Meltzer & Bell, P.A.
Partners On Call 24/7 (954) 765-6585
Meltzer & Bell, P.A. DUI & Criminal Trial Lawyers
Partners On Call 24/7 (954) 765-6585

Client Information and Intake Form

Fill out the intake form below or download the intake form document and fill it out manually.

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Have you Received any Tickets in the Last 2 Years? *
Have you have ever been Previously Charged or Sentenced for DUI, Leaving the Scene of an Accident or DWLS? *

*** Only Complete if Cited for Criminal Violations ***

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