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Drunk Driving/DUI Contact Form

Name: *

Email Address: *

Phone Number:

Address:

City:

State:

Zip:

Work:

Mobile:

Fax/Other:

Do you have a court date? Please provide details::

City and county of arrest::

Arresting officer's name and badge number, if known::

Blood-alcohol concentration (BAC) level at time of arrest, if known::

Type of test used to determine BAC, if a test was administered.:

Were field sobriety tests given?:

Yes

If so, describe tests and results.:

What was the specific drunk-driving offense for which you were arrested (include code section, if known)?:

Have you been convicted of drunk driving before?:

Yes

If yes, please provide details::

Have you been convicted of other offenses?:

Yes

If yes, please provide details::

Are you on probation or parole?:

Yes

If yes, for what?:

Do you have any other cases pending? If yes, please provide details::

Was anyone else arrested in the current incident?:

Yes

If yes, please provide the name(s) of all persons arrested::

What statements do you remember making to the police about the alleged drunk driving?:

Describe the order of events leading up to the arrest.:

Have you discussed the alleged drunk driving with anybody else?:

Yes

If yes, with whom and what did you say?:

Were there any witnesses to the alleged drunk driving?:

Yes

If yes, provide names and contact information if known.:

Did you post a bond? If yes, what was the amount of the bond?:

Are there any special bond conditions? If yes, please describe the bond conditions.:

Do you have any special concerns?:

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At Rosenthal & Heymann, LLC, located in the Lincoln Park neighborhood of Denver - convenient to downtown and the Denver Tech Center (DTC) - we serve clients throughout the Front Range, including the cities of Denver, Boulder, Aurora, Greenwood Village, Highlands Ranch, Fort Collins, Golden, Castle Rock, Lone Tree, Lakewood, Englewood, Broomfield, Westminster Thornton, Centennial and Littleton; and other communities in Denver County, Jefferson County, Boulder County, Douglas County, Arapahoe County, Adams County and Summit County.

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