FREE Case Evaluation (Georgia Only)

What are your chances of successfully defending your DUI? Get your citation and other paperwork together and give me some minimal information on this form and I will set your mind at ease. Providing the basic facts about your case will allow me to review it and send my assessment by e-mail. This is a confidential questionnaire. Get an initial opinion from an experienced Georgia DUI lawyer e-mailed directly to you at no cost with no obligation. No legal mumbo jumbo, No BULL! If you have a defendable case I will tell you; if you don't, I'll tell you that too.

This easy-to-complete form will take about five minutes of your time and may save you money and time in jail. On the other hand, you may wish to speak personally with me. Call 706-724-8554 in Augusta, 912-236-4308 in Savannah or 800-841-6844 elsewhere in East Georgia. Make it simple. You will save time by filing out the form, but since its free EITHER WAY, YOU HAVE THE CHOICE. But given the impact of the administrative suspension, do not forget to request the free hearing request form. You do not have to hire me or any other lawyer to preserve this hearing. Like I said, it's free.

Please answer this questionnaire as completely as possible. Items marked with a * are required

First Name:* Last Name:* Address 1:* Address 2: City:* State: Choose One Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware D.C Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Zip:* Phone Number:* Okay to call you at this number? Yes No Alternate Phone: Alternate number is a: Choose One Pager Cellular Family/Friend Business Other Okay to call you at this number? Yes No Fax Number: Okay to Fax? Yes No Email: Okay to Email? Yes No How did you find this web site? Choose One Google Alta Vista Excite Atlanta Bar Website AttorneyFind.com AttorneyPages.com Hotbot Infoseek Lawyers.com Legal Dot Net Lycos Referred by someone Starting Point Webcrawler West attorney listings Yahoo Other (Please specify...) Please specify how you found us (if not listed above): Are you mainly interested in fighting your DUI, or do you want to plead nolo or guilty? Choose One Fight the case Plead Nolo Plead guilty Not sure Date of Arrest:* Time of Arrest: Day of the Week: Choose One Sunday Monday Tuesday Wednesday Thursday Friday Saturday State Where Arrested: Georgia South Carolina City Where Arrested:* County Where Arrested:* Court Date (leave blank if unsure): Time of Court: Name of Court: Driver's License Number: State Where Licensed: Choose One Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware D.C Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Date of Birth: Commercial Driver: Yes No Is this your first DUI/DWI in your lifetime anywhere, anytime? Yes No If you have had prior DUI's/DWI's please list them here:   Month/Year ------- Court ------ Result (Guilty, Not Guilty, Nolo) Are you currently on probation or parole? Yes No If "yes", where? If "yes", for what offense(s)? Other Tickets/Charges received with this DUI (check all that apply): Failure to Maintain Lane Speeding Illegal U-Turn Running Red Light/Stop Sign Defective Equipment No Proof of Insurance Failure to Yield Not Sure Other        (Please specify below...) Did your vehicle have any known defects? Yes No If Radar or Laser was used were you permitted to see result or calibration? Yes No If speed was factor, have you had the meter tested? Yes No Please specify other charges ( not listed above) Why were you stopped/arrested, according to officer? Was there an accident? Yes No Not Sure Was there any property damage? Yes No Not Sure Was anyone injured? (check all that apply): No one was hurt/Not applicable Myself Passenger(s) in my vehicle Passenger(s) in another vehicle Pedestrian Not Sure 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 Which field sobriety tests were you given? (Check all that apply) Hand held Breath Test Walking heel to toe One-Leg Stand Follow-the-Pen-With-Eyes Say the Alphabet Touch Your Nose Don't Recall Other (Please specify below...) Please specify other tests you took, that are not listed above: Did officer advise you that field tests were 100% optional and that no penalty would result from not doing them? Yes No Were you videotaped at any point during your arrest? Yes No Not Sure Did you take breath test? Yes No, I Refused No, Test Was Not Offered to Me Not Sure Did you take urine test? Yes No, I Refused No, Test Was Not Offered to Me Not Sure Did you take blood test? Yes No, I Refused No, Test Was Not Offered to Me Not Sure WARNING: If you refused the test or were charged with refusing the test, you face an automatic suspension of your license for one or more years. You have 10 business days from the date of your arrest to file an appeal and a "request for hearing" with the Georgia Department of Public Safety. Likewise, if you submitted to a test which yielded a result of 0.100 GRAMS or more (.02 or more if under 21 and .04 or more if operating a commercial vehicle), you may also be suspended from driving for 1 to 5 years. CALL ME IMMEDIATELY FOR ASSISTANCE! If you took a breath test you should POSSESS a print-out of the two test samples. List your breath test results here: Sample #1 Sample #2 Blood test results (if known): Check here if test results are pending If a substance other than alcohol is involved, describe the substance. Did the arresting officer confiscate any of these substances described above? Yes No Were these substances found on a person or within the vehicle? Person Vehicle Not Found Describe carefully, any request made by the police to search the vehicle. Name of testing officer? Name of arresting officer? Name of police department? Street or location where stopped? County where stopped? Was your car towed? Yes No Not Sure Who authorized the tow truck? I Did Officer Did Not Sure Who posted bond? I Did Bonding Company Family Member/Friend Other Amount of bond? Did you meet anyone you knew at the jail? Yes No How much time, if any, did you spend in jail? Were there other occupants of your vehicle? Yes No Were there any witnesses with you who could testify for you? Yes No At any time during your arrest did you ever ask for or inquire about getting your own independent blood, breath or urine test? Yes No Did you get an independent blood, breath or urine test? Yes No If "yes", what was the result? Check here if test results are pending What time were you first allowed to make a phone call? Did you ever ask to call an attorney? Yes No If "yes", when (give details)? Do you work with any dangerous chemicals? Describe Do you suffer from any physical health condition that could affect your driving? Yes No Not Sure Additional Comments Are Welcome: Enter the code you see to the left: