Traffic Ticket Intake Form - Bailey & Galyen: Fill out & sign online

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Click ‘Get Form’ to open it in the editor.
Begin by filling out Section 1, which includes your personal information such as your name, birth date, and contact details. Ensure accuracy as this information is crucial for your case.
Indicate whether you have made a plea with the court or taken a defensive driving course in the past year by circling 'yes' or 'no' as applicable.
In the referral section, circle how you were referred to Bailey & Galyen. This helps the firm understand their outreach effectiveness.
Complete any additional questions regarding accidents, legal assistance needs, and benefits denials. Your responses will guide the firm's approach to your case.
Once Section 1 is complete, review Section 2 for law office personnel to fill out after payment processing. Ensure all required fields are addressed before submission.
Finally, sign and date the Traffic Citation Agreement at the bottom of the form to confirm your understanding of the terms outlined.

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2011	4 Satisfied (46 Votes)

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