Wittstruck Legal - Traffic Ticket Entry

Complete the questionnaire below and send it to us. Use your "Tab" key to move from field to field. We will call you within 24 hours to discuss your case, what options are available and how best to proceed.

First Name:
Last Name:
Phone (day):
Phone (night):
Address:
Address:
City:
State:
Zip:
Email:
Email (again):
In which county did you recieve your ticket?
What is your court date?
What is the File Number on your ticket?
What are you charged with?
If applicable what was your ticketed speed?
If applicable what was the speed zone?
If there is a 2nd charge, what is it?
This ticket was issued in a work zone:
This ticket was issued in a school zone:
Which plea option do you want:
Does your driving history indicate any moving violation in the past four years?
A PJC in the past four years?
An Improper Equipment ("IE") in the past five years?
A current - active or inactive - CDL license?
If yes, were you driving an 18-wheeler at the time?
Have you attended an "NSC" sponsored defensive driving course in the last five years?
Do you want to hire us?
How did you find us?
Additional comments or details.

Client Info