The Morgan Law Firm
Central Pennsylvania DUI Defense Attorneys
1-888-821-9446
Free Online Case Evaluation Form
From the convenience and privacy of your home or office, you can submit this form for review by one of Pennsylvania's mtop rated DUI Defense Attorneys, F. Dean Morgan, Esquire. Mr. Morgan, a former police officer and prosecutor, has been involved in the criminal justice system since 1990. To assure the best result, please answer all questions.
Attorney Morgan will review the information you provide and respond to you by email, telephone, or U.S. Mail with a comprehensive evaluation of your case. In addition, we will provide you a Free DUI Legal Guide, DUI Answers, and all of the documentation necessary to retain our services. Although we hope you will retain our services, we will not contact you after sending you the Free Case Evaluation Report unless you decide to retain us.
We do not use this material for any subsequent marketing purpose and will not share this information with anyone else. There is no obligation to retain the services of the Morgan Law Firm. The Evaluation is Free.
First & Last Name:
Email Address:
Street Address:
City, State & Zip
Telephone Number:
Age:
INFORMATION ABOUT YOUR CASE:
County of Incident:
Have you ever been convicted of DUI or entered the ARD Program for a DUI Related Offense?
Date of Incident:
At the time of the Incident, did you have a valid driver's license?
At the time of the Incident, was your vehicle insured?
At the time of the Incident, did you have any passengers in your vehicle?
At the time of the Incident, what was the YEAR, MAKE, & MODEL of the vehicle you were driving?
Why were you detained by the police?
If involved in an accident, was anyone else seriously injured or killed?
If a traffic stop, please state the reason you were stopped:
If a traffic stop, do you believe the officer is incorrect?
Did you admit to drinking alcohol?
Did you have any difficulty exiting your car?
Do you have any medical condition that affects your ability to stand, lift, bend, walk, or otherwise prevent you from performing field sobriety tests?
Did the officer ask you if you have any medical condition that would prevent you from performing field sobriety tests prior to testing?
Were the following Field Sobriety Tests administered:
9 Step Walk & Turn (Walk the Line):
One Legged Stand:
HGN (Eye Tracking Test):
Other Test(s) (Please describe to the best of your ability):
Do you wear prescription eye glasses?
If no Field Sobriety Tests were administered, please state the reason, if known:
Was a Preliminary Breath Test (PBT) administered at the Roadside?
Rate your Performance on the FST:
Did you take a Blood or Breath (not PBT) Test:
What was your alleged BAC?
Where was the Test Administered?
Was the test administered within 2 hours of the traffic stop?
MEDICAL ISSUES: Do you have (or did you suffer from at the time of the Incident) any of the following medical conditions?
Diabetes:
Hypoglycemia:
Multiple Sclerosis:
Epilepsy:
Flu or Sinus Congestion:
Concussion / Head Injury:
Stroke:
Leg/Back Injury:
Anemia:
Other Medical Condition:
ALCOHOL/DRUG INTAKE & TOLERANCE:
How many alcoholic drinks did you have within 6 hours prior to being arrested?
How long, prior to being arrested, did you have your last drink?
What type of alcohol were your drinking? (Please be specific)
If you used any drugs, illegal or prescription medications, within 24 hours prior to being arrested, please identify the type of drug and the amount consumed:
If you were drinking mixed drinks, please identify who mixed the drinks for you:
If charged with 3802(d), identify the type of drug and the amount used within 30 days of the date of your arrest:
OTHER IMPORTANT PHYSIOLOGICAL FACTORS:
How much do you weigh?
Prior to being arrested, when was the last time you slept?
How long did you sleep?
When was the last time you ate?
Describe, in detail, your last full meal:
FACTORS IMPORTANT TO OUTCOME:
What is your occupation?
Are you licensed by a State Board or Federal Agency?
Do you have a Government Security Clearance?
Have you been convicted of a felony?
Do you have a Commercial Driver's License (CDL)
GOALS & OTHER IMPORTANT INFORMATION:
What is your Goal for this case?
Are you currently represented by an Attorney?
What is the most important quality you are looking for in an attorney?
How would you like your evaluation report delivered?
Is there anything else we should know about your case?
Disclaimer: By submitting this form, you agree that The Morgan Law Firm may contact you one (1) time for the purpose of delivering an Evaluation Report. We cannot accept responsibility for your case until such time as an Agreement for Legal Services has been fully executed and delivered to our office along with payment for legal services.
District Court Number
Docket Number :
