Delorie Johnson Lawyers

A Passion For People, A Passion For Justice

 

 

 

 

 

 

 

 

 

DUI & Traffic Defense Intake Form

 

 

 

 

 

Address:

 

Reason for seeking legal counsel:

 

City where incident took place:

 

Law enforcement agency involved (i.e. police, sheriff, ect.):

 

Did you consent to a breath test at the jail?



 

BAC (Breath Alcohol Content ) reading:

 

Have you requested a Department of Licensing hearing? (if not, please refer to the Free Resources section fro critical, time sensitive information):



 

 

 

 

DUI

 

 

"Delorie-Johnson worked tirelessly on my behalf. They handled every aspect of my case with expertise and commitment. It brought me such peace of mind and hope."