Law Offices of Omar Saman - Houston Texas DWI Lawyer

Contact the Law Offices of Omar Saman

Address
3000 Smith Street
Houston, Texas 77006

Phone
(713) 521-9955
Fax
(713) 521-9956

Please fill in as much information as possible:

Name:
County of Arrest:
I have have not requested an ALR hearing at this time
Texas License No.
Date of Birth:
Date of Arrest:
Arresting Officer
Agency of Arresting Officer:
Breath Test:	Refused Failed (check one)
What were the results of the Blood or Breath test, if known?	Breath Blood
Home Address:
Telephone Number:
Is this your first DWI, BWI,DUI in your lifetime – anywhere, anytime?	Yes No (check one)
Was there an accident?	Yes No Not Sure (check one)
Was anyone injured?	No one was hurt/not applicable Myself Passenger(s) in my vehicle Passenger(s) in another vehicle Pedestrian Not Sure
Email Address:
WARNING	Your license may be at risk of suspension. The license suspension is AUTOMATIC UNLESS you request a hearing on the issue, in writing by fax WITHIN 15 DAYS of your arrest or receipt of notice of suspension from the arresting agency on a Department of Public Safety approved form. If a hearing has not been timely requested, the suspension will automatically begin on the fortieth (40th) day after notice was received. If a hearing is requested, no action will be taken regarding suspension until after the hearing and all appeals are final. (Only if you are a DWI first time offender.) Additionally, if your license is suspended you may qualify for a restricted license (occupational).
Additional Comments or Concerns:
How would you like Mr. Saman to reply?	Email Telephone (check one)

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