galawyers.us

Free Consultation* (770) 993-3300

Georgia DWI &  Drunk Driving Lawyers

Belli, Weil, Grozbean & Davis, LLP.
Georgia DWI -  DRUNK DRIVING LAWYER CONSULTATION FORM

WARNING !! Your license may be at risk of suspension and you could be facing jail time  (Call our office immediately for assistance if you think your license is at risk - (770) 993-3300.  If you are charged with DUI, and you refuse to take a breath, blood or urine test, or if you take the test and your result is 0.08 or greater, you have only 10 days to request an administrative  hearing seeking to preserve your right to drive. Failure to do so may result in a one year suspension of your driver's license. If you took the test and your blood alcohol level was .08 or higher, or if you  refused to take the test, the 10 Day Rule applies to you and you must to act quickly.  Also, the State may seek to administratively suspend your license if you tried to take the test, but the officer said you refused; if you were under 21 on the day of your arrest, and your test result was .02 or higher; or if you have a CDL and your blood alcohol level was .04 or higher.

Contact Information
First Name
Last Name
Address 1
Address 2
City
State
ZIP
Phone #
Okay to call you at this number? Yes No
Alternate Phone#
Okay to call you at this number? Yes No
Alternate number is a
FAX
Okay to fax you at this number? Yes No
Email
Case Information
Date of Arrest (mm-dd-yy)
Time of Arrest (hh:mm)
Day of the Week
State Where Arrested
City Where Arrested
County Where Arrested
State Where Licensed
Date of Birth (mm-dd-yy)
Is this your first DUI / DWI in your lifetime--anywhere, anytime? Yes No
If you have had prior DUIs / DWIs please list them:  Month/Year--------Court-------Result (Guilty, Not Guilty, Nolo)

Are you currently on probation or parole? Yes No
If "yes" specify.
Please specify other charges not listed above 
Was there an accident? Yes No Not Sure
Was anyone injured?  No one was hurt / Not applicable
Yes, I was hurt
Others were hurt
Both I and Others hurt
Were you stopped at a roadblock? Yes No
Were you given field sobriety tests at the location where you were stopped? Yes No Don't recall I Refused
Did you take a breath test? Yes
No, I Refused
No, Test Was Not Offered to Me
No, I Was Given a Blood Test
I was given all three test--blood, breath and urine
Not Sure
Blood test results (if known)
Name of police department
Amount of bond, if any.
Additional comments:

 
  A Georgia law firm also serving the State Of Georgia, Washington D.C. and clients across the Nation. Georgia lawyers also licensed in the District of Columbia, Florida and Montana. We work with lawyers around the country to provide the very best representation.

Contact our Georgia Lawyers Regarding
Divorce and Custody Law, personal injury, criminal and other legal matters.

Call for a FREE consultation at (770) 993-3300

We accept credit cards***

Georgia divorce and georgia personal injury law

*Free consultation 30 minutes by phone or in person. To be determined by law firm. Free consultation does not apply to employment matters.
**Affiliate offices are separately owned and operated law firms. No other inference of connection is implied or represented. Law firm does not assume any responsibility or liability express or implied as to any other affiliate office.
***Credit card fees may apply.


8010 Roswell Road, Atlanta, Georgia  30350, (770) 993-3300 (phone), (770) 552-0100 (fax)
Georgia Divorce : Georgia lawyers for Divorce and Separation : Georgia Criminal Defense Lawyers

 

Copyright 2005, galawyers.us  All rights reserved. Privacy Policy and Terms & Conditions     |  Featured Lawyer at AllGoodLawyers.com Law Directory

Home   |  Georgia Family Lawyers  |  Georgia Divorce Lawyers   |  Personal Injury Lawyers   |  Medical Malpractice
Corporate Law   |   Mediation Lawyers   |    Employment Law   |   Criminal Law   |  Real Estate Settlements
Practice Areas  | 
Articles  |  News / Television  |  Free Consultation  |  Contact  |  Privacy Policy  |   Links
|   Site Map