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Drunk Driving / DUI

Drunk Driving/DUI Contact Form

Name

Email Address

Phone Number

Business Phone

Cellular or Pager

Address

City

State

Zip

Booking #

Driver's License #

Court Date

Time

Court Name

Division/Room

Arresting Officer's Name and Badge

City of Arrest

Blood-alcohol level at time of arrest

Type of test used to determine BAC

Were field sobriety tests given?
Yes��No�

If so, describe tests and results

What specific drunk driving offense were you arrested for (include Code section)?

Have you been convicted of drunk driving before?
Yes��No�

If yes, when?

Have you been convicted of other offenses?
Yes��No�

If yes, what and when?

Are you on probation or parole?
Yes��No�

For what?

Do you have any other cases pending?

Was anyone else arrested?
Yes��No�

If so, 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��No�

If so, who did you discuss it with and what did you tell them?

Were there any witnesses to the alleged drunk driving?
Yes��No�

If yes, provide names and contact information if known

What is the amount of the bond you posted?

Are there any special bond conditions?

Were you referred by somebody else?
Yes��No�

Who?

Special concerns

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San Jose, California 95110
Phone: 408-298-2800
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Email

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411 Cedar Street
Santa Cruz, California 95060
Phone: 831-429-1009
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The Law Offices of Donald M. Kelly - Criminal Defense and Personal Injury Attorneys