DUI Intake Form Submission

Were you arrested in your current pending legal matter?

Were you driving or in actual physical control of a motor vehicle?

Was any vehicle involved registered in your name?

Was the vehicle involved insured on the date of the incident?

Did you have any passengers in the vehicle with you?

Was your Driver's License valid on the date of the incident?

Was there an accident involved in this incident?

Was there property damage involved in this incident?

Were any airbags deployed in any vehicle in this incident?

Were there any injuries to any parties, in eluding yourself, in this incident?

Was anyone, including yourself, hospitalized in this incident?

Did you provide any blood or urine samples in this incident?

Were any legal or illegal drugs found at the scene in this incident?

Was any open liquor found at the scene in this incident?

Were any weapons found at the scene in this incident?

Were you physically cooperative with police in this incident?

Was there any form of physical altercation with police in this incident?

Did you perform any Standard Field Sobriety Tests (walk and turn, one leg stand, etc.) in this incident?

Did you perform a Breathalyzer Test in this incident?

Did the police provide you with the results of any Breathalyzer Tests in this incident?

Have you ever been previously arrested for DUI in any state?

You you have any misdemeanor convictions on your criminal record?

You you have any felony convictions on your criminal record?

Do you have, or have you ever had, a driver's license in any state other than Illinois?

Agreement on Attorneys Fees

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