Case Evaluation

PHONE: (509) 663-3915
EMAIL: info@wblawfirm.com
517 N. Mission Street, Suite 2A | P.O. Box 4378
Wenatchee, Washington 98807

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517 North Mission, Suite 2A
P.O. Box 4378
Wenatchee, Washington 98807

Ph. (509) 663-3915
Fx. (509) 663-6064
info@wblawfirm.com

Case Evaluation

	Fill out and submit the form shown below. If you need immediate assistance, please call (509) 663-3915.
First Name: *
Middle Name:
Last Name: *
Date of Birth:
Address:
City:
State:
Zip:
Email Address: *
Home Phone: *
Work Phone:
Mobile Phone:
Best Way To Reach You:	By Email By Home Phone By Work Phone By Mobile Phone
Make of Vehicle at time of Arrest:
Date of Arrest:
Street or Location of stop:
County or City of stop:
Did you take the breath test?	Yes No
Sample 1:
Sample 2:
Is this your first DUI in your lifetime?	Yes No
If you have a prior DUI or multiple prior DUI’s please provide date, court and resolution:
If there is anything else you would like to tell me about your case please do so here:
Type the 4 digit code in the box before submitting. *