Underwood Law Offices Intake Form - DUI
Please answer the following questions. Our office will review your information and contact you.
Title
First Name
Your answer
Last Name
Your answer
Phone Number
Your answer
Email Address
Your answer
Date you were cited for DUI
MM
/
DD
/
YYYY
Ticket or Case Number
Your answer
Have you contacted the DMV to request a hearing?
If you answered Yes above, please explain. If you have a hearing date, please provide it.
Your answer
Is this a first offense DUI?
If you answered No above, please list the date and a short explanation of the date of your previous DUI(s) and how they were resolved.
Your answer
Have you ever been convicted of a crime (this may include a traffic misdemeanor)?
Additional Information - Please add anything you believe might assist us in helping you with your case.
Your answer
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