Sample Interview Form for Use with a Client Accused of Crime
The interview form which follows may be useful to you in conducting the initial interview of the client. Counsel can fill in the blanks with appropriate information as it is obtained from the interviewee. Such a form can be useful in providing organization to the interview. A uniform approach to information gathering assists everyone in the office who may work on the file in finding and recording data with more ease and clarity than is true with interview information that is recorded in an ad hoc manner. Use this form as a guide to create your own with the relevant information in the same order as used in reports and files of your local police and prosecutor's office.
CONFIDENTIAL
DO NOT DISCLOSE
CLIENT INTERVIEW SHEET
Interviewer ___________________
Today's Date ________________________________________________
Client Name As Charged
___________________________________________________________________
Charge(s)
(1) _____________________________________________________________________________

(2) _____________________________________________________________________________

(3) _____________________________________________________________________________

(4) _____________________________________________________________________________
Date of Offense _______________________________________________________________________________
Preliminary Hearing (TX: Examining Trial) _________________________________________________________
Indictment/Information _________________________________________________________________________
Court Number ________________________________________________________________________________
Judge or Courtroom ___________________________________________________________________________
Client's Present Location ______________________________________________________________________
TELL JAILED CLIENT: (1) Don't discuss your case with anyone except your lawyer or the student-attorney, (2) sign nothing and waive no rights, (3) decline to participate in any lineup without your lawyer being present - but if the police persist in conducting the lineup, you should cooperate fully with them and not do anything in the lineup to call attention to yourself, (4) try to present as good an appearance as possible in future court appearances.
Approximate Date


Referred to
Employment Began _______________________________ Office By: ______________________________
FACTS OF CASE - Client's Version
Client's Description of Facts: ___________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
CLIENT WRITE OUT: If appropriate, tell client to write out in his own words exactly what happened to cause him to be arrested in this case and return this to the lawyer's office. The lawyer can give the client the following instructions.
On a separate sheet or sheets of paper, write out in your own words exactly what happened to cause you to be arrested in this case. Tell everything. It would be helpful to me if you would draw diagrams or attach photographs of places that are involved. If you know anything about the people that are involved or might be called to testify as witnesses, tell about that.
Tell what they might know and what their names and addresses are. Attach photos of them if you have any.
After you have written everything out, go back over it and add anything you left out. Then put this explanation in the stamped, self-addressed envelope my secretary will give you and send it back to me. (Let client tell everything he knows about present charges in chronological order.)
PRIOR ATTORNEYS
Prior Attorneys in Present Case _________________________________________________________________
Prior Attorneys in Previous Cases _______________________________________________________________
CURRENT BAIL/CUSTODY
[ ] Currently confined


[ ] Currently on bond
Location _________________________________
Type/Cost ____________________________
Date placed in custody _____________________
Date ________________________________
Date released _____________________________
Bondsman _______________________________________
Amount ________________________________
Bond Posted by ______________________________________________________________________________
PERSONAL DATA - CLIENT
True Name__________________________________________________________________________________
Aliases (AKA--known by any other names )________________________________________________________
____________________________________________________________________________________________
Age ______________ Birthplace ________________________________ Birthdate ________________________
Height:
______ Ft.
______ In.
Weight:
______ Lbs.
Race:
[ ] White
[ ] Black
[ ] Hispanic
[ ] Asian
[ ] Other
Driver's License Number _______________________________________________________________________
Social Security Number ________________________________________________________________________
Home Address _______________________________________________________________________________
Home Phone _________________________________________________________________________________
Lived There Since _____________________________________________________________________________
Alternate Address or Method of Contact ___________________________________________________________
Alternate Phone ______________________________________________________________________________
EMPLOYMENT
Occupation __________________________________________________________________________________
Employer ____________________ Address ________________________________ [ ] Don't Contact
Work Phone _______________________ How long employed? _______________________________________
Supervisor's Name and Phone ___________________________________________________________________
Present Take Home Salary _______________________ Month _________ Week ________ Hour _________
List all Prior Employers ______________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
Ability and Willingness to Make Restitution _______________________________________________________
Belong to Organizations or Clubs ________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
Skills _______________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
FAMILY AND COMMUNITY TIES
Marital Status:
[ ] Married [ ] Single [ ] Divorced [ ] Separated [ ] Widowed
SPOUSE (if living)

CHILDREN
Name __________________________________ Names ____________________________________________
Address ________________________________ Ages ______________________________________________
Phone _________________________________ Do you pay child/spousal support?______________________
(If yes, how much for whom?) __________________________________




_________________________________________________
FATHER (if living)


MOTHER (if living)
Name ______________________________
Name ____________________________________
Address ____________________________ Address __________________________________
City ________________________________ City _____________________________________
Nationality __________________________
Nationality ________________________________
Age ______ Illness ___________________
Age ______ Illness _________________________
Occupation _________________________
Occupation _______________________________
Home Phone ________________________
Home Phone _____________________________
Work Phone _________________________
Work Phone _____________________________
Employer ___________________________
Employer ________________________________
How long? ___________________________
How long? _______________________________
Who raised you?_____________________________________________________________________________
____________________________________________________________________________________________
Were your parents separated during your childhood? ________________________________________________
____________________________________________________________________________________________
BROTHERS/SISTERS
Name
Age Address & Phone
Occupation
____________________________________________________________________________________________


____________________________________________________________________________________________


____________________________________________________________________________________________


____________________________________________________________________________________________
EDUCATION
High School (GED)____________________________________________________________________________
Last grade completed ___________ Graduated ____________ GED _______________
Technical School or College Name _______________ Completed _____ Degree _______
Special Training ______________________________________________________________________________
Favorite Teachers____________________________________________________________________________


(Name, Course Taught, Grade Received)
____________________________________________________________________________________________
____________________________________________________________________________________________
RELIGIOUS BACKGROUND
Church _____________________________ Name __________________________________________________






(Priest, Rabbi, Minister)
Currently Active _____________________ Previously Active __________________________________________
MILITARY SERVICE Yes _____ No _____ Former ________________ Current _________________
If Yes, What branch? _______________________ Service Number _____________________________________
Time in Service ________ Type of Discharge: Honorable ________ Other ______________________________
Honors/Medals________________________________________________________________________________
Combat Duty ____________________________ Time and Place Overseas______________________________
____________________________________________________________________________________________
POSSIBLE CHARACTER WITNESSES, e.g., close friends/relatives/landlord/ employer/probation officer. Include the names of four people who will be willing to come to court and testify that you are a good and honest person.
Name ______________________________
Name ____________________________
Address ____________________________
Address __________________________
City ________________ Ph ____________
City ______________ Ph _____________
Occupation _________________________
Occupation _________________________
Age ________________________________
Age ______________________________
How known? ________________________
How known? ________________________
___________________________________
___________________________________
PRIOR CRIMINAL RECORD (Arrests, convictions, probation, parole). Explain to the client that the prosecution will have access to FBI and DPS records and that if we are surprised, it may have a bad effect on the outcome of the case.
Charge
Date
Convicted
Court Sentence
Location
Prior Violence_______________________________________________________________________________
Ever the Victim of a Violent Crime?______________________________________________________________
___________________________________________________________________________________________
PROBATION/PAROLE: Are you presently on probation or parole? Yes____ No____
If yes, where _______________________________________________________________________________
Probation/Parole Officer _______________________________________________________________________
Conditions of Probation ________________________________________________________________________
____________________________________________________________________________________________
OUTSTANDING WARRANTS (Traffic or other)
____________________________________________________________________________________________
____________________________________________________________________________________________
MEDICAL BACKGROUND
Are you taking any medication under prescription?___________________________________________________
If yes, name of doctor, what type and frequency? ____________________________________________________
_____________________________________________________________________________________________
Present and Permanent Injuries/Disabilities. (Look for bruises on portions of body that might confirm allegations of police mistreatment.)
_____________________________________________________________________________________________
_____________________________________________________________________________________________
Present Physical Illnesses_______________________________________________________________________
Current Medical Care___________________________________________________________________________
Doctor's Name________________________________________________________________________________
Address _______________________________________________ Phone _________________________
Ever been unconscious (when, where, how, who treated you)? _________________________________________
_____________________________________________________________________________________________
Serious Physical Injuries (and all head injuries):
Type _________________ Type ____________________ Type __________________
Cause ________________ Cause___________________ Cause _________________
Date ________________ Date __________________ Date _________________
If you were hospitalized for injuries, give hospital name, address, city and dates of hospitalization.
_____________________________________________________________________________________________
_____________________________________________________________________________________________
Vision ___________________________ Doctor ________________________________________
(corrective lenses)


(Optometrist)
Do you use other drugs or pills? (Look for needle tracks or other signs.)
____________________________________________________________________________________________
Type ________________________________________________________________________________________
Present Frequency of Use ______________________________________________________________________
Do you use alcohol? Yes _______ No ________ of Use_____________________________________________
If heavy drinker, since (date)_____________________________________________________________________
Are you currently in a treatment program?__________________________________________________________
Type ______________________________ Where __________________________________________________
Have you ever been in a mental hospital or institution. (Give hospital or institution name and address, also give date(s) of stay(s)?)
_____________________________________________________________________________________________
Have you ever undergone psychiatric counseling or treatment? (Give name and address of psychiatrist as well as date (s) of treatment.)
_____________________________________________________________________________________________
Have you ever undergone psychiatric or psychological evaluation? (Give circumstances, dates, names and addresses of evaluators.)
_____________________________________________________________________________________________
BAIL INFORMATION
Bond you could make _________________________________________________________________________
Bond amount others could make (list name, phone, amount) __________________________________________
____________________________________________________________________________________________
WITNESSES
Witnesses to the events on which the charge is based (including the complainant and persons who may be prosecution witnesses; for each get name, correct spelling, aliases, nicknames.) (Please indicate if immediate contact is advised for any reason.)
Name _________________________________________________ Phone ____________________________
Address _______________________________________ City_____________________________ State________
Other information that will help in locating witness, i.e., where he works, hangs out, if on relief, where he picks up check
_____________________________________________________________________________________________
What witness knows ___________________________________________________________________________
_____________________________________________________________________________________________
Name _________________________________________________ Phone ____________________________
Address _______________________________________ City _______________________ State ___________
Other information that will help in locating witness, i.e., where he works, hangs out, if on relief, where he picks up check
_____________________________________________________________________________________________
What witness knows ___________________________________________________________________________
_____________________________________________________________________________________________
Name _________________________________________________ Phone ___________________________
Address _______________________________________ City ______________________ State ______________
Other information that will help in locating witness, i.e., where he works, hangs out, if on relief, where he picks up check
_____________________________________________________________________________________________
What witness knows ___________________________________________________________________________
CO-DEFENDANTS
Are there any co-defendants? ____________________________________________________________________
Name______________________________________________________ Phone __________________________
Address __________________________________________________ City __________________ State _____
Name ____________________________________________________ Phone __________________________
Address __________________________________________________ City __________________ State _____
Do the co-defendants have attorneys?_____________________________________________________________
Name _______________________________________________________ Phone __________________________
Address __________________________________________________ City __________________ State _____
Name________________________________________________________ Phone _________________________
Address___________________________________________________ City __________________ State_____
ARREST
Date and Time of Arrest ________________________________________________________________________
Exact Location of Arrest ________________________________________________________________________
_____________________________________________________________________________________________
Who was with client when he was arrested? Were companions arrested? Get information as for witnesses, supra.
_____________________________________________________________________________________________
_____________________________________________________________________________________________
Was client drunk at time of arrest or had he taken alcohol recently? ____________________________________
_____________________________________________________________________________________________
Was client under the influence of narcotics, or had he taken narcotics recently?
______________________________________________________________________________________________
Was client roughly handled or struck during arrest or thereafter? (Describe injuries.)
______________________________________________________________________________________________
______________________________________________________________________________________________
Names of Arresting Officers ______________________________________________________________________
_____________________________________________________________________________________________
Did they have an arrest warrant? __________________________________________________________________
What did they say the charge was? ________________________________________________________________
What questions did they ask the client? ____________________________________________________________
_____________________________________________________________________________________________
What did the client tell them?_____________________________________________________________________
_____________________________________________________________________________________________
Did police at the time of the arrest or any other time, take property from the client's person, home, place of work, automobile, place where the client was, home or place of any other person?
______________________________________________________________________________________________
Kind of Property, e.g., clothing, weapon, drugs, writing, etc.
______________________________________________________________________________________________
______________________________________________________________________________________________
Did police have a search warrant? _________________________________________________________________
Describe circumstances under which property was taken. _____________________________________________
_____________________________________________________________________________________________
For all persons present at place of arrest, get information as for witnesses, supra
_____________________________________________________________________________________________
_____________________________________________________________________________________________
AFTER ARREST
Give every location to which client was taken by police ._______________________________________________
Exact time of confinement in each place. ___________________________________________________________
_____________________________________________________________________________________________
Officers present in each place: names, ranks, descriptions of each officer significantly involved in the investigation
______________________________________________________________________________________________
______________________________________________________________________________________________
INTERROGATION
Where did it take place? _________________________________________________________________________
When and how long? ____________________________________________________________________________
Interrogating Officers ____________________________________________________________________________
Other Persons Present __________________________________________________________________________
Was a lie detector test administered? ______________________________________________________________
What specific questions did the officers ask (this is often a good means of learning something about the prosecution's case)?
______________________________________________________________________________________________
______________________________________________________________________________________________
Did the police confront the client with any evidence against him?
______________________________________________________________________________________________
Did the police tell the client that any person had incriminated him, or that any co-defendant had confessed?
______________________________________________________________________________________________
Did any co-defendant confess or incriminate the defendant in his presence?
_____________________________________________________________________________________________
Did client tell the police anything? _________________________________________________________________
What, in detail? ________________________________________________________________________________
______________________________________________________________________________________________
Did client make a written statement? _______________________________________________________________
Was his oral statement taken down? _______________________________________________________________
Did client sign anything? _________________________________________________________________________
Were there any recording devices present? __________________________________________________________
Other circumstances occurring at the time of the client's statement, in detail ______________________________
______________________________________________________________________________________________
______________________________________________________________________________________________
Was the client previously warned: _________________________________________________________________
That he had the right to remain silent: ______________________________________________________________
That anything he said could be used against him _____________________________________________________
That client had a right to a lawyer before making a statement ___________________________________________
That if he could not afford a lawyer, one would be appointed him before making any statement
______________________________________________________________________________________________
What did client say to these warnings? _____________________________________________________________
EXAMINATIONS, TESTS, INSPECTIONS
Was client given any physical examination? _________________________________________________________
Was a blood or urine sample taken? _______________________________________________________________
Was hair taken or combed? ______________________________________________________________________
Was a narcotics or alcohol test administered, or body inspection of any sort made?
_____________________________________________________________________________________________
Was the client examined by a doctor or psychiatrist?__________________________________________________
Where?____________________________________________ When?______________________________
Describe the Examination, Test or inspection ________________________________________________________
______________________________________________________________________________________________
______________________________________________________________________________________________
Persons Present _______________________________________________________________________________
Did anyone say anything about the examination, test or inspection results?
______________________________________________________________________________________________
Was permission asked of the client to make the examination, test or inspection? __________________________
Was he told he had the right to refuse or to have an attorney present? ___________________________________
EYEWITNESS IDENTIFICATION
Was the client exhibited in a lineup or brought before any person under any circumstances for identification?
_____________________________________________________________________________________________
Where? ______________________________________________ When? ___________________________
Describe the situation. __________________________________________________________________________
________________________________________________________________________
All persons present (including police, number of identifying witnesses, number of other persons in lineup, and their age, sex, race, dress, co-defendants, etc.
_____________________________________________________________________________________________
_____________________________________________________________________________________________
What did the police say to the identifying witness?____________________________________________________
______________________________________________________________________________________________
What did the identifying witness say? ______________________________________________________________
______________________________________________________________________________________________
Was the client asked to say anything? _____________________________________________________________
_____________________________________________________________________________________________
Was the client asked for permission to place him in the lineup or to be exhibited for identification purposes?_____________________________________________________________________________________
Was he told that he had a right to refuse or to have an attorney present? _________________________________
_____________________________________________________________________________________________
Was he asked to do anything (move, walk around, speak)?_____________________________________________
Was he told he had a right not to do these things?____________________________________________________
What did he say or do? __________________________________________________________________________
Was the client asked to re-enact anything (same sub-questions as for lineup)?_____________________________
PRIOR JUDICIAL PROCEEDINGS
Has client appeared in Court? _______________ When? _____________________________________________
What Court? __________________________________________________________________________________
Nature of Proceedings __________________________________________________________________________
Who was present (names or descriptions of Judge, prosecutor, police)?
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
Were charges read or shown to the client?__________________________________________________________
Was the defendant asked to plead?________________________________________________________________
Who testified? _________________________________________________________________________________
What did they testify? ___________________________________________________________________________
______________________________________________________________________________________________
Did the client testify? ____________________________________________________________________________
What did he testify?_____________________________________________________________________________
______________________________________________________________________________________________
Was he represented by a lawyer? (Include name or description of lawyer, and circumstances of representation.)
______________________________________________________________________________________________
What else happened? ___________________________________________________________________________
______________________________________________________________________________________________
MEMO TO FILE:
This client has promised to send us the following information:
______________________________________________________________________________________________
______________________________________________________________________________________________
The following things need to be done in connection with this file:
___ Appearance letter needed to __________________________________________________________________
___ Photographs of _____________________________________________________________________________
___Statements from the following witnesses:
Name
Address
Phone
Facts Needed
______________________________________________________________________________________________
______________________________________________________________________________________________
______________________________________________________________________________________________
______________________________________________________________________________________________
______________________________________________________________________________________________
IMMIGRATION STATUS (See Sidebar)
☐ U.S. Citizen

☐ Resident Alien
☐ Non-resident Alien
OTHER INFORMATION NEEDED
______________________________________________________________________________________________
______________________________________________________________________________________________
FACTS ABOUT COMPLAINANT
Name of complainant ________________________________________________ Age ______________________
Address ___________________________________________________________ Phone ____________________
Accused's relationship with complainant ____________________________________________________________
Information concerning complainant's background ____________________________________________________