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Free Case Analysis

FREE ONLINE CASE ANALYSIS

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Please complete the form below:

Full Name:
Phone:
Email Address:
Date of birth:	(00/00/0000)
Date of arrest:	(00/00/0000)
Time of arrest (approx.):	(00:00)
County of arrest:
City of arrest:
Is this your first DUI arrest?	Yes No
If you have previously been arrested for a DUI please indicate how many times and the results for each occurance:
Have you requested your DMV hearing?	Yes No
Was there an accident?	Yes No
If so, was anyone including yourself injured?
If there was an accident was there any property damage?
If no accident, what was the reason for the officer to stop your vehicle?
Was anyone else in your vehicle?
Was there a child or children in your vehicle?
Did the officer see you drive?	Yes No
Did you tell the officer you had been drinking?	Yes No
If so, how much did you tell the officer you had been drinking?
Were any alcoholic beverages or containers found in the vehicle?	Yes No
Did you perform any Field Sobriety Tests?	Yes No
If so, how do you feel you did?
Do you have any medical conditions that would have prevented you from performing the tests satisfactorily?
Did you tell the officer of any medical conditions or health related issues that you had/have?	Yes No
Prior to coming in contact with the officer, were you experiencing any extraordinary emotional issues?	Yes No
Do you wear dentures or have any bridges or caps?	Yes No
Did you submit to a breath test?	Yes No
Did you vomit berore taking the test?	Yes No
What was the result of the breath test?
Did the officer advise you of your Miranda Rights?	Yes No
Did you answer any other questions the officer asked you?
Additional Comments:

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