Traffic Intake Form

Law Offices of Herman & Bernardo
250 Fulton Ave, Suite ME1
Hempstead, NY 11550
Phone: (516) 481-1220 Fax: (516) 481-1559

Click here to check your immigration case status

Traffic Intake Form

Please fill out and submit the form below so we can assist you with your case as soon as possible.
You will be contacted by our office within 24 business days.

Required *

First Name (*) *

Please Fill in your First Name

Last Name

Email Address (*) *

Phone Number

Fill in the following information that pertains to the traffic ticket you received.

Date of Traffic infraction

Which court are you directed to appear in?

When is your scheduled court date?

Please list the traffic infraction(s) noted on your ticket.

The following information is private and will be electronically submitted directly to Stephen C. Herman Esq.

Translate this Website

Criminal & Traffic Services Menu

Law Office of Herman & Bernardo

Call (516) 481-1220

250 Fulton Ave. Suite ME1
Hempstead, NY 11550

Sunday, May 20, 2012