Free DUI Case Evaluation

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Personal Information

Name

Email Address

Phone Number

Driver's License Number

Date of Birth

Court Information

Court where you are to appear

Date you are scheduled to appear

Is this your first DUI?

Yes

No

Are you currently on probation or parole?

Yes

No

Have you requested your DMV Hearing?

Yes

No

Incident Information

Date of Arrest

Time of Arrest

City Where Arrested

Which law enforcement agency arrested you? (Example: California Highway Patrol)

Did the officer observe you driving a vehicle?

Yes

No

Did you admit to driving the vehicle?

Yes

No

Was there an accident?

Yes

No

Were you stopped at a road block?

Yes

No

Were you under 21 years of age at the time of arrest?

Yes

No

Was there a child under 14 years of age in the vehicle at the time of arrest?

Yes

No

If you were on surface streets, were you speeding 20 MPH or more beyond the posted speed limit?

Yes

No

If you were on surface streets, were you speeding 30 MPH or more beyond the posted speed limit?

Yes

No

Did you tell the officer you had been drinking?

Yes

No

What time did you tell the officer that you had your last drink?

Did you perform any Field Sobriety Tests?

Yes

No

Did the officer ask you to blow into a handheld breath device at the scene?

Yes

No

How many times did you blow into the breath device?

At your arrest, were you advised that you had a choice between a blood or breath test?

Yes

No

If you took a breath test, was the officer continuously observing you 15 minutes prior to the administration of that test?

Yes

No

If you took a chemical test (i.e., blood or breath), do you know the result?

Yes

No

If you took a breath test at the station, how many times did you blow into the machine?

Were there any witnesses to your driving and/or arrest?

Yes

No

Did the officer advise you of your Miranda Rights?

Yes

No

Are you aware if you were videotaped at anytime during your arrest?

Yes

No

Additional Comments