Traffic Court Interview Form

Click here to download this Form as a word file.

PLEASE FILL OUT BOTH PAGES OF OUR CONFIDENTIAL INTERVIEW FORM AND RETURN TO
FRONT DESK

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. YOU MUST FILL OUT BOTH
PAGES PRIOR TO SEEING THE ATTORNEY. Kenneth Vercammen, Esq. Confidential
interview form page 2
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. Please help
yourself to all brochures in the reception area. If you have a business
card, please attach it to the clipboard. All paid clients receive a T-shirt
upon request. This page must be filled out before meeting with the
attorney. Thank you. 1. Legal Services To Be Provided- Please
read!
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.




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Telephone Consultation Program
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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 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.