Drunk Driving Contact Form

Name*

Email

Phone*

Address

Street AddressCityStateZIP Code

Work

Mobile

Fax/Other

Do you have a court date? Please provide the following details:

City and county of arrest:

Arresting officer's name and badge number, if known:

Blood alcohol concentration (BAC) level at time of arrest, if known:

Type of test used to determine BAC, if a test was administered.

Were field sobriety tests given?

Yes
No

If so, describe tests and results.

Have you been convicted of drunk driving before?

Yes
No

If yes, please provide details:

Have you been convicted of other offenses?

Yes
No

If yes, please provide details:

Are you on probation or parole?

Yes
No

If yes, for what?

Do you have any other cases pending? If yes, please provide details:

Was anyone else arrested in the current incident?

Yes
No

If yes, please provide the name(s) of all persons arrested:

What statements do you remember making to the police about the alleged drunk driving?

Describe the order of events leading up to the arrest.

Have you discussed the alleged drunk driving with anybody else?

Yes
No

If yes, with whom and what did you say?

Were there any witnesses to the alleged drunk driving?

Yes
No

If yes, provide names and contact information if known.

Did you post a bond? If yes, what was the amount of the bond?

Are there any special bond conditions? If yes, please describe the bond conditions.

Do you have any special concerns?

DISCLAIMER: This site and any information contained herein are intended for informational purposes only and should not be construed as legal advice. Seek competent legal counsel for advice on any legal matter.

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