CLIENT INTERVIEW SHEET

 

1. Give card
2. Discuss atty-client privilege, advise client not to talk to anyone about case
3. Get release form signed
4. Explain purpose of the hearing
5. Explain what will happen in court
6. Verify information where possible

 

Family Data

 

Name: ___________________________________ Nickname: _____________________

 

Age: ___________     DOB: _______________   

 

SSN: ___________________  Parish of incident: _______ 

 

Years at Current Address: _____

 

Home Address:            ____________________________________________

 

                                    ____________________________________________

                                   

                                    ____________________________________________

 

Home Phone: __________________   Cell Phone/Pager:  ____________________

 

Lives with: ____________________________________________________________

 

Previous Addresses:

 

_________________________________                  ______________________________

 

_________________________________                  ______________________________

 

_________________________________                  ______________________________

 

Years at this address: _____________             Years at this address: ___________

 

Mother’s name: ____________________________________________

 

Father’s name: _____________________________________________

 

Other caretaker (name and relationship): _______________________________________

 

Mother’s address:                                                         Father’s address:

 

______________________________                        ______________________________

 

______________________________                        ______________________________

 

______________________________                        ______________________________

 

Phone #s: ______________________                        Phone #s: _____________________

 

Employer: _____________________                          Employer: _____________________

 

Work phone: ___________________                         Work phone: ___________________

 

Other relatives (including children, siblings and their ages):

 

________________________________________________________________________

 

________________________________________________________________________

 

________________________________________________________________________

 

________________________________________________________________________

 

________________________________________________________________________

 

 

Education

 

School: ________________________________________________  Grade: __________

 

Attendance: ______________________________  Grades repeated: ________________

 

Suspensions/Expulsions: ___________________________________________________

 

Special Ed.? ______________________     Tested? ___________________________

 

Prior Schools: ____________________________________________________________

 

School Activities: _________________________________________________________

 

Community/Religious Activities: ____________________________________________

 

_______________________________________________________________________

 

Other: __________________________________________________________________

 

Employment

 

Employer: ______________________________________________________________

 

Phone: _______________________               Permission to call? _______________

 

How long? ________________________       How often? _______________________

 

Previous employment: ____________________________________________________

 

Arrest

 

Co-respondents? _________________________________________________________

 

Searched? ______________________________________________________________

 

Statement? _____________________________________________________________

 

Drug use? ______________________________________________________________

 

What will the police/government say happened?

 

________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Potential Defense Theories

 

________________________________________________________________________

________________________________________________________________________

________________________________________________________________________________________________________________________________________________

 

Witnesses? ______________________________________________________________

 

________________________________________________________________________

 

Has Bond been set? _______   Amount __________ 

 

Probation?        Y  N    Month/Year: _______________

 

P.O.:________________________    County/State: _______________________

 

Parole?   Y  N  Month/Year: _______________

 

P.O.:________________________    County/State: _______________________

 

Prior Record

 

Date:                Charges:                                   Lawyer:                        Outcome:

 

_________      ______________________    ______________  ___________________

 

_________      ______________________    ______________  ___________________

 

_________      ______________________    ______________  ___________________

 

Other Potential Similar Transactions

 

______________________________________________________________________

 

______________________________________________________________________

 

______________________________________________________________________

 

 

Health Issues

 

Physical Problems: ________________________________________________________

 

Mental Health: ___________________________________________________________

 

Drugs/Alcohol: ___________________________________________________________

 

Pregnancy? _______________________  Drugs/Medications? _____________________

 

Immigration

 

Date of Arrival: _____________________      Status on Arrival: _____________________

 

Current Status/Pending proceedings or applications: _____________________________

 

________________________________________________________________________

 

Status of family members: __________________________________________________

 

_______________________________________________________________________

 

 

Notes

 

________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

________________________________________________________________________________________________________________________________________________

________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

________________________________________________________________________

 

**  RELEASE FORM SIGNED  **