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To book an appointment with one of our drink driving lawyers, please complete the form below.
Alternatively, you may prefer to
ask a question.
Please complete your contact details:
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Please select a date from the calendar then proceed by selecting your time.
*Although we will endeavour to this make time available for your appointment, there may need to be a change. Please ensure your contact details are correct.
Please provide some further information:
Name of Offence:
Which Court are you appearing in?
Date of Appearance:
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Please ensure your contact details are correct
Name:
Contact Number:
Email Address:
What offence have you been charged with?
Low Range PCA
Mid Range PCA
High Range PCA
Novice Range PCA
Special Range PCA
Refuse Breath Analysis
Not Sure
Your Explanation as to why committed?
Age:
Sex
Male:
Female:
No. of children:
Occupation:
How would you describe your traffic record?
Perfect
Very Good
Good
Bad
Very Bad
Is a criminal conviction likely to affect your employment either now or in the the future?
Need for a licence
Will you lose your job if you lose your licence
Yes
No
Unsure
What suburb do you live in
What suburb do you work in
Any other need for a licence
What court do you have to attend?
What date you have to attend?
Ability to pay a fine
Do you pay rent?
Pay board?
Do you have mortgage?
Own your own home?
How much is your board / rent / mortgage repayments per week?
How much do you earn each week after tax?
Any other relevant details
Would you like a quote for legal representation?
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