FREE DUI Case Analysis

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Please take a few minutes and fill out this FREE DUI Case Report. It will give us a chance to review your drunk driving arrest case and then get back to you quickly.

Contact Information
*First Name:
*Last Name:
*Email:
*Day Phone #:
*Night Phone #:
Case Details
What date were you arrested?
What police agency arrested you?
Which court are you supposed to appear in?
When is your first court date?
Was your car registration valid?	YesNo Why not?
Have you been convicted of DUI or a Wet Reckless within 10 years of this arrest?	YesNo What year and which court?
Were you involved in an accident in this case?	YesNo Your insurance policy:
What was the reason(s) the officer gave for pulling you over in this case?
What was the make, model, color and year of your vehicle?
What were the cross streets where you were pulled over by the police officer?
What city and county were you pulled over in?
What did you tell the police about what you had to drink and when you consumed the drinks?
What time were you released from jail?
Under 21 years of age at the time of the arrest?	YesNo
Any mechanical problems with your vehicle?	YesNo
Was there a child under 14 years of age in the car?	YesNo
Did you refuse to take a chemical test?	YesNo
Was your blood alcohol level a .20 or higher?	YesNo
If you were on the freeway, were you speeding over 30 mph beyond the posted speed limit?	YesNo
If you were on surface streets, were you speeding over 20 mph beyond the posted speed limit?	YesNo
Were there any injuries to anyone in your vehicle or the other party's vehicle?	YesNo
Did the officer ask you to perform a field sobriety test?	YesNo
Did you perform a field sobriety test?	YesNo
Did the officer advise you of your Miranda rights?	YesNo
Did you waive your Miranda rights?	YesNo
Did the officer ask you to blow into a hand held breath device at the scene?	YesNo
Did the officer advise you that you had the right to refuse that on-scene breath test?	YesNo
How many times did you blow into that on-scene breath test?
At your arrest, were you advised that you had a choice between a blood or breath test?	YesNo
Which test did you take?	NoneBloodBreath
Was the officer continuously observing you for fifteen minutes prior to the administration of the breath test?	YesNo
Do you know the result of the test?	YesNo What was the result?
How many times did you blow into the machine?
Check each box that applies:	I'm Diabetic I'm Epileptic I have dental work in my mouth.
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Additional Comments:
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