WHAT IT COST ME

  • WHAT IT COST ME

    In order to determine cost of DWI, will you please answer these questions to the best of your knowledge at this time?

  • In round number, my costs are:

  • BD - I

  • (If yes, what was it? . If no, why not? )

  • (If yes, what was it? )

  • (If drinking alcohol after work, for how many hours? )
    (If engaged in a recreational activity while using alcohol or drugs, for how many hours?  )

  • (If had used Pills, what type: )

  • During the weekdays, I tend to drink or use drugs on (place the number of drinks/ amount of drugs used next to a.m./p.m.):
    Monday: #a.m. to #p.m.
    Tuesday: #a.m. to #p.m.
    Wednesday: #a.m. to #p.m.
    Thursday: #a.m. to #p.m.
    Friday: #a.m. to #p.m.

  • During the weekends, I tend to drink or use drugs on (place the number of drinks/ amount of drugs used next to a.m./p.m.):
    Saturday: #a.m. to #p.m.
    Sunday: #a.m. to #p.m.

  • Summarize any other comments about your drug/alcohol usage and the events leading up to your arrest below:

  • BD - II

    My Personal Action Plan
  • Should be Empty: