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4720 N. Blvd, Baton Rouge, LA 70807
jagusacm@gmail.com

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+1 225 934 0905

Home
About Us
Court-Ordered Classes
Judicial Assistance Form
Contact

Home
About Us
Court-Ordered Classes
Judicial Assistance Form
Contact

Judicial Assistance Form

Details of Client

First Name

Last Name

Email

Phone No

Referrer Details

First Name

Last Name

Email

Phone No

Profession

Comment Section

Details of Client

First Name

Last Name

Email

Phone No

Referrer Details

First Name

Last Name

Email

Phone No

Profession

Comment Section

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Contact

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Head Office : 4720 N. Blvd, Baton Rouge, LA 70807
Email : jagusacm@gmail.com
Phone : +1 225 934 0905

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Full Name

Date of Birth

Address

Contact Number

Email Address

What type of legal case you have?

What were you charged with?

Have you consulted with or are you currently represented by an attorney?

Do you have access to a destop or laptop with a camera?

Would like to get your record expunged from your record?

Are you open to free legal consultation to discuss your case with a criminal defense attorney ASAP?

What type of class were court-mandated to take?

Theft-Prevention Anger Management Substance Abuse Domestic Violence Effective Decision Making Defensive Driving Effective Parenting Mental Health Management A.A (Alcoholics Anonymous) Anti-Theft Life Skills Other

What type of Legal Assistance are you seeking?

JAG Class Court Mandated Legal Representation Mental Health Job Opportunities Education or Trade Opportunities Other: __________________