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* Disclaimer: This website and all links represent Robin Sax as an individual and are not the opinions nor the suggestion of The Los Angeles County District Attorney or The District Attorney's Office.

 

INTAKE FORM - ROBIN SAX

This Intake Form is used to provide Robin Sax with details regarding your particular issue in matters related to law enforcement, criminal matters or similar concerns. If you are interested in having Robin Sax speak to your organization, please click here to be taken to the appropriate form page.

Your Name:
(required)

Email:
(valid email required)

Re-enter Email:
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Your Organization:

Your Home Phone:

Your Work Phone:

Your Cell Phone:

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To Reach You:

Tell Me How I
Can Be Of Help:

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City

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Zip

What describes your situation? (check all that apply)

I want to disclose a sexual assault

I am a survivor of a sex crime or know of someone who has been a victim and want to share my story

I am in need of legal advocacy and/or accompaniment in court

I need counseling or resources referrals

I would like Robin Sax to come speak to my school, church/temple, other group
(note: please click here to be taken to speaker request form instead)

I am interested in speaking to or meeting with Robin Sax for another purpose
(briefly describe your purpose below)

What topics do you have questions about? (check all that apply)

Sexual assault against children

Sexting

Sex offender registries

Domestic abuse

Kidnapping/Missing Children

Robin's Books, Articles, Blogs or Media Appearances

Other:
(briefly describe below)

This page is a general reference to answer some of your concerns about the area of sexual assault. Issues of rape, sexual abuse, and child sexual assault are very serious. It is helpful to have the advice of an attorney. The use of this form for communication with Robin Sax does not establish an attorney-client relationship. Confidential or time-sensitive information should not be sent only through this form (also call us to follow up: 310.470.9955).

Thank You!

Yes, I would like to be in the know and receive a weekly SaxFacts: the place and space to hear Robin's rants and raves -- whether it be the injustices in the legal system, the cases and causes to be heard, or best places to shop, eat, or find a deal! From crime to fashion, SaxFacts is the place for discovery.

When you have completed the form, click the 'Submit' button above once to send it.
Thank you so much!

You may fill in the form below to assist us in expediting your request.

CONTACT INFORMATION:
phone: (310) 470-9955
fax: (310) 477-5930