Criminal Complaint Intake Form

Welcome to our Criminal Complaint Intake Form page

Please carefully read the questions below and provide answers that best describe your situation for the purpose of filing a criminal complaint.

Providing incorrect or incomplete answers may lead to misunderstandings regarding your case and could affect the legal strategy or services we are able to offer.

Therefore, we kindly ask that you review each question thoroughly and provide accurate and detailed responses.

Please note that all information collected through this form is used solely for the purpose of evaluating and preparing a criminal complaint and related legal services. All responses will be kept strictly confidential.

Blank Form (#16)

First Name

Last Name

Phone/Mobile

Are you the direct victim of this incident, or are you completing this form as a third party (e.g., family member, acquaintance, or representative of the victim)?

Please specify your relationship to the victim

Please select the category that best describes your case:

What criminal offense(s) do you believe have been committed?

When and where did the incident occur?

Please describe the facts of the incident in as much detail as possible.

Did you know the alleged offender before this incident?

Please provide the alleged offender’s name and any known identifying information(contact details, occupation, etc.).

What is the alleged offender’s nationality?

What is the alleged offender’s current location or residence, if known?

What is the victim’s nationality?

What is the victim’s current residence?

Have you already filed a criminal complaint with the police or another investigative authority?

If yes, please provide the name of the police station (or authority), case number, and the name and contact information of the assigned investigator.

(For property crimes) What is the total amount of financial loss? Please provide the specific amount and how it was calculated.

Do you have objective evidence to prove the alleged offender’s criminal conduct? (e.g., recordings, messages, emails, CCTV footage, bank transaction records, medical reports, etc.)

If yes, please describe the substance of each piece of evidence and explain what specific fact it is intended to prove.

Do you have objective evidence to prove your damages (financial, physical, or emotional)?

If yes, please describe the substance of each piece of evidence and explain what specific fact it is intended to prove.

Are you also considering filing a civil claim for damages in addition to the criminal complaint?

What is your primary objective in pursuing this matter?

If you prioritize compensation for your damages, would you be willing to reach a settlement with the offender upon receiving appropriate restitution?

What specific assistance would you like from our firm regarding this matter?