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What is your full name? (First & Last)
Your Street address
City, State & Zip Code
What is your email address? 
What is your Date of Birth?
What is the Date of the Incident?
In what COUNTY did the incident occur?
License & Insurance? (Select)
Passengers/Children? (Select)
Why were you stopped/detained?  (Select)
Did you admit to drinking/use of drugs?
How much did you drink?
If you are charged with 75 - 3802(d) DUI-Drugs:
What is your occupation?
DUI / ARD History? (List ALL, regardless of date)
Criminal Record (other than DUI)
Do you know your blood or breath results?
Have you received your Criminal Complaint from the Court?
Do you have an Attorney?
Most important Attorney Quality?
What is your goal for this case?

How did you learn of our firm?
When it is all
on the line....
If a Traffic Stop: Reason?
Do you have any medical conditions that may impact your ability to perform field sobriety tests or may impact your blood / breath results?
Is there anything else you would like use to know about you or your case?
Do you have any specific questions or concerns for Attorney Morgan?