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FREE COLORADO DUI CASE EVALUATION

FREE DUI CASE EVALUATION-HERE!,

Call 303-332-3602 anytime or Click for a call!

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. Some submissions do not get delivered. If you do not get a response, please call 303-332-3602.

Instructions for interview: Please answer the questions as truthfully as possible; do not guess at an answer (approximations are fine, but not as reliable). The results depend on your truthfulness. You have to click twice to get the form to us.


 
Information is protected by the attorney-client privelege *-REQUIRED FIELDS:

Name: * 

Primary Phone (type "unsecure" after number if others may answer who you do not wish to know about your arrest):
* 

Email Address: * 

Have you ever been ticketed for DUI/DWI before?
   yes   no
 

Date of Your Current Ticket?   

Police Department and Officer Name:   

What was the officer's reason for stopping you?
  

Which County Court is your ticket for date and what time is your court date?
  

Did you take the chemical test (blood, breath or urine at the station or hospital) within 2 hours of driving?
   yes   no   I don't know/not applicable

If you took a chemical test, did you take a blood, breath, or urine test?
   Blood   Breath   Urine   I don't know/not applicable

If 'yes' type in the test and the results if you know:   

Have you requested a hearing at the Department of Motor Vehicles yet?
   yes   no

If you have contacted DMV, when is your revocation hearing (date and time)?  

Did you request the officer's presence?
   yes   no

Did you blow into a portable breath tester?
   yes   no

If you know, what was the result of the portable breath test?   

Did the officer advise you that you could refuse to take the portable breath test?
   yes   no   I don't know/not applicable

Please enter any comments or things you think your attorney should know that is not asked for on questionnaire:
  

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