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New Jersey Municipal Court and Criminal Interview Form

10/26/11 10:53 AM

Kenneth Vercammen & Associates A Law Office with Experienced Attorneys for Your New Jersey Legal Needs 2053 Woodbridge Ave. Princeton Area Edison NJ 08817 68 South Main St. 732-572-0500 Cranbury, NJ 08512 1-800-655-2977 By Appointment Only Personal Injury and Criminal Toll Free 800-655-2977 on Weekends 732-261-4005

New Jersey Municipal Court and Criminal Interview Form Click here to download this Form as a Microsoft Word file.


Click here to download this Form as a Text 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 ____________________________________________________

Cell Phone:

E-Mail Address

If You Do Not Include a Complete E-Mail Address, Verizon will not Forward Your Contact Form to the Law Office. Details of the Case


ADDRESS _________________________________________________ CITY _______________________ STATE ____ ZIP ______________

By typing " agree" into the box you are confirming that you wish to send your information to the Law Office of Kenneth Vercammen

CELL #(_____)_________________ PHONE-DAY(____)________________ NIGHT (______)_________________ TODAYS DATE ____/_____/_____ E-MAIL ________________________ Referred By: __________________________________ If referred by a person, is this a client or attorney?

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CHARGES/TICKETS ISSUED [provide tickets, hearing notice and other important papers to front desk to be copied] 1. ____________________________________________________ 2. ____________________________________________________

Kenneth Vercammen was the Middlesex County Bar Municipal Court Attorney of the Year

3. ____________________________________________________ 4. ____________________________________________________ IMPORTANT INFORMATION Date of Offense: __________________ Time: _____ (A.M./P.M.) Your Age _____ Town: ___________________________ (street/location)?________________________

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New Jersey Municipal Court and Criminal Interview Form

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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 ___________

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New Jersey Municipal Court and Criminal Interview Form

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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. Thank you for contacting Kenneth Vercammen & Associates, PC for representation in a Municipal Court matter. Legal Services To Be Provided- Please read! 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 and Representation in Municipal Court. 15. Preparation of End of Case Letter with client questionnaire. 16. Free Brochures provided on other legal topics such as Personal Injury, Workers Comp, Wills, Probate and other matter we help clients 17. Free subscription to monthly e-mail newsletter providing legal updates and Invitations to client socials 19. Answer specific questions after the case is over 18. Free T-shirts, Can Koozie, Water bottle for clients - Please ask. 20 Free Magnets, USA Keychains, USA Flag Calendar 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. Legal Fees. Fees are to be paid at initial consultation (today). 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 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: After you have retained [paid] your attorney, call the court, plead not guilty. In

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New Jersey Municipal Court and Criminal Interview Form

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What you should do: After you have retained [paid] your attorney, call the court, plead not guilty. In traffic tickets, the phone number is on the back of the ticket. Judges will often ask you how many tickets you have had in the past 5 years. You want to be accurate with your response. In traffic matters we recommend you contact DMV, now Motor Vehicle Commission and obtain a drivers license abstract. Call 888-486-3339 or 609-292-6500. Please note the DMV/MVC only permits 2 "no point" downgrades in 5 years. If you have 2 downgrades to unsafe driving 39:4-97.2, you must wait 5 years for another downgrade to unsafe driving 39:4-97.2. If you do not wait 5 years, the MVC computer will impose 4 points against you. Write your notes on the back of this paper during your interview [Mun Ct Questionnaire-rev 5/7/08 Non cl- G3]

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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 Vercammens 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 Prosecutors 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. Dont give up! The Law Office of Kenneth Vercammen can provide experienced attorney representation for criminal motor vehicle violations. When your job or drivers 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 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.

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New Jersey Municipal Court and Criminal Interview Form

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D Diissccllaaiim meerr 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-todate). 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. 2011 Kenneth Vercammen & Associates, P.C.

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New Jersey Municipal Court and Criminal Interview Form