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Traffic Citation Evaluation
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Offices by Appointment

8370 Veterans Highway
Suite 201
Millersville, MD 21108

Mailing Address

Post Office Box 694
Columbia, MD 21045

Telephone

443-324-5289

Facsimile

410-729-4186

Offices by Appointment

8370 Veterans Highway
Suite 201
Millersville, MD 21108

10440 Shaker Drive
Suite 208
Columbia, MD 21046

Mailing Address

Post Office Box 694
Columbia, MD 21045

Telephone

443-324-5289

Facsimile

410-729-4186

 

   


Traffic & MVA Hearings

Traffic Citation Evaluation

If you have received a Maryland traffic citation(s), or you were notified by the MVA that they want to suspend or revoke your driver's license, complete this FREE Traffic and MVA Hearing Evaluation Form, or call 443-324-5289 for a initial consultation with Scott Athen.

Please note, if you have been arrested for Driving While Impaired or Driving While Intoxicated, please complete the DWI Arrest Evaluation. If you have been arrested for a non-traffic related incident, please complete the Criminal Arrest Evaluation.

Completion of this survey does not create an Attorney-Client Relationship between the person completing the form and The Law Offices of Scott C. Athen or Scott C. Athen, Esq.  However, the information provided by completing this form is protected under Attorney-Client privilege, and will not be released to anyone other than Scott Athen.  Upon receiving and reading your answers, Scott Athen will contact you (yes, you read that correctly, Mr. Athen will call you himself) by the means chosen at the beginning of the survey to arrange your free initial consultation.

Fields marked '*' are required.

How did you find AthenLaw.com?

(If not listed, please specify)


Full Name*  
Street Address*  
City*  
State*
Zip*
E-mail address*  
OK to e-mail you at this address?
Phone No.*  
OK to call you at this number?
Alternate Phone No.  
OK to call at this number?
Date of Birth*
Height
Weight Pounds
Education
Marital Status
Number of Children
Employment*
Length of employment*
Drivers license No.*  
Drivers license State*
Commercial license?
License restrictions
Years driving
Miles driven per year
Date of arrest*
Time of stop
County stopped/arrested in*
Street or location of stop*  
Name of police department
Officer's name & badge number
Why were you stopped/arrested, according to the Officer?*  
Please list all Citation Numbers*  
Arrest Code
Please list all charges*
 
List by Statute Number e.g. 21-801.1
Was there an accident?
Was anyone injured?
Were there any witnesses with you who could testify for you?
Did you ever ask to speak with a lawyer?

If 'yes', when?
(please give details)


Additional comments

Please click 'Send Traffic Citation Evaluation to Scott Athen' only once.