Alabama Case Evaluation

The Lawyers of Polson & Robbins want to help you with your pending DUI! By filling out the below online case evaluation you are taking the first step in the FREE case evaluation process the Lawyers of Polson & Robbins are committed to give ALL potential clients.

The information will be submitted electronically to one of the Lawyers of Polson & Robbins for review. Shortly thereafter (no longer than 12 hours) one of the Lawyers will contact you to discuss your case. All submitted information is STRICTLY CONFIDENTIAL.

Please take the time to fill out the form below. While the form asks many questions, take from this the level of detail and commitment the Lawyers of Polson & Robbins will input into the DEFENSE of your DUI case in Alabama!

Need More Information?
Fill out and submit the following form. One of our attorneys will respond within 24 hours.

First Name:
Last Name:
Address 1:
Address 2:
City:
State:
Zip:
Phone Number:
Okay to call you at this number?
Yes No
Alternate Phone:
Alternate
number is a:
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?
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?
Date of Arrest:
Time of Arrest:
Day of the Week:
State Where
Arrested:
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:
Date of Birth:
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
Other
       (Please specify below...)

Please specify other charges
( not listed above)
Why were you stopped/arrested, according to officer?
Was there an accident?
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
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
No, I Was Given a Blood Test
I was given all three test--
        blood, breath and urine
Not Sure
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
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
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?
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
Did you ever ask to call an
attorney?
Yes No
If "yes", when (give details)?
Additional Comments Are Welcome:

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