Likely Penalty Enquiry Form
It is likely that this form will only take you a few minutes to complete.
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 Contact Details |
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| Name: |
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| Contact Number: |
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| Email Address: |
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 Personal Details |
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| Age: |
*
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| Sex: | Male:
Female:
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| No. of children: |
*
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| Occupation: |
*
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How would you describe your criminal record?
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Is a criminal conviction likely to effect
your employment either now or in the future |
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 Circumstances Of The Offence |
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What offence have you been charged with?
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A breif description of what the police say you did?
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| What court do you have to attend? | |
| What date you have to attend? |
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| Ability to pay a fine |
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| How much do you earn each week after tax? | |
| Do you? | Pay Rent:
Pay board:
Have a mortgage:
Own your own home:
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How much is your board / rent / mortgage repayments
per week? | |
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| Any other relevant details |
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Would you like a quote for legal representation?
| Yes
No
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