Traffic Ticket Intake

WEN LEGAL REFERRAL INTAKE FORM

TRAFFIC TICKET INTAKE FORM

Ticket Information

Be specific. Detail the speed you were going and the speed limit. For example, state whether you were in a work or school zone.

Client Information

Emergency Contant – Who may we contact if we cannot get a hold of you?

Employment

Clear Signature

Culture Competence Advocacy & Mediation Program (cCAMP)

WEN’s legal referral services (LRS) WENLRS is under our Culture Competence Advocacy and Mediation Program (cCAMP), which is a culture based resource available to you to meaningfully manage your lawyer’s expectation and supports your lawyer, especially with culture competence based resources to handle your case. As a potential client, you are also provided with the choice of requesting this advocacy and mediation service when completing your intake form if you feel it will help you meet your lawyer’s expectations. It will also provide you the necessary peace of you mind you need to ensure the lawyer is taking certain cultural information into consideration to address your case. We find that this has been a tremondous help in the past, especially for clients of strong ethnic convictions. If you will like to use this service, please sign below. Otherwise,