If being convicted is not an option, give Burk Beale a call at our Woodbridge office (800)960-2792 or call Ed Riley at our Richmond office (800)960-2792 Call write us right now to set up a free consultation or email us

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Contact Us:

	27 North 17th Street, Richmond VA, 23219 (800)448-4981
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	Contact Request Form

The Time is now

If you are facing a drunk driving charge, get a FREE consultation for your case. For fastest results just complete the form below and submit it to us electronically. Weekdays from 8:00 AM to 6:00 PM EST call Burk Beale at our Woodbridge office (800)960-2792 or Ed Riley at our Richmond office (800)960-2792

Contact Information

Title:
Name:
Work Phone:
Home Phone:
E-mail Address:
State:

Incident Information

Would a DUI conviction or license suspension affect your job?

Please list the exact time and date of your arrest:

Please list the city, county, and/or police agency associated with your arrest:

What reason did the officer tell you he/she had for stopping you?

Select any of the following Field Sobriety Tests that you were given:

Alphabet

Any special instructions?

Horizontal Gaze Nystagmus (follow pen/finger with eyes)

One leg stand

For how many seconds? Both legs?

9-Step Walk - Turn (heel-to-toe)

Finger to nose

Counting

Alco-Sensor (portable breath test)

Results of Alco-Sensor test:

Were any of these tests, or any part of the arrest, recorded on video?

What were your breath test results (not the portable Alco-Sensor)?

And the time of the test?

Where you given a blood test?

Where was the blood test administered?

At any time, did you request a test of your own (Blood, Urine, Breath)?

Please explain your request:

Did you get one?

Have you ever had any prior DUI's?

If yes how many?

Additional Comments

Do you have any other brief comments about your case we should know about before we speak with you?