• 9696 Skillman Street, Suite 255 Dallas, TX

DWI Questionnaire

DWI Questionnaire

If you have been arrested for DWI, please carefully complete the form below and someone will follow up with you ASAP to discuss your options.

    * All Fields Are Required

    Your Name

    Your Email

    Phone

    Address

    City

    State

    DL Number

    Date of Arrest

    What City Did Your Arrest Take Place In?

    Approximate Intersection/Address of Arrest?

    Are You Working With Any Other Attorneys?
    YesNo

    Other than the Arresting Officer(s), were there any Witnesses to Your Arrest?
    YesNo

    Explain Your Arrest in Detail

    Anti-Spam Quiz

    **The use of the Internet or this form for contacting our firm or an individual within our firm does not establish an attorney client relationship.

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