and caselaw, speak with the prosecutor, prepare defenses and determine mitigating factors. We agree to provide conscientious, competent and diligent services and at all times will seek to achieve solutions which are just and reasonable for you.

1. Office consultation with client
2. Preparation of statement to provide legal services [ retainer
agreement setting forth fees and work to be performed;
3. Offer sound legal advice to client;
4. Preparation of letter of representation to Municipal Court after fee
paid;
5. Preparation of letter of representation to Municipal Court Prosecutor;
6. Review documents supplied by client and court;
7. Copies of all correspondence to Court and Prosecutor to client;
8. Opening of file and client may have free client case folder, Municipal
Court brochure, DMV points brochure, and Website brochure;
9. Review of necessary statutes and case law;
10. Follow up with Municipal Prosecutor for discovery if suspension or
jail is likely;
11. Prepare defense and mitigating factors;
12. Miscellaneous correspondence, drafting of brief/ pleadings if needed;
13. Review Court hearing notice and send letter to client to remind them
of hearing
14. Travel to Municipal Court;
15. Representation in Municipal Court.
16. Preparation of End of Case Letter and client questionnaire.
17. Free Brochures provided on other legal topics such as Personal
Injury, Worker's Comp, Wills, Probate and other matter we help clients
18. Free subscription to monthly e-mail newsletter. Provide your email
address.
19. Answer specific questions after the case is over
20. Invitation to client socials.
21. Send the file to storage for seven years as free client service.
22. Free Magnets, Keychains, Pens for new clients, - Please ask

2. Legal Fees.

Fees must be paid by VISA, Master Card, American Express, check, money order or cash. Make checks payable to Kenneth Vercammen Law Office today.
Fees are to be paid at initial consultation (today). Fees must be paid in
full prior to a Letter of Representation being sent to the Court. Neither
this office nor other area attorneys accept payment plans if the fees are
less than $2,500. Fees are not reduced and not negotiable. Under the NJ
Rules of Professional Conduct and Court Rules, we cannot send a letter of
representation to the court until the Retainer is paid in full.

What you should do: In Traffic matters we recommend you contact DMV, now
Motor Vehicle Commission, and obtain a driver's license abstract.
888-486-3339 or 609-292-6500. This will help you when we go to court.
[Mun Ct Questionnaire non cl G3 rev 9/1604]

Write your notes on the back of this paper during your interview. Use the pen we gave you.

Meet with an experienced Attorney to handle your important legal needs.
Please call the office to schedule a confidential "in Office" consultation.
Attorneys are not permitted to provide legal advice by email.

       Kenneth Vercammen's Law office represents individuals charged with criminal, drug offenses, and serious traffic violations throughout New Jersey. Our office helps people with traffic/ municipal court tickets including drivers charged with Driving While Intoxicated, Refusal and Driving While Suspended.

       Kenneth Vercammen was the NJ State Bar Municipal Court Attorney of the Year and past president of the Middlesex County Municipal Prosecutor's Association.

       Criminal and Motor vehicle violations can cost you. You will have to pay fines in court or receive points on your drivers license. An accumulation of too many points, or certain moving violations may require you to pay expensive surcharges to the N.J. DMV [Division of Motor Vehicles] or have your license suspended. Don't give up! The Law Office of Kenneth Vercammen can provide experienced attorney representation for criminal motor vehicle violations.

       When your job or driver's license is in jeopardy or you are facing thousands of dollars in fines, DMV surcharges and car insurance increases, you need excellent legal representation. The least expensive attorney is not always the answer. Schedule an appointment if you need experienced legal representation in a traffic/municipal court matter.

       Our website www.njlaws.com provides information on traffic offenses we can be retained to represent people. Our website also provides details on jail terms for traffic violations and car insurance eligibility points. Car insurance companies increase rates or drop customers based on moving violations.

Contact the Law Office of
 Kenneth Vercammen & Associates, P.C.
 at 732-572-0500
for an appointment.

The Law Office cannot provide legal advice or answer legal questions over the phone or by email.  Please call the Law office and schedule a confidential "in office" consultation.

 

Disclaimer This web site is purely a public resource of general New Jersey information (intended, but not promised or guaranteed to be correct, complete, or up-to-date). It is not intended be a source of legal advice, do not rely on information at this site or others in place of the advice of competent counsel. The Law Office of Kenneth Vercammen complies with the New Jersey Rules of Professional Conduct. This web site is not sponsored or associated with any particular linked entity unless specifically stated.  The existence of any particular link is simply intended to imply potential interest to the reader, inclusion of a link should not be construed as an endorsement.

 

Last Revised March 5, 2008

İ 2008 Kenneth Vercammen & Associates, P.C.