OUI Case Initiation Worksheet

Want to know if you have a case?

Fill out this quick online form for immediate assistance or download the full OUI Case Initiation Worksheet and bring it in to your first meeting with The Hallett Law Firm.

Full Name: *

Telephone: *

E-mail: *

Date of Birth:

Age:

Height:

Weight:

Place of Arrest:

Date/Time:

Arresting Officer(s):

Agency:

Field Sobriety Testing Officer:

Agency:

Breath Testing Officer:

Agency:

In as much detail as you can, please relate everything said by the police officer(s) to you and anything you said to the police officer(s):

Were you given a 'test' at the scene?

'Finger to Nose' - How did you do?

'Heel to Toe' Walking - How did you do?

'One Leg Stand' - How did you do?

'Recite the Alphabet' - How did you do?

'Counting Fingers' - How did you do?

'Flying Eagle' - How did you do?

Any Other - Describe:

Were you asked to stare at a pencil/pen and follow it with your eyes from side to side and/or up and down?

Describe what directions the officer gave you before you took the 'test':

Please describe the reasons given to you by the officer for stopping your vehicle:

Were you involved in an accident? If so, describe the details:

Were you 'commanded' to take a test of:

Breath
Blood
Urine
Saliva

Do you know the results of any test?

Do you have an prio OUI convictions?

When/Where?

Were you represented by an attorney?

Are you now on probation or suspended sentence from a previous OUI or any other conviction?

If Yes, explain:

Any additional information that you feel is important to this case:

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OUI Case Initiation Worksheet

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