FREE ARIZONA DUI CASE EVALUATION

If you are serious about defending your DUI, record this information while its still fresh in your memory. I will call you after I receive your email report. Please include telephone contact information. It is very important to discuss these matters personally. Submissions without telephone contact information will be discarded.

Instructions for interview: Please answer the questions as accurately as possible; do not guess at an answer (approximations are fine, but not as reliable). The results depend on your truthfulness.

First Name *

Last Name *

Email *

Street Address *

City *

State *

Zip Code *

Primary Phone Number *

Secondary Phone Number

Arrest Date (MM/DD/YYYY) *

Court Date (MM/DD/YYYY) *

What is most important to you about your case?

What do you wish to avoid?

What are you charged with?

Why did the officer say he stopped you?

Did you submit to a breath, blood or urine test?

If yes, what are the test readings?

Was there a collision or accident?

Have you ever been arrested for DUI before?

Yes

If yes, what was the approximate date?

Is there a warrant for your arrest?

Yes

Was your driver license valid at that time?

Yes

Did the officer take your driver license and give you a temporary paper license?

Yes

Were their passengers in your car when you were stopped?

Do you have to be able to drive for a living?

Yes

Please add anything important we should know or you want to address.