http://1800DUIaway.com

 


Name
Phone Number (please leave blank if it is not ok to call)
Address (please leave blank if not ok to send mail)
Email Address
How would you prefer to be contacted?
Driver's License #
What State is your license from?
Did you have a valid license at the time of your arrest?
What was the date of your DUI arrest?
Have you been given a court date? If yes, where and when?
Where did the DUI arrest occur? (county/city)
What police department arrested you?
Was there an accident involved?
Did you take a breath test at your car?
Please describe which Field Sobriety Tests that you took: touch nose; counting; walk and turn; eye t
Did you blow into the BAC machine at the police station?
If yes, what was your Blood Alcohol Content as measured by the test?
Were you told that you could talk to an attorney before submitting to these tests?
Did you make any statements to the Police Officer that may be used against you?
Please describe the circumstances of the arrest?
Did you receive any other charges or traffic tickets at the time of your DUI arrest? If yes, please
Were you booked into jail? If yes, where? How long did you spend?
Were you required to post bail? If so, how much?
Do you have any prior alcohol-related offenses?
If yes, please describe the prior offense (date, court, final outcome, etc.)
Are you currently on probation? If yes, please explain.
Do you have a CDL? (Commercial Driver's License)
Are you a US Citizen?
Do you have a Pilot's License?
Is there anything else that you think we should know?