Van Wagner & Wood, S.C., criminal defense attorneys, Madison, Wisconsin Wisconsin State Capitol
   
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News & Events Van Wagner Wood
Charge: Sexual Assault
Verdict: Not guilty
Attorney: Van Wagner

Charge: 3rd Drunk Driving
Verdict: Noncriminal
Attorney: Wood
 

Contact Van Wagner & Wood

For immediate help, please call 1-866-262-4599
or locally, (608) 284-1200.

 

Request For OWI Case Review

       (Not a drunk driving case? Please use the criminal case review form.)

When you complete this form, it will be forwarded to Van Wagner & Wood's office. An attorney will respond to you if you provide your telephone number or email. An attorney can better answer your questions and be of more assistance to you by speaking with you on the phone.

Thank you for placing your trust in the attorneys at Van Wagner & Wood.

                                                               (All fields optional, except *)

About the person arrested:

* Name: First, Middle Initial, Last
  Telephone: Home Work Cell Other
  (123-456-7890)
  Address:
    City: State: Zip:
*
E-mail:
  Date of birth: mm/dd/yy [How will this data be used? Click here]

About the arrest:

  Date arrested: mm/dd/yy
  Court date written on the ticket: mm/dd/yy
  Your next court date: mm/dd/yy
*
Where were you arrested?
    [Why is this important?]
 
 

City

 
Were you involved in an accident with another automobile, person, or property?
Yes, there was an accident No, I was not involved in an accident
    
If yes, was anyone hurt?

Yes No
 
Which agency arrested you?


If other, please provide agency:

About the stop:
  If the officer gave you any reason for stopping you, please describe it here.
  What really happened? Describe it here.
 
Which field sobriety test was administered at the time of your arrest? (Check all that apply)
 

Alphabet - the full alphabet
Alphabet - only part of the alphabet
Counting
Finger-to-nose
Finger dexterity (touch thumb to finger)
Horizontal gaze nystagmus (watching a pen or light move horizontally)
Vertical nystagmus (watching a pen or light move vertically)
Walk & turn or heel-to-toe

 
Did you refuse to submit to a blood alcohol test or a breath test?  
Yes No
 
Were any blood or breath tests administered? (Check all that apply).
 

Breath test at the scene of the arrest
Breath test at the police station
Blood test at the police station
Blood test at the hospital
I was forced to take a blood test
(If you requested other tests, we'll ask about those in a moment.)

 


What were the test results of the tests checked above?

If you requested any additional testing, what type of test was conducted, and what were those results?

About prior charges and convictions:

 

Have you previously been convicted of drunk driving or refusing to submit to a blood or breath test?
Yes, 1 time, but it was more than ten years ago
Yes, 1 time, less than ten years ago
Yes, 2 times
Yes, 3 times
Yes, 4 times
Yes, 5 times
Yes, 6 times
Yes, 7 times
No

 
If previously convicted, were you represented by an attorney?
 

Yes  
No   
I was not represented for at least one prior conviction
Does not apply to me

About your license:

  Do you have a driver's license?
  Yes, I have a Wisconsin driver's license
Yes, I have a CDL
No, my license was suspended
No, my license was revoked
No, my driver's license is from another state (select the state below)
 

About your request:

  I need an attorney as soon as possible
  I want a second opinion
  I want to fight this charge
*
Preferred method of contact: E-mail    Telephone

Other information

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If you have any other information that may be useful, please provide it in the space below (maximum 250 characters).


*Fields are required.
(Note: you should not send confidential information on the Internet; that type of information should be discussed directly with your attorney. This form does not create an attorney-client relationship. For a confidential telephone conference, call 608-284-1200 or 1-866-262-4599).

This form will take a few moments to process your information. You will receive a confirmation screen in a moment. If you do not receive a confirmation, please call the office at 1-866-262-4599.

 

 

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