Today's Date: March 13, 2010

Full Name

E-mail address

Date of birth

Mailing Address

Best phone number(s) to reach you

Employer and occupation

Emergency contact name and number

Date and time of your arrest

What police agency arrested you?

Do you know the names of any of the officers?

Date and time of your next court appearance?

What was the original reason the police contacted you?

Did you make any statements about drinking?

Did you perform roadside maneuvers?

Describe the area where you took the roadsides.

Describe the weather where you were arrested

Did you submit to a hand-held breath test (PBT)?

Did you submit to a breath test on an intoxilyzer?

Did you submit to a blood test?

Do you know your test result?

List any problems with your test.

Drivers License

Were you insured?

What state issued your license?

What is your license number?

Did the officer confiscate your license?

Was your license valid prior to your arrest?

Do you possess a commercial driver's license?

Do you possess a professional occupational license?

Did the officer issue you a temporary driving permit?

If your license was confiscated, have you requested a license hearing at DMV?

If you requested a license hearing, do you know the hearing date, time, location and case number?

Previous offenses

List every time you have been contacted, investigated, arrested, or tried for an alcohol or drug–related criminal or traffic case, no matter when or where they occurred and no matter what the outcome.

Medical

List all known past and present medical problems and all medications you were taking on the day of your arrest. (e.g., liver problems; bladder/kidney problems; diabetes, hypoglycemia or blood sugar irregularities; vision problems; balance problems; speech problems; injuries; dental problems;

The Day of Your Arrest

It would be extremely helpful if you could word process a chronology of what you remember about your arrest and the events of the preceding 24 hours. Please be as detailed as possible, listing one idea / action per sentence with a line between each idea. Indicate who said or did what, when each event happened (including how many minutes elapsed), where each person was, etc. Please include names, addresses and phone numbers of any witnesses. Please include whether you were exposed to any type of solvents or chemicals at home or at work. It is also important that you read carefully through the police report once you receive it and write out anything you disagree with or that you think needs to be added to make it a more complete story. I understand that this may take you some time, but the more information you can provide me early on, the better job I can do defending your case.

How were you directed to this office?

SUBMIT HERE >>>>>

Trying to decide which attorney to hire for your DUI case or traffic ticket?

http://www.avvo.com http://www.superlawyers.com Super%20lawyer%20Article.pdf

303-522-2220 gary @piroskolaw.com

Return to home page