New Client Intake Form

Follow the steps below and someone will contact you within 24 hours.

 
 
Full Name *
Full Name
Address *
Address
Phone *
Phone
Are you seeking legal services for yourself or someone else?
How did you find Burch & Associates?
Bond Posted? *
What did the police say you did at the time of arrest?
Date of Arrest *
Date of Arrest
Were there any witnesses? *