Juvenile Criminal Law Registration Form

Do you need assistance with a juvenile criminal case? We would like to invite you for a free intake interview to see how we can help you.

You may have been referred to this intake form by our office, or you may have found it yourself. By completing the form below, we can make a good assessment of whether we can assist you and whether an intake interview at our office would be meaningful. If the interview is already scheduled, our lawyers can prepare well for the intake interview with the information you provide. Naturally, we treat the information you provide confidentially. Thank you in advance for completing the form!

Registration Form

Personel data

Gender

First names

Last name

Date of birth

Citizen service number (BSN)

Street

Number

Postal code

Residence

Phone number

E-mail address

Criminal act

Date of offence

Parquet number

Hearing date

Brief description of criminal offence

Agree to terms and conditions and privacy and cookie statement before sending.

After completing this form, your request will be sent to our office. This does not mean that your case has already been taken on by one of our lawyers. As long as you have not yet received and signed an order confirmation, you are responsible for responding in a timely manner to any (appeal) deadlines. I understand this.

Noordanus AdvocatuurJuvenile Criminal Law Registration Form