Offense Detail Please provide as much information regarding your incident as possible. Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Make sure you have an internet connection before hitting submit. If you hit submit and the page doesn't load, then hit back. Don't hit reload.NameEmailYour form will also be emailed to this addressDate & time of offenseDateTimeLocationDate of arrestArresting AgencyPolice department, sheriff, Highway Patrol, etcDate released from jailPeople who were arrested with youTell me your side of the story. Be as detailed as possible.Describe the weather at the time of the incidentTell me about any tests you didSFSTs, breath test, blood test, etc. Did you refuse anything?List any possible eyewitnessesList their name, address, and phone number if you know it. What do you think they may have seen?Describe any possible injuries to the accuserThings you said to policeDid anyone question you? If so, when and where? Who were the officers? Was anybody else there to hear you? What did you say?Moment of arrestTell me when you believe you were arrested. This would be when you no longer felt free to leave.How the police treated youTell me about whether you feel you were mistreated or if law enforcement acted professionally. Did they sexually harass you? Did they use any racial slurs?Miranda RightsWere your Miranda rights read to you? If so, when?. Did you exercise your right to remain silent? If so, how did you inform the police of this? Did you ask to speak with an attorney? Did the cops question you any more after either exercising your right to remain silent or have an attorney? And if so, did you answer any of their questions?AlibiDiscuss any alibi you have for this accusationSearchDiscuss the events surrounding any search. Was there a search? Did you consent to a search? Did you feel "tricked" into giving consent to search? Was there a police dog involved?Physical EvidenceDescribe any physical evidence you provided to the police. What was it? Where was it? When did you give it to the police?LineupDiscuss any lineup that occurred. Did police ask witnesses if you were the the one? When and where did it take place?Did you go anywhere with police?Where did you go? What did you do? Why?Discussions with other peopleHave you discussed this case with anyone? List people and what you told them.InjuriesDiscuss any injuries to you as a result of the arrest or the incident. Are there pictures or video of this?PicturesDiscuss any pictures taken of either you, the accuser, the scene of the alleged offense, or any items allegedly involved in the offense. Explain what they took pictures of and when they were taken.Anything ElseDiscuss anything else you think I should know regarding this incident, your alleged involvement in this incident, anyone else's involvement in this incident, your relationship with anyone involved, or your arrest.Submit