New Jersey Traffic Ticket Questionnaire | New Jersey Traffic Ticket Attorney

Traffic Stop Questionnaire

Fill out the ticket questionnaire below and a New Jersey traffic attorney will be in touch with you shortly regarding your summons.

Traffic Stop Questionnaire for Traffic Attorney:

Your Name:

E-mail:

Phone Number:

Nature of Offense:

Other tickets from Same Stop?

If yes, please indicate other offense:

Ticket No.:

Violation/Statute No.:

Date of Offense:

Time of Offense:

Town Where Stop Occurred:

Specific Location of Traffic Stop (Road, Intersection, etc.):

Court Date:

Location of Court – Township / City of

Court ID. No. (Upper left hand corner of ticket):

Details of Stop:

Were you courteous to the police officer?

Please provide details of exchange between you and police officer:

Points currently on your license:

Date and disposition of last traffic offense, if applicable:

List all traffic violations within the last five (5) years:

Prior DWI's?

If yes, how many and when?

Please wait...