Civil Traffic Intake

1. What is your name? *

First

Last

2. What is the best phone number for us to reach you?

3. What is your mailing address?

Address Line 1

Address Line 2

City

State

Zip Code

8. Do you have a commercial driver license?

Yes
No
I don't know

9. What state issued your current driver license?

10. How long have you had your current driver license?

Less than 4 years
More than 4 years

10.A. In what state(s) have you held licenses in the previous 4 years?

Have you taken Defensive Driving School (the 4-hour class) for a traffic violation you received in the last 12 months?

Yes
No
I don't know

11. Please upload copies of any driver license you have had in the previous 4 years.

Click or drag a file to this area to upload.

Ideally your license copy will be in a .pdf format.

12. Please upload a copy of your traffic ticket(s) if you have not already provided a copy to us.

Click or drag a file to this area to upload.

Ideally your ticket(s) will be in a .pdf format.

13. Please upload a copy of your Driving Record

Click or drag a file to this area to upload.

We would like a copy of your driving history. If you have an Arizona license, you can obtain a copy of your 39 month driver license motor vehicle record at azmvdnow.gov. If your license is from a state besides Arizona, google "(your state) driving history". More often than not, there is a .gov website where you can obtain your driving record online. If you run into problems, give us a call.

14. If the court finds you responsible for your ticket(s) and imposes a fine, would you prefer to pay the fine:

In full on the date you are found responsible
Over time through a payment plan (the court will charge an additional $20-$30 fee for time payment)

15. What is your goal in this case?