• 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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