Ticket/Citation Information

Filling out this form DOES NOT create an attorney-client relationship and we ARE NOT your attorney simply because you have filled out and submitted this form.  Any agreement to represent you will be provided in writing from an attorney to you.

If your court date is less then 48 hours away, please contact us by phone at (504) 383-3246.

First Name: *
Last Name: *
Address Street 1: *
Address Street 2:
City: *
Zip Code: * (5 digits)
State: *
Daytime Phone: *
Evening Phone:
Email: *
Parish/City Issuing Citation: *
Ticket Number: *
Violation Description (speeding, wreckless driving, etc): *
Court Date On Ticket: *
  Under 21 years old
  Commercial Driver (CDL)
Driver's License Number: *

I understand that by submitting this information I am not entering into an attorney-client relationship with an attorney. I understand that providing this information does not mean a lawyer will be representing me in this traffic violation. I understand that submitting this information is simply to assist the law firm in understanding what my legal issue is. I understand that until I am contacted by a lawyerdiscuss my legal issue with the lawyer and the lawyer and I enter into an agreement to representation by the lawyer (which will be confirmed in writing), I do not have a lawyer that will appear on my behalf and actively work on my matter and that I have not established an attorney-client relationship.

I understand that I have not entered into an attorney client relationship by submitting this form (type name in the below field):

Confirmation of Submission: *
Security Code: *  

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Traffic Violation Submission
If you have received a traffic violation and would like to discuss it with us, please fill out the form below and one of our attorneys will contact you by email or phone to discuss your violations and potential options.

If your court date is less than 48 hours away, please contact us by phone at (504) 383-3246.