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Schedule for DUI Case Evaluation
Schedule for DUI Case Evaluation
Wicket Web
2026-05-13T16:55:26+00:00
Schedule for DUI Case Evaluation
Provide a few quick details, then select a meeting time with our team.
Full Name:
(Required)
Date of Birth
(Required)
This field is hidden when viewing the form
Middle Name:
This field is hidden when viewing the form
Last Name:
Driver's License #
Phone
(Required)
Email
(Required)
This field is hidden when viewing the form
This field is hidden when viewing the form
Provide a few quick details, then select a meeting time with our team.
Was there any collision?
(Required)
Yes
No
Were there any Injuries?
Yes
No
Did you perform a field sobriety test at the scene?
(Required)
Yes
No
Do you have any prior DUI arrests or convictions?
(Required)
Yes
No
Please upload your bail receipt
Max. file size: 256 MB.
Please list all prior convictions of DUIs, or other crimes including the month and year. Please also include the county and state where the incident(s) occurred. You do not need to include traffic infraction incidents or tickets.
Did you do a breathalyzer or blood test?
(Required)
Breathalyzer
Blood test
None
Did you consent to having your blood drawn or was a warrant generated because of refusal?
Consented to having blood drawn
Warrant generated because of refusal
Other
Comments
(Optional)
Please upload a picture of your Citation / Notice to appear (this will have your court date and location on it).
(Optional)
Max. file size: 256 MB.
This field is hidden when viewing the form
Please upload an image of your DS-367 Temporary Driver’s License.
(Optional)
Max. file size: 256 MB.
Provide a few quick details, then select a meeting time with our team.
This field is hidden when viewing the form
What city did the alleged incident occur in?
Date of Incident
(Required)
Upcoming Court Date
(Required)
Court Location
(Required)
Court Location
Central Justice Center - Santa Ana
Harbor Justice Center - Newport Beach
North Justice Center - Fullerton
West Justice Center - Westminster
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