Welcome to the South Texas DWI Defense Center

DWI Questionnaire

Mr. Graham personally reviews and responds to your inquiries within 24 hours, if possible. Attorney-client will prevail. If you have not received a response within 72 hours, please telephone his office at 1-877-982-2221.

Preface: Have you requested an ALR hearing? Mr. Graham urges everyone to make the request as soon as possible.

Anonymous requests will be disregarded.

* = necessary field

Personal Information:

*First Name:
*Last Name:
*Address:
*City:
*State:
*Zip Code:
*Date of Birth	Month Date Year
*Are You a United State Citizen?
If you are not a U.S. Citizen, what is your legal status?

Quick Contact Information: (List any/all that apply)

Home Phone:
Business Phone:
Mobile Phone:
Pager:
Fax:
Email Address:

May this office identify itself and the DWI/criminal charge in messages at all the above telephone numbers? [failure to list information here indicates Mr. Graham’s office may leave such information in messages to the above numbers]

Information About the Case:

*Date of Arrest:	Month Date Year
*Time of Arrest:
*County of Arrest:
*City of Arrest:
*State of Arrest:
*Arresting Agency:

*Have you requested an ALR hearing?

If you answered "no," to the last question, do it now or immediately after you finish filling in the information on this page. (A free, faxable form is available at: http://www.southtexasdwidefense.com/ALR_Form/index.html


Is DWI the only charge you received?

If you answered "no", please list the other charges.

Reason for initial traffic stop, according to the police officer?

Was there a traffic accident?
Was anyone injured?
How many vehicles were involved?
*Were you given physical tests, commonly known as "sobriety tests," while at roadside?	Yes No
*If so, which ones? For multiple selections, hold down CTRL key
How did you do on the tests?
*Did you submit to breath or blood tests?
If so, what were the results (if known)?
*Are you currently represented by an attorney?
*Has another attorney previously represented you in this case?
If you answered "yes" to either of the last two questions, please identify the attorney, including a telephone number.
*When is your first court date and time?
In which court is your case filed, if known?
Is your driver’s license currently suspended?
If you answered yes to the following question, why is your license suspended?
How did you find this website?
If you used a search engine, which one?
Please list the names of witnesses (and their relationship to you) who saw you during the hours before your arrest:
Please list the names of witnesses who saw you after your arrest:

Please collect receipts, credit card records, or other evidence that would help establish how much you had to drink, if anything.

*Prior dwi charges anywhere, anytime?
*Prior dwi convictions?

If you answered "yes" to either of the two previous questions, please list the dates of arrest, dates of convictions, where the cases were, and the results of the case.


*Are you currently on probation, parole, or free on bail from another charge?

If you answered "yes," please explain.

Other Comments:

**Completing the questionnaire does NOT establish an attorney-client relationship. Mr. Graham is not your attorney unless a retainer has been paid and accepted, and a contract has been executed. The page must not be relied upon for legal advice because it is NOT a substitute for advice of a qualified attorney, nor does it ask all the questions that are important to your case.**

If you haven’t already done it, REQUEST YOUR ALR hearing NOW!

*All answers are for people 21 years or older, do not involve enhancements, are not exclusive, and are limited to Texas.

**This page is for informational purposes ONLY and must not be relied upon as legal advice because it is NOT a substitute for the advice of a qualified attorney, nor does it establish an attorney-client relationship.

Not certified by the Texas Board of Legal Specialization.

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