Free Traffic Ticket - We do Car Accidents Too! - Contact Form

Complete the form, include a picture of your traffic ticket and submit!

How did you hear about us? *
Who Referred You? *
How did you hear about us?
(Other)
How Can We Help? *
Other Problem? *
Joel Beck Esq will contact you in regards to the ticket.
Name Name * First Last
Phone Phone * - ### - ### ####
Email *
Address
(optional) Address
(optional)
Street Address
Address Line 2 City State / Province / Region Postal / Zip Code Country
When is the court date? When is the court date? * / MM / DD YYYY
Court Location? *
Other Court / Not Shown *
If you have a ticket that requires proof of paperwork, please upload.
Ex: Insurance and Registration
Upload photo of ticket
(We need to see the entire ticket.) *

Attach Files
Upload photo of citation
(We need to see the entire ticket.) *

Attach Files
Upload photo(s) of the damaged vehicle and/or injuries from accident. *

Attach Files
Insurance Company Name *
Insurance Agent Name
Code:
(optional)
What happened? *
My Profession/ Occupation
Comments
Latitude
Longitude
MapsLink
Current GPS Location
Joel Beck Esq is the Licensed Attorney to handle the TRAFFIC ticket.
YOU MUST RECEIVE A CONFIRMATION FROM HIM THAT HE IS REPRESENTING YOU.
This is just a submission. Fees may apply from the licensed attorney. Please allow up to 72 hours for a response and confirmation.
Email: thejoelbeck@gmail.com
Phone: +1 (954) 806-6616