Consultation Form

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HOME
CRIMINAL CASE
DUI CASE
TRAFFIC CASE
EXPUNGEMENT
COURTHOUSE

HOME
CRIMINAL CASE
DUI CASE
TRAFFIC CASE
EXPUNGEMENT
COURTHOUSE

Menu

HOME
CRIMINAL CASE
DUI CASE
TRAFFIC CASE
EXPUNGEMENT
COURTHOUSE

• Law Offices of Shaffer Cormell •

SOUTHWEST LEGAL

Consultation Form

Please Fill Up the Form below.
This will help us in Defending your Case.

Name

Best Call Back Number

Email

Do you have a CDL

Yes No

Date of Arrest

Reason for Arrest

Arrest Location

Court Appearance

Was your License Taken

Yes No

Agency Involved

Any witnesses?

Did the officer have body cam?

Yes No

Do you have previous arrest?

Yes No

Do you have other convictions?

Can you send us a copy of your Driver's License, DUI Arrest Document and/or Traffic Ticket via email?

Yes No

Our email address is office@southwestlegal.com

OUR OFFICES

1130 W Hobsonway, Blythe, CA 92225, USA
+1 737 344 4848
scormell@gmail.com

499-327 N Palm Canyon Dr, Palm Springs, CA 92262
+1 737 344 4848
scormell@gmail.com

3111 E Tahquitz Canyon Way, Palm Springs, CA 92262, United States
+1 737 344 4848
scormell@gmail.com

8408 Sierra Ave, Fontana, CA 92335
+1 737 344 4848
scormell@gmail.com

422 E Ramsey St, Banning, CA 92220
+1 737 344 4848
scormell@gmail.com

74710 CA-111 Ste 102, Palm Desert, CA 92260
+1 737 344 4848
scormell@gmail.com

255 North D Street suite 401-h, San Bernardino, CA 92401
+1 737 344 4848
scormell@gmail.com

45-902 Oasis St Suite D-1, Indio, CA 92201
+1 737 344 4848
scormell@gmail.com

9431 Haven Avenue, Suite 100, Rancho Cucamonga, CA 91730
+1 737 344 4848
scormell@gmail.com

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