Gainesville Personal Injury, Divorce and Alimony Attorney

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Step 1 of 5 – FIRST STEP

First Name(Required)

Last Name(Required)

Street Address(Required)

City(Required)

State(Required)

Zip Code(Required)

Phone Number(Required)

Alternate Phone Number

Email(Required)

Enter Email Confirm Email

Drivers License Number

State Issued(Required)

CDL License?(Required)

(Commercial Drivers License)

Date of Birth(Required)

Referred By

Type of Citation(Required)

Is your citation due within the next 5 days?(Required)

How many tickets did you receive at this time?(Required)

Did you receive these tickets on the same day?(Required)

TICKET 1: Please enter the details of TICKET 1 and click “NEXT” to continue.

County(Required)

Citation Number(Required)

Date of Citation(Required)

Were you Involved in an accident?(Required)

(Shown as CRASH on your ticket)

Type of Citation?(Required)

Attach a copy of your ticket(Required)

Max. file size: 256 MB.

Can't Upload?

If you are unable to upload a copy of your ticket at this time, you can also try to attach a picture to a text message to 352-371-9141, if you cannot do either, please check this box and do not worry.

TICKET 2: Please enter the details of TICKET 2 and click “NEXT” to continue.

County(Required)

Citation Number(Required)

Date of Citation(Required)

Were you Involved in an accident?(Required)

(Shown as CRASH on your ticket)

Type of Citation?(Required)

Attach a copy of your ticket(Required)

Max. file size: 256 MB.

Can't Upload?

If you are unable to upload a copy of your ticket at this time, please check this box and do not worry.

You may fax it or email it to us or even drop it off in person within the next 2 business days.

TICKET 3: Please enter the details of TICKET 3 and click “NEXT” to continue.

County(Required)

Citation Number(Required)

Date of Citation(Required)

Were you Involved in an accident?(Required)

(Shown as CRASH on your ticket)

Type of Citation?(Required)

Attach a copy of your ticket(Required)

Max. file size: 256 MB.

Can't Upload?

If you are unable to upload a copy of your ticket at this time, please check this box and do not worry.

You may fax it or email it to us or even drop it off in person within the next 2 business days.

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