Kenneth Vercammen & Associates
Edison, NJ 08817
732-572-0500
Toll Free 1-877-NJLaws1
68 So. Main St,
Cranbury, NJ 08512
By Appointment Only
800-655-2977
NJ Municipal Court and Criminal Interview sheet
PLEASE PRINT OUT SHEET, FILL OUT ALL PAGES OF OUR CONFIDENTIAL INTERVIEW
FORM AND Fax [not email] to
KENNETH VERCAMMEN & ASSOCIATES, PC
ATTORNEY AT LAW
2053 Woodbridge Ave.
EDISON, NJ 08817
732-572-0500
fax 732-572-0030
PLEASE PRINT
NAME _______________________________________________
ADDRESS _____________________________________________
CITY _______________________ STATE ____
ZIP ______________
PHONE-DAY (____)_____________
DAY/CELL (____)_____________
NIGHT(____)________________
TODAY'S DATE ____/_____/_____
E-MAIL ________________________
Referred By: ___________________________________
CHARGES/TICKETS ISSUED [provide tickets, hearing notice and other important
papers to front desk to be copied]
1. _________________________________________________
2. _________________________________________________
3. _________________________________________________
4. _________________________________________________
IMPORTANT INFORMATION
Date of Offense: ____________ Time: __________(A.M./P.M.)
Your Age _________
Town: ___________________________
(street/location)?____________________
What Happened: ________________________________________________
______________________________________________________
______________________________________________________
______________________________________________________
Other Persons Arrested or Witnesses:
______________________ ____________________________
co-defendant/ Witness Name Their
Address
Phone No.
______________ ______________________________________
Name
Address
Phone No.
What statements did you give to the police?
______________________________________________________
______________________________________________________
Occupation: _____________ Employer: _______________
Town: ________
Do you need your drivers license for work? ____
Distance driven to work: ____
Prior criminal convictions (include description of each charge, date of
conviction, and place of conviction):
______________________________________________________
______________________________________________________
______________________________________________________
Prior motor vehicle convictions, town and year(ex: drunk driving, no
insurance, driving while suspended, etc.):
____________________________________
______________________________________________________
______________________________________________________
______________________________________________________
Prior Traffic ticket downgrades to no point tickets since 1999 [39:4-97.2]:
1. Town _______________________ Year ___________
2. Town _______________________ Year ___________
[Please note the traffic law only permits 2 "no point" downgrades in 5
years.]
What questions do you have/ how can we help you and anything else important:
________________________________________________
______________________________________________________
___________________________________________________ New clients: Would you
like a Free Cup __, Visor ___, Pen, __ Foam can holder ___, Comb __,
Calendar __, Magnet __.
All new clients are entitled to receive our Free Email
Newsletter
featuring updates in Traffic Law, Criminal and Personal Injury. Thank you.
The Law Office of Kenneth Vercammen can provide experienced attorney representation for criminal and motor vehicle violations. When your job or driver's license is in jeopardy or you are facing thousands of dollars in fines, DMV/MVC surcharges and car insurance increases, you need excellent legal representation. The least expensive attorney is not always the answer. Schedule a free in-office consultation if you need experienced legal representation in a traffic/municipal court matter.
Our website www.njlaws.com provides information on traffic offenses we can be retained to represent people. Our website also provides details on jail terms for traffic violations and car insurance eligibility points. Car insurance companies increase rates or drop customers based on moving violations. Call the Law Office of Kenneth Vercammen at 732-572-0500 to schedule a free in-office consultation to hire a trial attorney for Criminal/ DWI/ Municipal Court Traffic/ Drug offenses.
Celebrating 20+ years of providing excellent service to clients since 1985. We handle trials to win! 2nd degree black belt, trialthlete and member of state champion masters racing team. Always competitive!
Kenneth Vercammen & Associates, P.C.
at 732-572-0500
for an appointment