DUI Case Evaluation Form

Please fill out the form below to set up a free consultation with a DUI defense attorney who can explain your rights and options before you take action that might harm your defense.

 

* Required field

Contact Information
*First Name:
*Last Name:
City:
State:
Zip:
*Day Phone:
*Cell Phone:
*Email:
 

Details of Your DUI Case

Do you have any prior alcohol-related offenses?

If yes, please describe the prior offense:

*What was the Date of the arrest?

What was the Time of the arrest?

Day of the Week Arrested:
State Where Arrested:
*City Where Arrested:
*County Where Arrested:
Please briefly describe the charges against you:



Were any of the following field sobriety tests performed during or after the arrest?

   Check all that apply.
Touch Nose
Eye Test
Hand-held Breath Test
One Leg Stand
Alphabet
Walk and Turn
Counting
Were you tested for alcohol?

If yes, what type of test was performed?

If yes, were you told that you could contact an attorney before submitting to these tests?

If you know, please indicate the Blood Alcohol Content measured by the test:

 

Note: The Statutes of limitations exist which limit the time period in which a case can be brought to trial. As such, it is important to know exactly when and where the incident occured.

Communication through e-mail or this site does not create an attorney-client relationship. No Attorney-Client relationship is created by use of these materials

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