First Name: Last Name: Street address: City: State: Zip: Your email address: (e.g.: you@aol.com) Your phone number: Contact information:
Date of Birth:
Driver's License Number and State:
Arresting Agency:
Date of Arrest:
Location of Arrest:
BAC - Blood Alcohol Concentration:
Tested for: Breath, Blood, Urine, Refusal:
Citation Given? Yes or No:
Which Court?:
Case Number:
Next Court Date:
Request for DMV Hrg. sent? Yes or No:
DMV Hrg Date?:
Prior DUIs or ARRs:
Prior Criminal History:
Describe Current Charges:
Questions/Comments Contact information:
Mr. Schatz, Mr. Anderson or Mr. Uday will be happy to conduct a case analysis and evaluation. There is no fee for the consultation and the appointment usually lasts about an hour. At that time they will give you an assessment of the case, your legal and factual defenses, as well as our fee options.