Austin DWI Lawyer
Austin Texas DWI Lawyer

 

Austin Personal Injury Lawyer If you or a loved one has been arrested, call us immediately at:
(512) 600-1000

DWI Evaluation

Instructions for interview: Please answer the questions as truthfully as possible; do not guess at an answer (approximations are fine, but not as reliable). The results depend on your truthfulness.

You will be contacted by our firm within 24 hours. Should you require assistance before that time, please feel free to give us a call at (512) 600-1000.

 

ALL INFORMATION SUBMITTED WILL BE KEPT COMPLETELY CONFIDENTIAL
  Personal Information
       
First Name:
Home Phone:
Last Name:
Cell Phone:
Address:
Email Address:
City:
    
State:
Occupation Title:
Zip:
Business Phone:
   
Company:
Date of Birth:
    
Drivers License State:
    
Drivers License Number:
    

Arrest Details

Date of Arrest:
  		   
Which County are you to appear in?
  		   
Court Date:
  		   
Court Time:
  		   
Have you ever been arrested for DUI/DWI?
  		   
         

Please list prior DWI/DUI's if any. Please include month/year, court, & court results

  		   
     
Are you currently on probation or parole?
  		   
 Please check all other tickets/charges received with this DWI.
(To select more than one, use the Ctrl button and click on more than one choice)
   
         
What reason did the officer give for stopping you?
  		   
Did the officer claim to see you driving?
  		   
Was there an accident?
  		   
Was anyone injured?
(To select more than one, use the Ctrl button and click on more than one choice)
  		   
Did you drink any alcoholic beverages, and/or take any drugs, within 10 hours of being stopped by the officer?
  		   
List any alcoholic beverages you had to drink if any.
  		   
       
Think about the drinks you had. Many people underestimate how many drinks they had, or cannot remember. This can be extremely important to your case though. In order to calculate your Blood Alcohol Level please indicate how many drinks you had total (one drink is equal to a 12 ounce beer, a regular 4 ounce glass of wine, or, 1 shot or 1 ½ ounces-of hard liquor)?
Number of servings.
  		 
Approximately what time did you finish your LAST alcoholic beverage?
  		 
List any prescribed or non-prescribed drugs you were on at the time of arrest:
  		 
Did you take any field balance/coordination (field sobriety tests - FST's) tests prior to being arrested and handcuffed?


 


Were you ordered or did you do them voluntarily?
  		 
Please select the field sobriety tests you were ordered to perform (check all that apply)?

Did not take any tests
Followed pen, finger or other item with eyes
Standing with head tilted back and eyes closed with feet together
Standing on one foot for a period of time
Patting hands together
Counting on fingers
Saying/writing ABC's
Walking straight line, heel to toe
Touching nose with finger
Other

 
Did the officer advise you that tests were 100% optional and that no penalty would result from not doing them?  
 
Did you fail to satisfactorily perform the balance and coordination tests as demonstrated to you by the officer?  
 
Did you blow into a field breathalyzer or hand-held device?  
 
If applicable, what was your Blood Alcohol Content (BAC)? 
 
Did the officer advise you that you could refuse to take the hand-held breath test?
 
If you took a chemical test, did you take a blood, breath, or urine test?
 
Did you take the chemical test (blood, breath or urine at the station) within 2 hours of driving?
 
Did you select (choose for yourself) the chemical test if you took at least one (i.e. the blood, breath, or urine test)?
 
If yes, enter the test and the results
  
What type of law enforcement officer was the arresting officer (the one who gave you tests, handcuffed you, took you to jail)?
  
     
 Please input the arresting officer's last name and badge or serial number:    
 
Last Name  
  
 
Badge/Serial Number  
  
Please input the agency that the officer worked for (ie. Austin Police Department, DPS, TABC, etc) 
  
 Did the officer treat you fairly and professionally?
  
 Please enter any comments about the officer:
 
   
     
 

  Disclaimer - The information contained in this web site is intended to convey general information. It should not be construed as legal advice or opinion. It is not an offer to represent you, nor is it intended to create an attorney-client relationship.

Any email sent via the Internet using email addresses listed in this web site would not be confidential and would not create an attorney-client relationship.