Dayton DUI Attorneys

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PERSONAL INFORMATION
*Name:
*Address 1:
Address 2:
*City:
*County:
*Zipcode:
*Telephone Number:

ACCUSATION DETAILS
What are you accused of:
I was given the following tests to determine if I was intoxicated:	Field sobriety tests (walking a straight line, balancing, reciting the alphabet, etc.)
	Blood, breath or urine sample at the police station
The test showed my blood alcohol level was:
The Number of previous times you have been convicted or pled guilty to drunk driving / DWI / DUI:

ARREST DETAILS
Date of arrest / citation:	(MM-DD-YYYY)
Date of next court appearance:	(MM-DD-YYYY)
Where were you charged:
I know the names and locations of witnesses to the arrest:	Yes No Not Applicable

PERSONAL DETAILS
Are you currently on probation:	Yes No
Sex:	Male Female
Age:
Citizenship or Residency Status:	US Citizen Resident Alien Other

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Visit these other sites from Charles M. Rowland:
charlesrowland.com | ohioduidefense.com | ohiospeedtrap.com | recklessoperation.com | drivingundersuspension.com

Click here to view a list of other web site by Charles Rowland

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