Criminal Defense Intake Form Template
A free criminal defense intake form for defense attorneys. Callers share the charge, court date and custody status, and lead mode shows who to call first.
Customize the pages and design to fit your needs.
About this template
Ask every new inquiry about the charge, where the case is, the next court date and whether the person is in custody, with an upload for the citation or charging papers. Lead mode marks cases with a court date soon as hot leads and flags people who already have a private lawyer.
Common uses
- Criminal defense firms
- DUI and drug charge inquiries
- Calls from family members
Key features
- Charge, court date and custody
- Citation uploads
- Hot leads for court dates within 30 days
What this template asks
What's your full name?
Short Text
What's your email address?
Email
What's your phone number?
Phone
Who needs help?
Single Choice · Me, A family member, A friend
If it's not you, what's the name of the person charged?
Short Text · Optional
What kind of charge is it?
Single Choice · DUI or DWI, Drug charge, Assault or violent crime, Theft or property crime, Domestic violence, Traffic or license, White collar or fraud, Something else
Is it a felony or a misdemeanor?
Single Choice · Felony, Misdemeanor, Not sure
Which county and state is the case in?
Short Text
When is the next court date?
Single Choice · Within 7 days, Within 30 days, More than 30 days away, No court date yet
Is the person in custody right now?
Yes / No
Do you have a lawyer for this case?
Single Choice · No, A public defender, Yes, a private lawyer
Briefly describe what happened
Long Text
Upload the citation or charging papers
File · Optional
When is the best time to call you?
Single Choice · Morning, Afternoon, Evening
How to use this template
Copy it
Select Use template and a copy opens in your workspace as an unpublished draft.
Make it yours
Edit any question or answer, choose a theme, and add your logo.
Share it
Publish, then send the link, show a QR code, or embed the form on your site. Responses arrive in Submissions.
Frequently asked questions
What should a criminal defense intake form include?
The charge, whether it is a felony or misdemeanor, where the case is, the next court date, custody status and current representation. Leave the full story for the first call.
Can family members fill this in?
Yes. The form asks who needs help and the name of the person charged, so a parent or partner can reach out for someone in custody.
How does lead mode rank defense cases?
Cases with a court date in the next 30 days or a person in custody come through as hot leads. People who already have a private lawyer are marked not a fit.