Tulsa DUI Guy
Please fill out this form in its entirety so we can better evaluate your circumstances.
What is your FIRST NAME as it appears on your driver's license?
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What is your LAST NAME as it appears on your driver's license?
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What is a good number to text you on?
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What is your email address?
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What's your Date of Birth
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Current Address Number
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City
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Zipcode
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Which state issued your driver's license? If you do not have a license, select Other
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Oklahoma
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Nebraska
Nevada
New Hampshire
New Hampshire
New Mexico
New York
North Carolina
North Dakota
Ohio
Oregon
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Other
What is your driver license number? (If the officer took your license, look on any paperwork you were given usually called Officer's Affidavit and Notice of Revocation/Disqualification)
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Do you have a COMMERICAL DRIVER'S LICENSE or a COMMERICAL LICENSE PERMIT?
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Yes
No
On or about which date were you arrested?
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Which law enforcement agency were you arrested by?
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Were any minors in the vehicle with you?
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Was an accident involved?
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If you were given a court date either before you bonded out of jail or when you bonded out, please enter that date. If you were not given a court date or do not know, skip this question.
Select the courthouse where you case is at. If you don't know or it is not listed, choose the last option.
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Tulsa County District Court (Tulsa)
Tulsa Municipal Court (City of Tulsa)
Cherokee County District Court (Tahlequah)
Cherokee Nation Tribal Court (Tahlequah)
Creek County District Court (Sapulpa)
Creek County District Court (Bristow)
Mayes County District Court (Pryor)
Muskogee County District Court (Muskogee)
Muscogee Creek Nation Tribal Court (Okmulgee)
Nowata County District Court (Nowata)
Okmulgee County District Court (Okmulgee)
Osage County District Court (Pawhuska)
Osage Nation Tribal Court (Pawhuska)
Ottawa County District Court (Miami)
Pawnee County District Court (Pawnee)
Payne County District Court (Stillwater)
Rogers County District Court (Claremore)
Wagoner County District Court (Wagoner)
Washington County District Court (Bartlesville)
U.S. District Court for the Northern District of Oklahoma (Tulsa)
U.S. District Court for the Eastern District of Oklahoma (Muskogee)
I do not know which court I am supposed to go to or it is not listed
Are you an enrolled member of one of the 574 federally recognized Native American nations in the U.S.?
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No
No, I am not officially enrolled in a Native nation but believe I am of Indigenous descent
Yes, I am an enrolled member of the Absentee-Shawnee Tribe of Indians
Yes, I am an enrolled member of the Alabama-Quassarte Tribal Town
Yes, I am an enrolled member of the Apache Tribe of Oklahoma
Yes, I am an enrolled member of the Caddo Nation of Oklahoma
Yes, I am an enrolled member of the Cherokee Nation
Yes, I am an enrolled member of the Cheyenne and Arapaho Tribes
Yes, I am an enrolled member of the Chickasaw Nation
Yes, I am an enrolled member of the Choctaw Nation of Oklahoma
Yes, I am an enrolled member of the Citizen Potawatomi Nation
Yes, I am an enrolled member of the Comanche Nation
Yes, I am an enrolled member of the Delaware Nation
Yes, I am an enrolled member of the Delaware Tribe of Indians
Yes, I am an enrolled member of the Eastern Shawnee Tribe of Oklahoma
Yes, I am an enrolled member of the Fort Sill Apache Tribe
Yes, I am an enrolled member of the Iowa Tribe of Oklahoma
Yes, I am an enrolled member of the Kaw Nation
Yes, I am an enrolled member of the Kialegee Tribal Town
Yes, I am an enrolled member of the Kickapoo Tribe of Oklahoma
Yes, I am an enrolled member of the Kiowa Tribe of Oklahoma
Yes, I am an enrolled member of the Miami Tribe of Oklahoma
Yes, I am an enrolled member of the Modoc Tribe of Oklahoma
Yes, I am an enrolled member of the Muscogee (Creek) Nation
Yes, I am an enrolled member of the Navajo Nation
Yes, I am an enrolled member of the Osage Nation
Yes, I am an enrolled member of the Otoe-Missouria Tribe of Indians
Yes, I am an enrolled member of the Ottawa Tribe of Oklahoma
Yes, I am an enrolled member of the Pawnee Nation of Oklahoma
Yes, I am an enrolled member of the Peoria Tribe of Indians of Oklahoma
Yes, I am an enrolled member of the Ponca Tribe of Indians of Oklahoma
Yes, I am an enrolled member of the Quapaw Nation
Yes, I am an enrolled member of the Sac and Fox Nation
Yes, I am an enrolled member of the Seminole Nation of Oklahoma
Yes, I am an enrolled member of the Seneca-Cayuga Nation
Yes, I am an enrolled member of the Shawnee Tribe
Yes, I am an enrolled member of the Thlopthlocco Tribal Town
Yes, I am an enrolled member of the Tonkawa Tribe of Indians of Oklahoma
Yes, I am an enrolled member of the United Keetoowah Band of Cherokee Indians
Yes, I am an enrolled member of the Wichita and Affiliated Tribes
Yes, I am an enrolled member of the Wyandotte Nation
Yes, I am an enrolled member of a federally recognized tribe that is not listed
Did you agree to take to any tests offered by law enforcement to measure your specific blood alcohol content or determine whether you were legally intoxicated?
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No, the police officer said I refused.
Yes, I took a breath test.
Yes, I took a blood test.
If you took a test and you know what they claim your resulting blood alcohol percentage was (for example, 0.08%), please write the percentage. If you do not know the exact percentage or refused the test, do not answer this question.
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Have you ever been arrested for any other reason at any time in your life prior to this, including for charges which were later dismissed or have since been expunged?
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No, this is the first time I have ever been arrested in my life
Yes, and I have been arrested before for DUI/APC
Yes, but I have never been arrested for DUI/APC before this
What is your citizenship status?
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I am a U.S. citizen
I am a citizen/national of another country
What's your full name
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