{"id":15477,"date":"2024-05-09T12:03:03","date_gmt":"2024-05-09T19:03:03","guid":{"rendered":"https:\/\/debestlegal.com\/?page_id=15477"},"modified":"2024-08-02T10:48:53","modified_gmt":"2024-08-02T17:48:53","slug":"arrest-information","status":"publish","type":"page","link":"https:\/\/debestlegal.com\/index.php\/arrest-information\/","title":{"rendered":"Arrest Information"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"15477\" class=\"elementor elementor-15477\" data-elementor-post-type=\"page\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-a0e081c elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"a0e081c\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t\t<div class=\"elementor-background-overlay\"><\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-no\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-74535178\" data-id=\"74535178\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-6bac06c4 elementor-hidden-desktop elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"6bac06c4\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-33 elementor-top-column elementor-element elementor-element-4265f4b1\" data-id=\"4265f4b1\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-76edfaa5 elementor-align-left elementor-widget elementor-widget-button\" data-id=\"76edfaa5\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-button-wrapper\">\n\t\t\t\t\t<a class=\"elementor-button elementor-button-link elementor-size-xs\" href=\"#\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">Call Us<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-33 elementor-top-column elementor-element elementor-element-7665af5\" data-id=\"7665af5\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-6767bd7b elementor-align-center elementor-widget elementor-widget-button\" data-id=\"6767bd7b\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-button-wrapper\">\n\t\t\t\t\t<a class=\"elementor-button elementor-button-link elementor-size-xs\" href=\"https:\/\/debestlegal.com\/index.php\/already-arrested\/\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">Already Arrested?<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-33 elementor-top-column elementor-element elementor-element-78ea8cf2\" data-id=\"78ea8cf2\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-1209cfff elementor-align-right elementor-widget elementor-widget-button\" data-id=\"1209cfff\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-button-wrapper\">\n\t\t\t\t\t<a class=\"elementor-button elementor-button-link elementor-size-xs\" href=\"https:\/\/debestlegal.com\/index.php\/arrested-subscriber-page\/\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">Log In<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-2d583444 elementor-hidden-mobile elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"2d583444\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-3cabf8c0\" data-id=\"3cabf8c0\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-79112bee elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"79112bee\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-706f1738\" data-id=\"706f1738\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-8b36593\" data-id=\"8b36593\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-25bb1e2e elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"25bb1e2e\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-75dcbd4f\" data-id=\"75dcbd4f\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-5658e030 elementor-widget elementor-widget-image\" data-id=\"5658e030\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img fetchpriority=\"high\" decoding=\"async\" width=\"3000\" height=\"70\" src=\"https:\/\/i0.wp.com\/debestlegal.com\/wp-content\/uploads\/2023\/03\/stripes.png?fit=3000%2C70&amp;ssl=1\" class=\"attachment-full size-full wp-image-1866\" alt=\"\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-64583555 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"64583555\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-5bf573e3\" data-id=\"5bf573e3\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-52fbedcc elementor-widget elementor-widget-heading\" data-id=\"52fbedcc\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h1 class=\"elementor-heading-title elementor-size-default\">ARREST INFORMATION<\/h1>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-20570187 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"20570187\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-376a33c8\" data-id=\"376a33c8\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-5a152027 elementor-widget elementor-widget-image\" data-id=\"5a152027\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img fetchpriority=\"high\" decoding=\"async\" width=\"3000\" height=\"70\" src=\"https:\/\/i0.wp.com\/debestlegal.com\/wp-content\/uploads\/2023\/03\/stripes.png?fit=3000%2C70&amp;ssl=1\" class=\"attachment-full size-full wp-image-1866\" alt=\"\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-09079c9 elementor-hidden-mobile elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"09079c9\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-725ef25\" data-id=\"725ef25\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-70f9c21 elementor-widget elementor-widget-text-editor\" data-id=\"70f9c21\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<h5><strong>If you have already been arrested, please complete the following form to receive your referral:<\/strong><\/h5><p data-sourcepos=\"3:1-3:53\"><strong>Connecting You with Your Defense Team:<\/strong><\/p><p data-sourcepos=\"5:1-5:296\">Great, you have been released. To connect you with your defense team, we&#8217;ll need some additional details from you. Simply submit the information, and we&#8217;ll review it within 72 hours. Once complete, you&#8217;ll receive an email from us with your attorney&#8217;s contact information.<\/p><p data-sourcepos=\"7:1-7:32\"><strong>Scheduling Your Consultation:<\/strong><\/p><p data-sourcepos=\"9:1-9:142\">Scheduling your consultation is easy! Contact your attorney and arrange a consultation at your convenience. Your attorney can meet with you in person, over the phone, or by Zoom, whichever best suits your needs.<\/p><p data-sourcepos=\"11:1-11:30\"><strong>Preparing for Your Meeting:<\/strong><\/p><p data-sourcepos=\"13:1-13:244\">For phone and Zoom consultations, we recommend uploading any relevant paperwork to your secure online account beforehand. Alternatively, you can email it directly to your attorney&#8217;s office. This will ensure a smooth and productive consultation.<\/p><p data-sourcepos=\"15:1-15:19\"><strong>Important Note:<\/strong><\/p><p data-sourcepos=\"17:1-17:114\">Upon submitting this form, a $199.00 referral fee will be charged to your account as per your subscription terms.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-8535f50\" data-id=\"8535f50\" data-element_type=\"column\" data-e-type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t<div class=\"elementor-background-overlay\"><\/div>\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-1d4911d elementor-widget elementor-widget-heading\" data-id=\"1d4911d\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Referral Request<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-103eab1 elementor-widget elementor-widget-shortcode\" data-id=\"103eab1\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"shortcode.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-shortcode\"><link rel='stylesheet' id='formidable-css' href='https:\/\/debestlegal.com\/wp-content\/plugins\/formidable\/css\/formidableforms.css?ver=217047' media='all' \/>\n<div class=\"frm_forms  with_frm_style frm_style_formidable-style frm_chat_form_cont\" id=\"frm_form_14_container\" data-token=\"9a4e818ce79108e6f3806698e9396310\">\n<form enctype=\"multipart\/form-data\" method=\"post\" class=\"frm-show-form  frm_js_validate  frm_pro_form \" id=\"form_arrest-information\" data-token=\"9a4e818ce79108e6f3806698e9396310\">\n<div class=\"frm_form_fields \">\n<fieldset>\n<legend class=\"frm_screen_reader\">Arrest Information<\/legend>\r\n\r\n<div class=\"frm_chat_form frm_fields_container\">\n<input type=\"hidden\" name=\"frm_action\" value=\"create\" \/>\n<input type=\"hidden\" name=\"form_id\" value=\"14\" \/>\n<input type=\"hidden\" name=\"frm_hide_fields_14\" id=\"frm_hide_fields_14\" value=\"\" \/>\n<input type=\"hidden\" name=\"form_key\" value=\"arrest-information\" \/>\n<input type=\"hidden\" name=\"item_meta[0]\" value=\"\" \/>\n<input type=\"hidden\" id=\"frm_submit_entry_14\" name=\"frm_submit_entry_14\" value=\"dbc8a80f90\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/index.php\/wp-json\/wp\/v2\/pages\/15477\" \/><input type=\"hidden\" name=\"item_meta[189]\" id=\"field_vht2q\" value=\"\" data-frmval=\"\"\/>\n<div id=\"frm_field_184_container\" class=\"frm_form_field frm_active_chat_field form-field  frm_top_container\">\r\n\t<label for=\"field_c9ui\" id=\"field_c9ui_label\" class=\"frm_primary_label\">Please provide your Driver's License number.\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n\t<\/label>\r\n\t<input  type=\"text\" id=\"field_c9ui\" name=\"item_meta[184]\" value=\"\"  placeholder=\"Driver&#039;s License\" data-invmsg=\"Please provide your Driver&#039;s License number. is invalid\" aria-invalid=\"false\"   \/>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_188_container\" class=\"frm_form_field frm_inactive_chat_field form-field  frm_top_container\">\r\n\t<label for=\"field_ckh7h\" id=\"field_ckh7h_label\" class=\"frm_primary_label\">What is your current email address?\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n\t<\/label>\r\n\t<input type=\"email\" id=\"field_ckh7h\" name=\"item_meta[188]\" value=\"\"  autocomplete=\"email\"  placeholder=\"Email\" data-invmsg=\"What is your current email address? is invalid\" aria-invalid=\"false\"  \/>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_187_container\" class=\"frm_form_field frm_inactive_chat_field form-field  frm_top_container frm12 frm_first\">\r\n\t<label for=\"field_ddatk\" id=\"field_ddatk_label\" class=\"frm_primary_label\">What is your phone number?\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n\t<\/label>\r\n\t<input type=\"tel\" id=\"field_ddatk\" name=\"item_meta[187]\" value=\"\"  data-frmmask=\"(000)000-0000\" placeholder=\"Phone Number\" data-invmsg=\"What is your phone number? is invalid\" aria-invalid=\"false\" pattern=\"\\(\\d\\d\\d\\)\\d\\d\\d-\\d\\d\\d\\d$\"  \/>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_191_container\" class=\"frm_form_field frm_inactive_chat_field frm_autoadvance form-field  frm_top_container frm12 frm_first\">\r\n\t<label for=\"field_qoop8\" id=\"field_qoop8_label\" class=\"frm_primary_label\">What was the date of your arrest?\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n\t<\/label>\r\n\t<input type=\"text\" id=\"field_qoop8\" name=\"item_meta[191]\" value=\"\"  maxlength=\"5\" placeholder=\"Arrest Date\" data-invmsg=\"What was the date of your arrest? is invalid\" class=\"frm_date\" aria-invalid=\"false\"  \/>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_192_container\" class=\"frm_form_field frm_inactive_chat_field form-field  frm_top_container\">\r\n\t<div  id=\"field_n595m_label\" class=\"frm_primary_label\">What time were you arrested?\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n\t<\/div>\r\n\t<div class=\"frm_time_wrap\"><span dir=\"ltr\">\r\n<select aria-label=\"What time were you arrested? ... hour\" name=\"item_meta[192][H]\" id=\"field_n595m_H\"  data-frmval=\"{&quot;H&quot;:&quot;&quot;,&quot;m&quot;:&quot;&quot;,&quot;A&quot;:&quot;&quot;,&quot;s&quot;:&quot;&quot;,&quot;ms&quot;:&quot;&quot;}\" data-invmsg=\"What time were you arrested? is invalid\" class=\"auto_width frm_time_select\" aria-invalid=\"false\"  ><option value=\"\"  selected='selected'><\/option><option value=\"12\" >12<\/option><option value=\"1\" >1<\/option><option value=\"2\" >2<\/option><option value=\"3\" >3<\/option><option value=\"4\" >4<\/option><option value=\"5\" >5<\/option><option value=\"6\" >6<\/option><option value=\"7\" >7<\/option><option value=\"8\" >8<\/option><option value=\"9\" >9<\/option><option value=\"10\" >10<\/option><option value=\"11\" >11<\/option><\/select>\r\n<span class=\"frm_time_sep\" aria-hidden=\"true\">:<\/span>\r\n<select aria-label=\"What time were you arrested? ... minute\" name=\"item_meta[192][m]\" id=\"field_n595m_m\"  data-frmval=\"{&quot;H&quot;:&quot;&quot;,&quot;m&quot;:&quot;&quot;,&quot;A&quot;:&quot;&quot;,&quot;s&quot;:&quot;&quot;,&quot;ms&quot;:&quot;&quot;}\" data-invmsg=\"What time were you arrested? is invalid\" class=\"auto_width frm_time_select auto_width frm_time_select\" aria-invalid=\"false\"  ><option value=\"\"  selected='selected'><\/option><option value=\"00\" >00<\/option><option value=\"05\" >05<\/option><option value=\"10\" >10<\/option><option value=\"15\" >15<\/option><option value=\"20\" >20<\/option><option value=\"25\" >25<\/option><option value=\"30\" >30<\/option><option value=\"35\" >35<\/option><option value=\"40\" >40<\/option><option value=\"45\" >45<\/option><option value=\"50\" >50<\/option><option value=\"55\" >55<\/option><\/select>\r\n<\/span>\r\n<select aria-label=\"What time were you arrested?\" name=\"item_meta[192][A]\" id=\"field_n595m_A\"  data-frmval=\"{&quot;H&quot;:&quot;&quot;,&quot;m&quot;:&quot;&quot;,&quot;A&quot;:&quot;&quot;,&quot;s&quot;:&quot;&quot;,&quot;ms&quot;:&quot;&quot;}\" data-invmsg=\"What time were you arrested? is invalid\" class=\"auto_width frm_time_select auto_width frm_time_select auto_width frm_time_select\" aria-invalid=\"false\"  ><option value=\"AM\" >AM<\/option><option value=\"PM\" >PM<\/option><\/select>\r\n<\/div>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_268_container\" class=\"frm_form_field frm_inactive_chat_field frm_autoadvance form-field  frm_top_container\">\r\n\t<label for=\"field_6jok2\" id=\"field_6jok2_label\" class=\"frm_primary_label\">What state were you arrested in?\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n\t<\/label>\r\n\t\t\t<select  name=\"item_meta[268]\" id=\"field_6jok2\"  data-invmsg=\"What state were you arrested in? is invalid\" aria-invalid=\"false\"  >\n\t\t\t\t\t\t\t<option  value=\"\" class=\"frm-select-placeholder\">\n\t\t\t\t\t \t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t<option  value=\"Arizona\">\n\t\t\t\t\tArizona\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t<option  value=\"California\">\n\t\t\t\t\tCalifornia\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t<option  value=\"Colorado\">\n\t\t\t\t\tColorado\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t<option  value=\"Nevada\">\n\t\t\t\t\tNevada\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t<option  value=\"Texas\">\n\t\t\t\t\tTexas\t\t\t\t<\/option>\n\t\t\t\t\t\t<\/select>\n\t\t\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_206_container\" class=\"frm_form_field frm_inactive_chat_field form-field  frm_top_container\">\r\n\t<label for=\"field_z340y\" id=\"field_z340y_label\" class=\"frm_primary_label\">Where city were you arrested in? \r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n\t<\/label>\r\n\t<input  type=\"text\" id=\"field_z340y\" name=\"item_meta[206]\" value=\"\"  data-invmsg=\"Where city were you arrested in?  is invalid\" aria-invalid=\"false\"   \/>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_207_container\" class=\"frm_form_field frm_inactive_chat_field frm_autoadvance form-field  frm_top_container vertical_radio frm_display_format_buttons frm_text_align_left\">\r\n\t<div  id=\"field_48py9_label\" class=\"frm_primary_label\">What law enforcement agency conducted the arrest?\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n\t<\/div>\r\n\t<div class=\"frm_opt_container\" aria-labelledby=\"field_48py9_label\" role=\"radiogroup\">\t\t<div class=\"frm_radio\" id=\"frm_radio_207-0\">\t\t\t<label  for=\"field_48py9-0\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[207]\" id=\"field_48py9-0\" value=\"City Police Department\"\n\t\t data-invmsg=\"What law enforcement agency conducted the arrest? is invalid\"   \/> <div class=\"frm_label_button_container\">City Police Department<\/div><\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_207-1\">\t\t\t<label  for=\"field_48py9-1\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[207]\" id=\"field_48py9-1\" value=\"County Sheriff&#039;s Department\"\n\t\t data-invmsg=\"What law enforcement agency conducted the arrest? is invalid\"   \/> <div class=\"frm_label_button_container\">County Sheriff's Department<\/div><\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_207-2\">\t\t\t<label  for=\"field_48py9-2\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[207]\" id=\"field_48py9-2\" value=\"State Highway Patrol\"\n\t\t data-invmsg=\"What law enforcement agency conducted the arrest? is invalid\"   \/> <div class=\"frm_label_button_container\">State Highway Patrol<\/div><\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_207-3\">\t\t\t<label  for=\"field_48py9-3\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[207]\" id=\"field_48py9-3\" value=\"Don&#039;t Know\"\n\t\t data-invmsg=\"What law enforcement agency conducted the arrest? is invalid\"   \/> <div class=\"frm_label_button_container\">Don't Know<\/div><\/label><\/div>\n<\/div>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_193_container\" class=\"frm_form_field frm_inactive_chat_field frm_autoadvance form-field  frm_top_container vertical_radio frm_display_format_buttons frm_text_align_left\">\r\n\t<div  id=\"field_iekot_label\" class=\"frm_primary_label\">Did you take a field sobriety test?\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n\t<\/div>\r\n\t<div class=\"frm_opt_container\" aria-labelledby=\"field_iekot_label\" role=\"radiogroup\">\t\t<div class=\"frm_radio\" id=\"frm_radio_193-0\">\t\t\t<label  for=\"field_iekot-0\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[193]\" id=\"field_iekot-0\" value=\"Yes\"\n\t\t data-invmsg=\"Did you take a field sobriety test? is invalid\"   \/> <div class=\"frm_label_button_container\">Yes<\/div><\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_193-1\">\t\t\t<label  for=\"field_iekot-1\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[193]\" id=\"field_iekot-1\" value=\"No\"\n\t\t data-invmsg=\"Did you take a field sobriety test? is invalid\"   \/> <div class=\"frm_label_button_container\">No<\/div><\/label><\/div>\n<\/div>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_200_container\" class=\"frm_form_field frm_inactive_chat_field frm_autoadvance form-field  frm_top_container vertical_radio frm_display_format_buttons frm_text_align_left\">\r\n\t<div  id=\"field_auptq_label\" class=\"frm_primary_label\">Were you given the option to refuse to take it?\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n\t<\/div>\r\n\t<div class=\"frm_opt_container\" aria-labelledby=\"field_auptq_label\" role=\"radiogroup\">\t\t<div class=\"frm_radio\" id=\"frm_radio_200-0\">\t\t\t<label  for=\"field_auptq-0\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[200]\" id=\"field_auptq-0\" value=\"Yes\"\n\t\t data-invmsg=\"Were you given the option to refuse to take it? is invalid\"   \/> <div class=\"frm_label_button_container\">Yes<\/div><\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_200-1\">\t\t\t<label  for=\"field_auptq-1\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[200]\" id=\"field_auptq-1\" value=\"No\"\n\t\t data-invmsg=\"Were you given the option to refuse to take it? is invalid\"   \/> <div class=\"frm_label_button_container\">No<\/div><\/label><\/div>\n<\/div>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_201_container\" class=\"frm_form_field frm_inactive_chat_field frm_autoadvance form-field  frm_top_container vertical_radio frm_display_format_buttons frm_text_align_left\">\r\n\t<div  id=\"field_80crj_label\" class=\"frm_primary_label\">Do you have any physical limitations that could have affected you performance?\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n\t<\/div>\r\n\t<div class=\"frm_opt_container\" aria-labelledby=\"field_80crj_label\" role=\"radiogroup\">\t\t<div class=\"frm_radio\" id=\"frm_radio_201-0\">\t\t\t<label  for=\"field_80crj-0\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[201]\" id=\"field_80crj-0\" value=\"Yes\"\n\t\t data-invmsg=\"Do you have any physical limitations that could have affected you performance? is invalid\"   \/> <div class=\"frm_label_button_container\">Yes<\/div><\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_201-1\">\t\t\t<label  for=\"field_80crj-1\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[201]\" id=\"field_80crj-1\" value=\"No\"\n\t\t data-invmsg=\"Do you have any physical limitations that could have affected you performance? is invalid\"   \/> <div class=\"frm_label_button_container\">No<\/div><\/label><\/div>\n<\/div>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_202_container\" class=\"frm_form_field frm_inactive_chat_field form-field  frm_top_container\">\r\n\t<label for=\"field_bg82i\" id=\"field_bg82i_label\" class=\"frm_primary_label\">What are those limitation?\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n\t<\/label>\r\n\t<textarea data-auto-grow=\"1\"  name=\"item_meta[202]\" id=\"field_bg82i\" rows=\"1\"  data-invmsg=\"What are those limitation? is invalid\" aria-invalid=\"false\"  ><\/textarea><div class=\"frm_pro_max_limit_desc\" data-max=\"100\" data-max-type=\"word\"><span id=\"frm_pro_content_length_202\">0<\/span> of 100 max words<\/div>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_194_container\" class=\"frm_form_field frm_inactive_chat_field frm_autoadvance form-field  frm_top_container vertical_radio frm_display_format_buttons frm_text_align_left\">\r\n\t<div  id=\"field_w55xh_label\" class=\"frm_primary_label\">Were you asked to take a breathalyzer?\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n\t<\/div>\r\n\t<div class=\"frm_opt_container\" aria-labelledby=\"field_w55xh_label\" role=\"radiogroup\">\t\t<div class=\"frm_radio\" id=\"frm_radio_194-0\">\t\t\t<label  for=\"field_w55xh-0\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[194]\" id=\"field_w55xh-0\" value=\"Yes\"\n\t\t data-invmsg=\"Were you asked to take a breathalyzer? is invalid\"   \/> <div class=\"frm_label_button_container\">Yes<\/div><\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_194-1\">\t\t\t<label  for=\"field_w55xh-1\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[194]\" id=\"field_w55xh-1\" value=\"No\"\n\t\t data-invmsg=\"Were you asked to take a breathalyzer? is invalid\"   \/> <div class=\"frm_label_button_container\">No<\/div><\/label><\/div>\n<\/div>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_199_container\" class=\"frm_form_field frm_inactive_chat_field frm_autoadvance form-field  frm_top_container vertical_radio frm_display_format_buttons frm_text_align_left\">\r\n\t<div  id=\"field_9xus7_label\" class=\"frm_primary_label\">Did you refuse to blow?\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n\t<\/div>\r\n\t<div class=\"frm_opt_container\" aria-labelledby=\"field_9xus7_label\" role=\"radiogroup\">\t\t<div class=\"frm_radio\" id=\"frm_radio_199-0\">\t\t\t<label  for=\"field_9xus7-0\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[199]\" id=\"field_9xus7-0\" value=\"Yes\"\n\t\t data-invmsg=\"Did you refuse to blow? is invalid\"   \/> <div class=\"frm_label_button_container\">Yes<\/div><\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_199-1\">\t\t\t<label  for=\"field_9xus7-1\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[199]\" id=\"field_9xus7-1\" value=\"No\"\n\t\t data-invmsg=\"Did you refuse to blow? is invalid\"   \/> <div class=\"frm_label_button_container\">No<\/div><\/label><\/div>\n<\/div>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_204_container\" class=\"frm_form_field frm_inactive_chat_field frm_autoadvance form-field  frm_top_container vertical_radio frm_display_format_buttons frm_text_align_left\">\r\n\t<div  id=\"field_qvpct_label\" class=\"frm_primary_label\">Did the officer tell you the results?\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n\t<\/div>\r\n\t<div class=\"frm_opt_container\" aria-labelledby=\"field_qvpct_label\" role=\"radiogroup\">\t\t<div class=\"frm_radio\" id=\"frm_radio_204-0\">\t\t\t<label  for=\"field_qvpct-0\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[204]\" id=\"field_qvpct-0\" value=\"Yes\"\n\t\t data-invmsg=\"Did the officer tell you the results? is invalid\"   \/> <div class=\"frm_label_button_container\">Yes<\/div><\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_204-1\">\t\t\t<label  for=\"field_qvpct-1\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[204]\" id=\"field_qvpct-1\" value=\"No\"\n\t\t data-invmsg=\"Did the officer tell you the results? is invalid\"   \/> <div class=\"frm_label_button_container\">No<\/div><\/label><\/div>\n<\/div>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_203_container\" class=\"frm_form_field frm_inactive_chat_field form-field  frm_top_container\">\r\n\t<label for=\"field_tqdwa\" id=\"field_tqdwa_label\" class=\"frm_primary_label\">What was your reported BAC?\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n\t<\/label>\r\n\t<input type=\"number\" id=\"field_tqdwa\" name=\"item_meta[203]\" value=\"\" data-invmsg=\"What was your reported BAC? is invalid\" aria-invalid=\"false\"   min=\"0\" max=\"5\" step=\".01\" \/>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_195_container\" class=\"frm_form_field frm_inactive_chat_field frm_autoadvance form-field  frm_top_container vertical_radio frm_display_format_buttons frm_text_align_left\">\r\n\t<div  id=\"field_bcblp_label\" class=\"frm_primary_label\">Did you have your blood drawn?\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n\t<\/div>\r\n\t<div class=\"frm_opt_container\" aria-labelledby=\"field_bcblp_label\" role=\"radiogroup\">\t\t<div class=\"frm_radio\" id=\"frm_radio_195-0\">\t\t\t<label  for=\"field_bcblp-0\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[195]\" id=\"field_bcblp-0\" value=\"Yes\"\n\t\t data-invmsg=\"Did you have your blood drawn? is invalid\"   \/> <div class=\"frm_label_button_container\">Yes<\/div><\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_195-1\">\t\t\t<label  for=\"field_bcblp-1\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[195]\" id=\"field_bcblp-1\" value=\"No\"\n\t\t data-invmsg=\"Did you have your blood drawn? is invalid\"   \/> <div class=\"frm_label_button_container\">No<\/div><\/label><\/div>\n<\/div>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_240_container\" class=\"frm_form_field frm_inactive_chat_field frm_autoadvance form-field  frm_top_container vertical_radio frm_display_format_buttons frm_text_align_left\">\r\n\t<div  id=\"field_bngdg_label\" class=\"frm_primary_label\">Where was it drawn?\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n\t<\/div>\r\n\t<div class=\"frm_opt_container\" aria-labelledby=\"field_bngdg_label\" role=\"radiogroup\">\t\t<div class=\"frm_radio\" id=\"frm_radio_240-0\">\t\t\t<label  for=\"field_bngdg-0\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[240]\" id=\"field_bngdg-0\" value=\"Police Station\"\n\t\t data-invmsg=\"Where was it drawn? is invalid\"   \/> <div class=\"frm_label_button_container\">Police Station<\/div><\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_240-1\">\t\t\t<label  for=\"field_bngdg-1\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[240]\" id=\"field_bngdg-1\" value=\"Hospital\"\n\t\t data-invmsg=\"Where was it drawn? is invalid\"   \/> <div class=\"frm_label_button_container\">Hospital<\/div><\/label><\/div>\n<\/div>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_196_container\" class=\"frm_form_field frm_inactive_chat_field frm_autoadvance form-field  frm_top_container vertical_radio frm_display_format_buttons frm_text_align_left\">\r\n\t<div  id=\"field_g8eqe_label\" class=\"frm_primary_label\">Were there any witnesses to the arrest?\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n\t<\/div>\r\n\t<div class=\"frm_opt_container\" aria-labelledby=\"field_g8eqe_label\" role=\"radiogroup\">\t\t<div class=\"frm_radio\" id=\"frm_radio_196-0\">\t\t\t<label  for=\"field_g8eqe-0\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[196]\" id=\"field_g8eqe-0\" value=\"Yes\"\n\t\t data-invmsg=\"Were there any witnesses to the arrest? is invalid\"   \/> <div class=\"frm_label_button_container\">Yes<\/div><\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_196-1\">\t\t\t<label  for=\"field_g8eqe-1\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[196]\" id=\"field_g8eqe-1\" value=\"No\"\n\t\t data-invmsg=\"Were there any witnesses to the arrest? is invalid\"   \/> <div class=\"frm_label_button_container\">No<\/div><\/label><\/div>\n<\/div>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_197_container\" class=\"frm_form_field frm_inactive_chat_field frm_autoadvance form-field  frm_top_container vertical_radio frm_display_format_buttons frm_text_align_left\">\r\n\t<div  id=\"field_hpiil_label\" class=\"frm_primary_label\">Do you have any dashcam footage or recordings of the arrest?\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n\t<\/div>\r\n\t<div class=\"frm_opt_container\" aria-labelledby=\"field_hpiil_label\" role=\"radiogroup\">\t\t<div class=\"frm_radio\" id=\"frm_radio_197-0\">\t\t\t<label  for=\"field_hpiil-0\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[197]\" id=\"field_hpiil-0\" value=\"Yes\"\n\t\t data-invmsg=\"Do you have any dashcam footage or recordings of the arrest? is invalid\"   \/> <div class=\"frm_label_button_container\">Yes<\/div><\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_197-1\">\t\t\t<label  for=\"field_hpiil-1\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[197]\" id=\"field_hpiil-1\" value=\"No\"\n\t\t data-invmsg=\"Do you have any dashcam footage or recordings of the arrest? is invalid\"   \/> <div class=\"frm_label_button_container\">No<\/div><\/label><\/div>\n<\/div>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_198_container\" class=\"frm_form_field frm_inactive_chat_field frm_autoadvance form-field  frm_top_container vertical_radio frm_display_format_buttons frm_text_align_left\">\r\n\t<div  id=\"field_yufa4_label\" class=\"frm_primary_label\">Were you taking any medications at the time of the arrest?\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n\t<\/div>\r\n\t<div class=\"frm_opt_container\" aria-labelledby=\"field_yufa4_label\" role=\"radiogroup\">\t\t<div class=\"frm_radio\" id=\"frm_radio_198-0\">\t\t\t<label  for=\"field_yufa4-0\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[198]\" id=\"field_yufa4-0\" value=\"Yes\"\n\t\t data-invmsg=\"Were you taking any medications at the time of the arrest? is invalid\"   \/> <div class=\"frm_label_button_container\">Yes<\/div><\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_198-1\">\t\t\t<label  for=\"field_yufa4-1\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[198]\" id=\"field_yufa4-1\" value=\"No\"\n\t\t data-invmsg=\"Were you taking any medications at the time of the arrest? is invalid\"   \/> <div class=\"frm_label_button_container\">No<\/div><\/label><\/div>\n<\/div>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_190_container\" class=\"frm_form_field frm_inactive_chat_field form-field  frm_top_container\">\r\n\t<label for=\"field_fbaya\" id=\"field_fbaya_label\" class=\"frm_primary_label\">Which medications?\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n\t<\/label>\r\n\t<input  type=\"text\" id=\"field_fbaya\" name=\"item_meta[190]\" value=\"\"  data-invmsg=\"Which medications? is invalid\" aria-invalid=\"false\"   \/>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_205_container\" class=\"frm_form_field frm_inactive_chat_field frm_autoadvance form-field  frm_top_container vertical_radio frm_display_format_buttons frm_text_align_left\">\r\n\t<div  id=\"field_amyp5_label\" class=\"frm_primary_label\">Were you read your rights?\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n\t<\/div>\r\n\t<div class=\"frm_opt_container\" aria-labelledby=\"field_amyp5_label\" role=\"radiogroup\">\t\t<div class=\"frm_radio\" id=\"frm_radio_205-0\">\t\t\t<label  for=\"field_amyp5-0\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[205]\" id=\"field_amyp5-0\" value=\"Yes\"\n\t\t data-invmsg=\"Were you read your rights? is invalid\"   \/> <div class=\"frm_label_button_container\">Yes<\/div><\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_205-1\">\t\t\t<label  for=\"field_amyp5-1\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[205]\" id=\"field_amyp5-1\" value=\"No\"\n\t\t data-invmsg=\"Were you read your rights? is invalid\"   \/> <div class=\"frm_label_button_container\">No<\/div><\/label><\/div>\n<\/div>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_208_container\" class=\"frm_form_field frm_inactive_chat_field frm_autoadvance form-field  frm_top_container frm12 frm_first vertical_radio frm_display_format_buttons frm_text_align_left\">\r\n\t<div  id=\"field_krktf_label\" class=\"frm_primary_label\">Were you cited for any other crimes?\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n\t<\/div>\r\n\t<div class=\"frm_opt_container\" aria-labelledby=\"field_krktf_label\" role=\"radiogroup\">\t\t<div class=\"frm_radio\" id=\"frm_radio_208-0\">\t\t\t<label  for=\"field_krktf-0\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[208]\" id=\"field_krktf-0\" value=\"Yes\"\n\t\t data-invmsg=\"Were you cited for any other crimes? is invalid\"   \/> <div class=\"frm_label_button_container\">Yes<\/div><\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_208-1\">\t\t\t<label  for=\"field_krktf-1\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[208]\" id=\"field_krktf-1\" value=\"No\"\n\t\t data-invmsg=\"Were you cited for any other crimes? is invalid\"   \/> <div class=\"frm_label_button_container\">No<\/div><\/label><\/div>\n<\/div>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_210_container\" class=\"frm_form_field frm_inactive_chat_field form-field  frm_top_container\">\r\n\t<label for=\"field_59ttb\" id=\"field_59ttb_label\" class=\"frm_primary_label\">Please explain:\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n\t<\/label>\r\n\t<textarea data-auto-grow=\"1\"  name=\"item_meta[210]\" id=\"field_59ttb\" rows=\"3\"  data-invmsg=\"Please explain: is invalid\" aria-invalid=\"false\"  ><\/textarea><div class=\"frm_pro_max_limit_desc\" data-max=\"200\" data-max-type=\"word\"><span id=\"frm_pro_content_length_210\">0<\/span> of 200 max words<\/div>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_211_container\" class=\"frm_form_field frm_inactive_chat_field frm_autoadvance form-field  frm_top_container vertical_radio frm_display_format_buttons frm_text_align_left\">\r\n\t<div  id=\"field_a3dwt_label\" class=\"frm_primary_label\">Were you involved in an accident prior to your arrest?\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n\t<\/div>\r\n\t<div class=\"frm_opt_container\" aria-labelledby=\"field_a3dwt_label\" role=\"radiogroup\">\t\t<div class=\"frm_radio\" id=\"frm_radio_211-0\">\t\t\t<label  for=\"field_a3dwt-0\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[211]\" id=\"field_a3dwt-0\" value=\"Yes\"\n\t\t data-invmsg=\"Were you involved in an accident prior to your arrest? is invalid\"   \/> <div class=\"frm_label_button_container\">Yes<\/div><\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_211-1\">\t\t\t<label  for=\"field_a3dwt-1\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[211]\" id=\"field_a3dwt-1\" value=\"No\"\n\t\t data-invmsg=\"Were you involved in an accident prior to your arrest? is invalid\"   \/> <div class=\"frm_label_button_container\">No<\/div><\/label><\/div>\n<\/div>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_212_container\" class=\"frm_form_field frm_inactive_chat_field frm_autoadvance form-field  frm_top_container vertical_radio frm_display_format_buttons frm_text_align_left\">\r\n\t<div  id=\"field_1h1n2_label\" class=\"frm_primary_label\">Was anyone killed as a result of the accident?\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n\t<\/div>\r\n\t<div class=\"frm_opt_container\" aria-labelledby=\"field_1h1n2_label\" role=\"radiogroup\">\t\t<div class=\"frm_radio\" id=\"frm_radio_212-0\">\t\t\t<label  for=\"field_1h1n2-0\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[212]\" id=\"field_1h1n2-0\" value=\"Yes\"\n\t\t data-invmsg=\"Was anyone killed as a result of the accident? is invalid\"   \/> <div class=\"frm_label_button_container\">Yes<\/div><\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_212-1\">\t\t\t<label  for=\"field_1h1n2-1\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[212]\" id=\"field_1h1n2-1\" value=\"No\"\n\t\t data-invmsg=\"Was anyone killed as a result of the accident? is invalid\"   \/> <div class=\"frm_label_button_container\">No<\/div><\/label><\/div>\n<\/div>\r\n\t\r\n\t\r\n<\/div>\n<input type=\"hidden\" name=\"item_meta[263]\" id=\"field_77yec-0\" value=\"No\"  data-frmval=\"No\"   \/>\n<input type=\"hidden\" name=\"item_meta[265]\" id=\"field_ktuub\" value=\"\"     \/>\n<input type=\"hidden\" name=\"item_meta[266]\" id=\"field_59trg\" value=\"\"     \/>\n<input type=\"hidden\" name=\"item_meta[264]\" id=\"field_lywaa\" value=\"\"  autocomplete=\"email\"     \/>\n<input type=\"hidden\" name=\"item_meta[267]\" id=\"field_3oj8j-0\" value=\"No\"  data-frmval=\"No\"   \/>\n<input type=\"hidden\" name=\"item_meta[270]\" id=\"field_mb5-0\" value=\"No\"  data-frmval=\"No\"   \/>\n<input type=\"hidden\" name=\"item_meta[271]\" id=\"field_gqzv5-0\" value=\"\"     \/>\n<div id=\"frm_field_183_container\" class=\"frm_form_field frm_inactive_chat_field form-field \">\r\n\t<div class=\"frm_submit frm_flex\">\r\n<button class=\"frm_button_submit frm_final_submit\" type=\"submit\"   formnovalidate=\"formnovalidate\">SUBMIT<\/button>\r\n\r\n\r\n\r\n<\/div>\r\n<\/div>\n\t<input type=\"hidden\" name=\"item_key\" value=\"\" \/>\n\t\t\t<div id=\"frm_field_625_container\">\n\t\t\t<label for=\"field_qfz7x\" >\n\t\t\t\tIf you are human, leave this field blank.\t\t\t<\/label>\n\t\t\t<input  id=\"field_qfz7x\" type=\"text\" class=\"frm_form_field form-field frm_verify\" name=\"item_meta[625]\" value=\"\"  \/>\n\t\t<\/div>\n\t\t<input name=\"frm_state\" type=\"hidden\" value=\"G5iE806AiFaXn7fkjBTbf733ldoZhoL1hrIYF3rSHS16tuMEEBuyfcFTo9Wfnyyw\" \/>\t\t<svg aria-hidden=\"true\" style=\"position: absolute; width: 0; height: 0; overflow: hidden;\" version=\"1.1\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\">\n\t\t\t<defs>\n\t\t\t\t<symbol id=\"frm_trash_icon\" viewBox=\"0 0 20 20\" fill=\"none\"><path d=\"M2.5 5h15M6.667 5V3.334a1.667 1.667 0 011.667-1.667h3.333a1.667 1.667 0 011.667 1.667V5m2.5 0v11.667a1.667 1.667 0 01-1.667 1.667H5.834a1.667 1.667 0 01-1.667-1.667V5h11.667z\" stroke=\"#484E54\" stroke-linecap=\"round\" stroke-linejoin=\"round\"\/><\/symbol>\n\t\t\t<\/defs>\n\t\t<\/svg>\n\t\t<\/div>\n<\/fieldset>\n<\/div>\n\n<\/form><div class=\"frm-chat-wrapper\"><div class=\"frm_continue_chat_wrapper frm_submit\"><button class=\"button button-primary frm-button-primary frm_continue_chat frm_button_submit frm_hidden\"><span class=\"frm_continue_text\">Continue<\/span><span class=\"frm_continue_final_text\">SUBMIT<\/span> <svg width=\"16\" height=\"11\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 16 11\"><path fill=\"currentColor\" d=\"M15.3 6c0 .7-.3 1.2-.7 1.7a2.2 2.2 0 0 1-1.7.7H7.4v2.3L.6 7.5l6.8-3.2v2.3H12c.3 0 .6-.1.8-.3.3-.2.4-.5.4-.8V.7h2V6Z\"\/><\/svg><\/button><\/div><div class=\"frm_chat_arrows\"><a href=\"#\" class=\"frm_chat_arrow frm_chat_prev_arrow\" role=\"button\" aria-label=\"Previous\"><svg width=\"19\" height=\"19\" viewBox=\"0 0 19 19\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M14.75 9.5H4.25\" stroke=\"currentColor\" stroke-linecap=\"round\" stroke-linejoin=\"round\"\/><path d=\"M9.5 14.75L4.25 9.5L9.5 4.25\" stroke=\"currentColor\" stroke-linecap=\"round\" stroke-linejoin=\"round\"\/><\/svg><\/a><a href=\"#\" class=\"frm_chat_arrow frm_chat_next_arrow frm_button_submit\" role=\"button\" aria-label=\"Continue\"><svg width=\"19\" height=\"19\" viewBox=\"0 0 19 19\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M4.25 9.5H14.75\" stroke=\"currentColor\" stroke-linecap=\"round\" stroke-linejoin=\"round\"\/><path d=\"M9.5 14.75L14.75 9.5L9.5 4.25\" stroke=\"currentColor\" stroke-linecap=\"round\" stroke-linejoin=\"round\"\/><\/svg><svg class=\"frm_next_checkmark\" width=\"19\" height=\"19\" viewBox=\"0 0 19 19\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M15.5 4.875L7.25 13.125L3.5 9.375\" stroke=\"currentColor\" stroke-linecap=\"round\" stroke-linejoin=\"round\"\/><\/svg><\/a><\/div><div class=\"frm-key-instructions\">Use <span class=\"frm-instruction-key\">Shift+Tab<\/span> to go back<\/div><\/div>\n<\/div>\n<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-32f9b9e elementor-hidden-desktop elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"32f9b9e\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-2cca15b\" data-id=\"2cca15b\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-21aeba7 elementor-widget elementor-widget-text-editor\" data-id=\"21aeba7\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<h5><strong>If you have already been arrested, please complete the following form to receive your referral:<\/strong><\/h5><p data-sourcepos=\"3:1-3:53\"><strong>Connecting You with Your Defense Team:<\/strong><\/p><p data-sourcepos=\"5:1-5:296\">Great, you have been released. To connect you with your defense team, we&#8217;ll need some additional details from you. Simply submit the information, and we&#8217;ll review it within 72 hours. Once complete, you&#8217;ll receive an email from us with your attorney&#8217;s contact information.<\/p><p data-sourcepos=\"7:1-7:32\"><strong>Scheduling Your Consultation:<\/strong><\/p><p data-sourcepos=\"9:1-9:142\">Scheduling your consultation is easy! Contact your attorney and arrange a consultation at your convenience. Your attorney can meet with you in person, over the phone, or by Zoom, whichever best suits your needs.<\/p><p data-sourcepos=\"11:1-11:30\"><strong>Preparing for Your Meeting:<\/strong><\/p><p data-sourcepos=\"13:1-13:244\">For phone and Zoom consultations, we recommend uploading any relevant paperwork to your secure online account beforehand. Alternatively, you can email it directly to your attorney&#8217;s office. This will ensure a smooth and productive consultation.<\/p><p data-sourcepos=\"15:1-15:19\"><strong>Important Note:<\/strong><\/p><p data-sourcepos=\"17:1-17:114\">Upon submitting this form, a $199.00 referral fee will be charged to your account as per your subscription terms.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-a5f2db5\" data-id=\"a5f2db5\" data-element_type=\"column\" data-e-type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t<div class=\"elementor-background-overlay\"><\/div>\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-070c190 elementor-widget elementor-widget-heading\" data-id=\"070c190\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Referral Request<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-83b0924 elementor-widget elementor-widget-shortcode\" data-id=\"83b0924\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"shortcode.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-shortcode\"><div class=\"frm_forms  with_frm_style frm_style_formidable-style frm_chat_form_cont\" id=\"frm_form_14_container\" data-token=\"9a4e818ce79108e6f3806698e9396310\" data-token=\"9a4e818ce79108e6f3806698e9396310\">\n<form enctype=\"multipart\/form-data\" method=\"post\" class=\"frm-show-form  frm_js_validate  frm_pro_form \" id=\"form_arrest-information\" data-token=\"9a4e818ce79108e6f3806698e9396310\" data-token=\"9a4e818ce79108e6f3806698e9396310\">\n<div class=\"frm_form_fields \">\n<fieldset>\n<legend class=\"frm_screen_reader\">Arrest Information<\/legend>\r\n\r\n<div class=\"frm_chat_form frm_fields_container\">\n<input type=\"hidden\" name=\"frm_action\" value=\"create\" \/>\n<input type=\"hidden\" name=\"form_id\" value=\"14\" \/>\n<input type=\"hidden\" name=\"frm_hide_fields_14\" id=\"frm_hide_fields_14\" value=\"\" \/>\n<input type=\"hidden\" name=\"form_key\" value=\"arrest-information\" \/>\n<input type=\"hidden\" name=\"item_meta[0]\" value=\"\" \/>\n<input type=\"hidden\" id=\"frm_submit_entry_14\" name=\"frm_submit_entry_14\" value=\"dbc8a80f90\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/index.php\/wp-json\/wp\/v2\/pages\/15477\" \/><input type=\"hidden\" name=\"item_meta[189]\" id=\"field_vht2q\" value=\"\" data-frmval=\"\"\/>\n<div id=\"frm_field_184_container\" class=\"frm_form_field frm_active_chat_field form-field  frm_top_container\">\r\n\t<label for=\"field_c9ui\" id=\"field_c9ui_label\" class=\"frm_primary_label\">Please provide your Driver's License number.\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n\t<\/label>\r\n\t<input  type=\"text\" id=\"field_c9ui\" name=\"item_meta[184]\" value=\"\"  placeholder=\"Driver&#039;s License\" data-invmsg=\"Please provide your Driver&#039;s License number. is invalid\" aria-invalid=\"false\"   \/>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_188_container\" class=\"frm_form_field frm_inactive_chat_field form-field  frm_top_container\">\r\n\t<label for=\"field_ckh7h\" id=\"field_ckh7h_label\" class=\"frm_primary_label\">What is your current email address?\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n\t<\/label>\r\n\t<input type=\"email\" id=\"field_ckh7h\" name=\"item_meta[188]\" value=\"\"  autocomplete=\"email\"  placeholder=\"Email\" data-invmsg=\"What is your current email address? is invalid\" aria-invalid=\"false\"  \/>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_187_container\" class=\"frm_form_field frm_inactive_chat_field form-field  frm_top_container frm12 frm_first\">\r\n\t<label for=\"field_ddatk\" id=\"field_ddatk_label\" class=\"frm_primary_label\">What is your phone number?\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n\t<\/label>\r\n\t<input type=\"tel\" id=\"field_ddatk\" name=\"item_meta[187]\" value=\"\"  data-frmmask=\"(000)000-0000\" placeholder=\"Phone Number\" data-invmsg=\"What is your phone number? is invalid\" aria-invalid=\"false\" pattern=\"\\(\\d\\d\\d\\)\\d\\d\\d-\\d\\d\\d\\d$\"  \/>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_191_container\" class=\"frm_form_field frm_inactive_chat_field frm_autoadvance form-field  frm_top_container frm12 frm_first\">\r\n\t<label for=\"field_qoop8\" id=\"field_qoop8_label\" class=\"frm_primary_label\">What was the date of your arrest?\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n\t<\/label>\r\n\t<input type=\"text\" id=\"field_qoop8\" name=\"item_meta[191]\" value=\"\"  maxlength=\"5\" placeholder=\"Arrest Date\" data-invmsg=\"What was the date of your arrest? is invalid\" class=\"frm_date\" aria-invalid=\"false\"  \/>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_192_container\" class=\"frm_form_field frm_inactive_chat_field form-field  frm_top_container\">\r\n\t<div  id=\"field_n595m_label\" class=\"frm_primary_label\">What time were you arrested?\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n\t<\/div>\r\n\t<div class=\"frm_time_wrap\"><span dir=\"ltr\">\r\n<select aria-label=\"What time were you arrested? ... hour\" name=\"item_meta[192][H]\" id=\"field_n595m_H\"  data-frmval=\"{&quot;H&quot;:&quot;&quot;,&quot;m&quot;:&quot;&quot;,&quot;A&quot;:&quot;&quot;,&quot;s&quot;:&quot;&quot;,&quot;ms&quot;:&quot;&quot;}\" data-invmsg=\"What time were you arrested? is invalid\" class=\"auto_width frm_time_select\" aria-invalid=\"false\"  ><option value=\"\"  selected='selected'><\/option><option value=\"12\" >12<\/option><option value=\"1\" >1<\/option><option value=\"2\" >2<\/option><option value=\"3\" >3<\/option><option value=\"4\" >4<\/option><option value=\"5\" >5<\/option><option value=\"6\" >6<\/option><option value=\"7\" >7<\/option><option value=\"8\" >8<\/option><option value=\"9\" >9<\/option><option value=\"10\" >10<\/option><option value=\"11\" >11<\/option><\/select>\r\n<span class=\"frm_time_sep\" aria-hidden=\"true\">:<\/span>\r\n<select aria-label=\"What time were you arrested? ... minute\" name=\"item_meta[192][m]\" id=\"field_n595m_m\"  data-frmval=\"{&quot;H&quot;:&quot;&quot;,&quot;m&quot;:&quot;&quot;,&quot;A&quot;:&quot;&quot;,&quot;s&quot;:&quot;&quot;,&quot;ms&quot;:&quot;&quot;}\" data-invmsg=\"What time were you arrested? is invalid\" class=\"auto_width frm_time_select auto_width frm_time_select\" aria-invalid=\"false\"  ><option value=\"\"  selected='selected'><\/option><option value=\"00\" >00<\/option><option value=\"05\" >05<\/option><option value=\"10\" >10<\/option><option value=\"15\" >15<\/option><option value=\"20\" >20<\/option><option value=\"25\" >25<\/option><option value=\"30\" >30<\/option><option value=\"35\" >35<\/option><option value=\"40\" >40<\/option><option value=\"45\" >45<\/option><option value=\"50\" >50<\/option><option value=\"55\" >55<\/option><\/select>\r\n<\/span>\r\n<select aria-label=\"What time were you arrested?\" name=\"item_meta[192][A]\" id=\"field_n595m_A\"  data-frmval=\"{&quot;H&quot;:&quot;&quot;,&quot;m&quot;:&quot;&quot;,&quot;A&quot;:&quot;&quot;,&quot;s&quot;:&quot;&quot;,&quot;ms&quot;:&quot;&quot;}\" data-invmsg=\"What time were you arrested? is invalid\" class=\"auto_width frm_time_select auto_width frm_time_select auto_width frm_time_select\" aria-invalid=\"false\"  ><option value=\"AM\" >AM<\/option><option value=\"PM\" >PM<\/option><\/select>\r\n<\/div>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_268_container\" class=\"frm_form_field frm_inactive_chat_field frm_autoadvance form-field  frm_top_container\">\r\n\t<label for=\"field_6jok2\" id=\"field_6jok2_label\" class=\"frm_primary_label\">What state were you arrested in?\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n\t<\/label>\r\n\t\t\t<select  name=\"item_meta[268]\" id=\"field_6jok2\"  data-invmsg=\"What state were you arrested in? is invalid\" aria-invalid=\"false\"  >\n\t\t\t\t\t\t\t<option  value=\"\" class=\"frm-select-placeholder\">\n\t\t\t\t\t \t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t<option  value=\"Arizona\">\n\t\t\t\t\tArizona\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t<option  value=\"California\">\n\t\t\t\t\tCalifornia\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t<option  value=\"Colorado\">\n\t\t\t\t\tColorado\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t<option  value=\"Nevada\">\n\t\t\t\t\tNevada\t\t\t\t<\/option>\n\t\t\t\t\t\t\t\t<option  value=\"Texas\">\n\t\t\t\t\tTexas\t\t\t\t<\/option>\n\t\t\t\t\t\t<\/select>\n\t\t\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_206_container\" class=\"frm_form_field frm_inactive_chat_field form-field  frm_top_container\">\r\n\t<label for=\"field_z340y\" id=\"field_z340y_label\" class=\"frm_primary_label\">Where city were you arrested in? \r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n\t<\/label>\r\n\t<input  type=\"text\" id=\"field_z340y\" name=\"item_meta[206]\" value=\"\"  data-invmsg=\"Where city were you arrested in?  is invalid\" aria-invalid=\"false\"   \/>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_207_container\" class=\"frm_form_field frm_inactive_chat_field frm_autoadvance form-field  frm_top_container vertical_radio frm_display_format_buttons frm_text_align_left\">\r\n\t<div  id=\"field_48py9_label\" class=\"frm_primary_label\">What law enforcement agency conducted the arrest?\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n\t<\/div>\r\n\t<div class=\"frm_opt_container\" aria-labelledby=\"field_48py9_label\" role=\"radiogroup\">\t\t<div class=\"frm_radio\" id=\"frm_radio_207-0\">\t\t\t<label  for=\"field_48py9-0\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[207]\" id=\"field_48py9-0\" value=\"City Police Department\"\n\t\t data-invmsg=\"What law enforcement agency conducted the arrest? is invalid\"   \/> <div class=\"frm_label_button_container\">City Police Department<\/div><\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_207-1\">\t\t\t<label  for=\"field_48py9-1\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[207]\" id=\"field_48py9-1\" value=\"County Sheriff&#039;s Department\"\n\t\t data-invmsg=\"What law enforcement agency conducted the arrest? is invalid\"   \/> <div class=\"frm_label_button_container\">County Sheriff's Department<\/div><\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_207-2\">\t\t\t<label  for=\"field_48py9-2\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[207]\" id=\"field_48py9-2\" value=\"State Highway Patrol\"\n\t\t data-invmsg=\"What law enforcement agency conducted the arrest? is invalid\"   \/> <div class=\"frm_label_button_container\">State Highway Patrol<\/div><\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_207-3\">\t\t\t<label  for=\"field_48py9-3\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[207]\" id=\"field_48py9-3\" value=\"Don&#039;t Know\"\n\t\t data-invmsg=\"What law enforcement agency conducted the arrest? is invalid\"   \/> <div class=\"frm_label_button_container\">Don't Know<\/div><\/label><\/div>\n<\/div>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_193_container\" class=\"frm_form_field frm_inactive_chat_field frm_autoadvance form-field  frm_top_container vertical_radio frm_display_format_buttons frm_text_align_left\">\r\n\t<div  id=\"field_iekot_label\" class=\"frm_primary_label\">Did you take a field sobriety test?\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n\t<\/div>\r\n\t<div class=\"frm_opt_container\" aria-labelledby=\"field_iekot_label\" role=\"radiogroup\">\t\t<div class=\"frm_radio\" id=\"frm_radio_193-0\">\t\t\t<label  for=\"field_iekot-0\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[193]\" id=\"field_iekot-0\" value=\"Yes\"\n\t\t data-invmsg=\"Did you take a field sobriety test? is invalid\"   \/> <div class=\"frm_label_button_container\">Yes<\/div><\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_193-1\">\t\t\t<label  for=\"field_iekot-1\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[193]\" id=\"field_iekot-1\" value=\"No\"\n\t\t data-invmsg=\"Did you take a field sobriety test? is invalid\"   \/> <div class=\"frm_label_button_container\">No<\/div><\/label><\/div>\n<\/div>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_200_container\" class=\"frm_form_field frm_inactive_chat_field frm_autoadvance form-field  frm_top_container vertical_radio frm_display_format_buttons frm_text_align_left\">\r\n\t<div  id=\"field_auptq_label\" class=\"frm_primary_label\">Were you given the option to refuse to take it?\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n\t<\/div>\r\n\t<div class=\"frm_opt_container\" aria-labelledby=\"field_auptq_label\" role=\"radiogroup\">\t\t<div class=\"frm_radio\" id=\"frm_radio_200-0\">\t\t\t<label  for=\"field_auptq-0\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[200]\" id=\"field_auptq-0\" value=\"Yes\"\n\t\t data-invmsg=\"Were you given the option to refuse to take it? is invalid\"   \/> <div class=\"frm_label_button_container\">Yes<\/div><\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_200-1\">\t\t\t<label  for=\"field_auptq-1\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[200]\" id=\"field_auptq-1\" value=\"No\"\n\t\t data-invmsg=\"Were you given the option to refuse to take it? is invalid\"   \/> <div class=\"frm_label_button_container\">No<\/div><\/label><\/div>\n<\/div>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_201_container\" class=\"frm_form_field frm_inactive_chat_field frm_autoadvance form-field  frm_top_container vertical_radio frm_display_format_buttons frm_text_align_left\">\r\n\t<div  id=\"field_80crj_label\" class=\"frm_primary_label\">Do you have any physical limitations that could have affected you performance?\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n\t<\/div>\r\n\t<div class=\"frm_opt_container\" aria-labelledby=\"field_80crj_label\" role=\"radiogroup\">\t\t<div class=\"frm_radio\" id=\"frm_radio_201-0\">\t\t\t<label  for=\"field_80crj-0\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[201]\" id=\"field_80crj-0\" value=\"Yes\"\n\t\t data-invmsg=\"Do you have any physical limitations that could have affected you performance? is invalid\"   \/> <div class=\"frm_label_button_container\">Yes<\/div><\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_201-1\">\t\t\t<label  for=\"field_80crj-1\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[201]\" id=\"field_80crj-1\" value=\"No\"\n\t\t data-invmsg=\"Do you have any physical limitations that could have affected you performance? is invalid\"   \/> <div class=\"frm_label_button_container\">No<\/div><\/label><\/div>\n<\/div>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_202_container\" class=\"frm_form_field frm_inactive_chat_field form-field  frm_top_container\">\r\n\t<label for=\"field_bg82i\" id=\"field_bg82i_label\" class=\"frm_primary_label\">What are those limitation?\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n\t<\/label>\r\n\t<textarea data-auto-grow=\"1\"  name=\"item_meta[202]\" id=\"field_bg82i\" rows=\"1\"  data-invmsg=\"What are those limitation? is invalid\" aria-invalid=\"false\"  ><\/textarea><div class=\"frm_pro_max_limit_desc\" data-max=\"100\" data-max-type=\"word\"><span id=\"frm_pro_content_length_202\">0<\/span> of 100 max words<\/div>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_194_container\" class=\"frm_form_field frm_inactive_chat_field frm_autoadvance form-field  frm_top_container vertical_radio frm_display_format_buttons frm_text_align_left\">\r\n\t<div  id=\"field_w55xh_label\" class=\"frm_primary_label\">Were you asked to take a breathalyzer?\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n\t<\/div>\r\n\t<div class=\"frm_opt_container\" aria-labelledby=\"field_w55xh_label\" role=\"radiogroup\">\t\t<div class=\"frm_radio\" id=\"frm_radio_194-0\">\t\t\t<label  for=\"field_w55xh-0\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[194]\" id=\"field_w55xh-0\" value=\"Yes\"\n\t\t data-invmsg=\"Were you asked to take a breathalyzer? is invalid\"   \/> <div class=\"frm_label_button_container\">Yes<\/div><\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_194-1\">\t\t\t<label  for=\"field_w55xh-1\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[194]\" id=\"field_w55xh-1\" value=\"No\"\n\t\t data-invmsg=\"Were you asked to take a breathalyzer? is invalid\"   \/> <div class=\"frm_label_button_container\">No<\/div><\/label><\/div>\n<\/div>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_199_container\" class=\"frm_form_field frm_inactive_chat_field frm_autoadvance form-field  frm_top_container vertical_radio frm_display_format_buttons frm_text_align_left\">\r\n\t<div  id=\"field_9xus7_label\" class=\"frm_primary_label\">Did you refuse to blow?\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n\t<\/div>\r\n\t<div class=\"frm_opt_container\" aria-labelledby=\"field_9xus7_label\" role=\"radiogroup\">\t\t<div class=\"frm_radio\" id=\"frm_radio_199-0\">\t\t\t<label  for=\"field_9xus7-0\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[199]\" id=\"field_9xus7-0\" value=\"Yes\"\n\t\t data-invmsg=\"Did you refuse to blow? is invalid\"   \/> <div class=\"frm_label_button_container\">Yes<\/div><\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_199-1\">\t\t\t<label  for=\"field_9xus7-1\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[199]\" id=\"field_9xus7-1\" value=\"No\"\n\t\t data-invmsg=\"Did you refuse to blow? is invalid\"   \/> <div class=\"frm_label_button_container\">No<\/div><\/label><\/div>\n<\/div>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_204_container\" class=\"frm_form_field frm_inactive_chat_field frm_autoadvance form-field  frm_top_container vertical_radio frm_display_format_buttons frm_text_align_left\">\r\n\t<div  id=\"field_qvpct_label\" class=\"frm_primary_label\">Did the officer tell you the results?\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n\t<\/div>\r\n\t<div class=\"frm_opt_container\" aria-labelledby=\"field_qvpct_label\" role=\"radiogroup\">\t\t<div class=\"frm_radio\" id=\"frm_radio_204-0\">\t\t\t<label  for=\"field_qvpct-0\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[204]\" id=\"field_qvpct-0\" value=\"Yes\"\n\t\t data-invmsg=\"Did the officer tell you the results? is invalid\"   \/> <div class=\"frm_label_button_container\">Yes<\/div><\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_204-1\">\t\t\t<label  for=\"field_qvpct-1\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[204]\" id=\"field_qvpct-1\" value=\"No\"\n\t\t data-invmsg=\"Did the officer tell you the results? is invalid\"   \/> <div class=\"frm_label_button_container\">No<\/div><\/label><\/div>\n<\/div>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_203_container\" class=\"frm_form_field frm_inactive_chat_field form-field  frm_top_container\">\r\n\t<label for=\"field_tqdwa\" id=\"field_tqdwa_label\" class=\"frm_primary_label\">What was your reported BAC?\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n\t<\/label>\r\n\t<input type=\"number\" id=\"field_tqdwa\" name=\"item_meta[203]\" value=\"\" data-invmsg=\"What was your reported BAC? is invalid\" aria-invalid=\"false\"   min=\"0\" max=\"5\" step=\".01\" \/>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_195_container\" class=\"frm_form_field frm_inactive_chat_field frm_autoadvance form-field  frm_top_container vertical_radio frm_display_format_buttons frm_text_align_left\">\r\n\t<div  id=\"field_bcblp_label\" class=\"frm_primary_label\">Did you have your blood drawn?\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n\t<\/div>\r\n\t<div class=\"frm_opt_container\" aria-labelledby=\"field_bcblp_label\" role=\"radiogroup\">\t\t<div class=\"frm_radio\" id=\"frm_radio_195-0\">\t\t\t<label  for=\"field_bcblp-0\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[195]\" id=\"field_bcblp-0\" value=\"Yes\"\n\t\t data-invmsg=\"Did you have your blood drawn? is invalid\"   \/> <div class=\"frm_label_button_container\">Yes<\/div><\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_195-1\">\t\t\t<label  for=\"field_bcblp-1\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[195]\" id=\"field_bcblp-1\" value=\"No\"\n\t\t data-invmsg=\"Did you have your blood drawn? is invalid\"   \/> <div class=\"frm_label_button_container\">No<\/div><\/label><\/div>\n<\/div>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_240_container\" class=\"frm_form_field frm_inactive_chat_field frm_autoadvance form-field  frm_top_container vertical_radio frm_display_format_buttons frm_text_align_left\">\r\n\t<div  id=\"field_bngdg_label\" class=\"frm_primary_label\">Where was it drawn?\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n\t<\/div>\r\n\t<div class=\"frm_opt_container\" aria-labelledby=\"field_bngdg_label\" role=\"radiogroup\">\t\t<div class=\"frm_radio\" id=\"frm_radio_240-0\">\t\t\t<label  for=\"field_bngdg-0\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[240]\" id=\"field_bngdg-0\" value=\"Police Station\"\n\t\t data-invmsg=\"Where was it drawn? is invalid\"   \/> <div class=\"frm_label_button_container\">Police Station<\/div><\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_240-1\">\t\t\t<label  for=\"field_bngdg-1\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[240]\" id=\"field_bngdg-1\" value=\"Hospital\"\n\t\t data-invmsg=\"Where was it drawn? is invalid\"   \/> <div class=\"frm_label_button_container\">Hospital<\/div><\/label><\/div>\n<\/div>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_196_container\" class=\"frm_form_field frm_inactive_chat_field frm_autoadvance form-field  frm_top_container vertical_radio frm_display_format_buttons frm_text_align_left\">\r\n\t<div  id=\"field_g8eqe_label\" class=\"frm_primary_label\">Were there any witnesses to the arrest?\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n\t<\/div>\r\n\t<div class=\"frm_opt_container\" aria-labelledby=\"field_g8eqe_label\" role=\"radiogroup\">\t\t<div class=\"frm_radio\" id=\"frm_radio_196-0\">\t\t\t<label  for=\"field_g8eqe-0\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[196]\" id=\"field_g8eqe-0\" value=\"Yes\"\n\t\t data-invmsg=\"Were there any witnesses to the arrest? is invalid\"   \/> <div class=\"frm_label_button_container\">Yes<\/div><\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_196-1\">\t\t\t<label  for=\"field_g8eqe-1\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[196]\" id=\"field_g8eqe-1\" value=\"No\"\n\t\t data-invmsg=\"Were there any witnesses to the arrest? is invalid\"   \/> <div class=\"frm_label_button_container\">No<\/div><\/label><\/div>\n<\/div>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_197_container\" class=\"frm_form_field frm_inactive_chat_field frm_autoadvance form-field  frm_top_container vertical_radio frm_display_format_buttons frm_text_align_left\">\r\n\t<div  id=\"field_hpiil_label\" class=\"frm_primary_label\">Do you have any dashcam footage or recordings of the arrest?\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n\t<\/div>\r\n\t<div class=\"frm_opt_container\" aria-labelledby=\"field_hpiil_label\" role=\"radiogroup\">\t\t<div class=\"frm_radio\" id=\"frm_radio_197-0\">\t\t\t<label  for=\"field_hpiil-0\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[197]\" id=\"field_hpiil-0\" value=\"Yes\"\n\t\t data-invmsg=\"Do you have any dashcam footage or recordings of the arrest? is invalid\"   \/> <div class=\"frm_label_button_container\">Yes<\/div><\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_197-1\">\t\t\t<label  for=\"field_hpiil-1\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[197]\" id=\"field_hpiil-1\" value=\"No\"\n\t\t data-invmsg=\"Do you have any dashcam footage or recordings of the arrest? is invalid\"   \/> <div class=\"frm_label_button_container\">No<\/div><\/label><\/div>\n<\/div>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_198_container\" class=\"frm_form_field frm_inactive_chat_field frm_autoadvance form-field  frm_top_container vertical_radio frm_display_format_buttons frm_text_align_left\">\r\n\t<div  id=\"field_yufa4_label\" class=\"frm_primary_label\">Were you taking any medications at the time of the arrest?\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n\t<\/div>\r\n\t<div class=\"frm_opt_container\" aria-labelledby=\"field_yufa4_label\" role=\"radiogroup\">\t\t<div class=\"frm_radio\" id=\"frm_radio_198-0\">\t\t\t<label  for=\"field_yufa4-0\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[198]\" id=\"field_yufa4-0\" value=\"Yes\"\n\t\t data-invmsg=\"Were you taking any medications at the time of the arrest? is invalid\"   \/> <div class=\"frm_label_button_container\">Yes<\/div><\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_198-1\">\t\t\t<label  for=\"field_yufa4-1\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[198]\" id=\"field_yufa4-1\" value=\"No\"\n\t\t data-invmsg=\"Were you taking any medications at the time of the arrest? is invalid\"   \/> <div class=\"frm_label_button_container\">No<\/div><\/label><\/div>\n<\/div>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_190_container\" class=\"frm_form_field frm_inactive_chat_field form-field  frm_top_container\">\r\n\t<label for=\"field_fbaya\" id=\"field_fbaya_label\" class=\"frm_primary_label\">Which medications?\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n\t<\/label>\r\n\t<input  type=\"text\" id=\"field_fbaya\" name=\"item_meta[190]\" value=\"\"  data-invmsg=\"Which medications? is invalid\" aria-invalid=\"false\"   \/>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_205_container\" class=\"frm_form_field frm_inactive_chat_field frm_autoadvance form-field  frm_top_container vertical_radio frm_display_format_buttons frm_text_align_left\">\r\n\t<div  id=\"field_amyp5_label\" class=\"frm_primary_label\">Were you read your rights?\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n\t<\/div>\r\n\t<div class=\"frm_opt_container\" aria-labelledby=\"field_amyp5_label\" role=\"radiogroup\">\t\t<div class=\"frm_radio\" id=\"frm_radio_205-0\">\t\t\t<label  for=\"field_amyp5-0\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[205]\" id=\"field_amyp5-0\" value=\"Yes\"\n\t\t data-invmsg=\"Were you read your rights? is invalid\"   \/> <div class=\"frm_label_button_container\">Yes<\/div><\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_205-1\">\t\t\t<label  for=\"field_amyp5-1\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[205]\" id=\"field_amyp5-1\" value=\"No\"\n\t\t data-invmsg=\"Were you read your rights? is invalid\"   \/> <div class=\"frm_label_button_container\">No<\/div><\/label><\/div>\n<\/div>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_208_container\" class=\"frm_form_field frm_inactive_chat_field frm_autoadvance form-field  frm_top_container frm12 frm_first vertical_radio frm_display_format_buttons frm_text_align_left\">\r\n\t<div  id=\"field_krktf_label\" class=\"frm_primary_label\">Were you cited for any other crimes?\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n\t<\/div>\r\n\t<div class=\"frm_opt_container\" aria-labelledby=\"field_krktf_label\" role=\"radiogroup\">\t\t<div class=\"frm_radio\" id=\"frm_radio_208-0\">\t\t\t<label  for=\"field_krktf-0\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[208]\" id=\"field_krktf-0\" value=\"Yes\"\n\t\t data-invmsg=\"Were you cited for any other crimes? is invalid\"   \/> <div class=\"frm_label_button_container\">Yes<\/div><\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_208-1\">\t\t\t<label  for=\"field_krktf-1\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[208]\" id=\"field_krktf-1\" value=\"No\"\n\t\t data-invmsg=\"Were you cited for any other crimes? is invalid\"   \/> <div class=\"frm_label_button_container\">No<\/div><\/label><\/div>\n<\/div>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_210_container\" class=\"frm_form_field frm_inactive_chat_field form-field  frm_top_container\">\r\n\t<label for=\"field_59ttb\" id=\"field_59ttb_label\" class=\"frm_primary_label\">Please explain:\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n\t<\/label>\r\n\t<textarea data-auto-grow=\"1\"  name=\"item_meta[210]\" id=\"field_59ttb\" rows=\"3\"  data-invmsg=\"Please explain: is invalid\" aria-invalid=\"false\"  ><\/textarea><div class=\"frm_pro_max_limit_desc\" data-max=\"200\" data-max-type=\"word\"><span id=\"frm_pro_content_length_210\">0<\/span> of 200 max words<\/div>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_211_container\" class=\"frm_form_field frm_inactive_chat_field frm_autoadvance form-field  frm_top_container vertical_radio frm_display_format_buttons frm_text_align_left\">\r\n\t<div  id=\"field_a3dwt_label\" class=\"frm_primary_label\">Were you involved in an accident prior to your arrest?\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n\t<\/div>\r\n\t<div class=\"frm_opt_container\" aria-labelledby=\"field_a3dwt_label\" role=\"radiogroup\">\t\t<div class=\"frm_radio\" id=\"frm_radio_211-0\">\t\t\t<label  for=\"field_a3dwt-0\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[211]\" id=\"field_a3dwt-0\" value=\"Yes\"\n\t\t data-invmsg=\"Were you involved in an accident prior to your arrest? is invalid\"   \/> <div class=\"frm_label_button_container\">Yes<\/div><\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_211-1\">\t\t\t<label  for=\"field_a3dwt-1\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[211]\" id=\"field_a3dwt-1\" value=\"No\"\n\t\t data-invmsg=\"Were you involved in an accident prior to your arrest? is invalid\"   \/> <div class=\"frm_label_button_container\">No<\/div><\/label><\/div>\n<\/div>\r\n\t\r\n\t\r\n<\/div>\n<div id=\"frm_field_212_container\" class=\"frm_form_field frm_inactive_chat_field frm_autoadvance form-field  frm_top_container vertical_radio frm_display_format_buttons frm_text_align_left\">\r\n\t<div  id=\"field_1h1n2_label\" class=\"frm_primary_label\">Was anyone killed as a result of the accident?\r\n\t\t<span class=\"frm_required\" aria-hidden=\"true\"><\/span>\r\n\t<\/div>\r\n\t<div class=\"frm_opt_container\" aria-labelledby=\"field_1h1n2_label\" role=\"radiogroup\">\t\t<div class=\"frm_radio\" id=\"frm_radio_212-0\">\t\t\t<label  for=\"field_1h1n2-0\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[212]\" id=\"field_1h1n2-0\" value=\"Yes\"\n\t\t data-invmsg=\"Was anyone killed as a result of the accident? is invalid\"   \/> <div class=\"frm_label_button_container\">Yes<\/div><\/label><\/div>\n\t\t<div class=\"frm_radio\" id=\"frm_radio_212-1\">\t\t\t<label  for=\"field_1h1n2-1\">\n\t\t\t\t\t<input type=\"radio\" name=\"item_meta[212]\" id=\"field_1h1n2-1\" value=\"No\"\n\t\t data-invmsg=\"Was anyone killed as a result of the accident? is invalid\"   \/> <div class=\"frm_label_button_container\">No<\/div><\/label><\/div>\n<\/div>\r\n\t\r\n\t\r\n<\/div>\n<input type=\"hidden\" name=\"item_meta[263]\" id=\"field_77yec-0\" value=\"No\"  data-frmval=\"No\"   \/>\n<input type=\"hidden\" name=\"item_meta[265]\" id=\"field_ktuub\" value=\"\"     \/>\n<input type=\"hidden\" name=\"item_meta[266]\" id=\"field_59trg\" value=\"\"     \/>\n<input type=\"hidden\" name=\"item_meta[264]\" id=\"field_lywaa\" value=\"\"  autocomplete=\"email\"     \/>\n<input type=\"hidden\" name=\"item_meta[267]\" id=\"field_3oj8j-0\" value=\"No\"  data-frmval=\"No\"   \/>\n<input type=\"hidden\" name=\"item_meta[270]\" id=\"field_mb5-0\" value=\"No\"  data-frmval=\"No\"   \/>\n<input type=\"hidden\" name=\"item_meta[271]\" id=\"field_gqzv5-0\" value=\"\"     \/>\n<div id=\"frm_field_183_container\" class=\"frm_form_field frm_inactive_chat_field form-field \">\r\n\t\r\n<\/div>\n\t<input type=\"hidden\" name=\"item_key\" value=\"\" \/>\n\t\t\t<div id=\"frm_field_626_container\">\n\t\t\t<label for=\"field_96cno\" >\n\t\t\t\tIf you are human, leave this field blank.\t\t\t<\/label>\n\t\t\t<input  id=\"field_96cno\" type=\"text\" class=\"frm_form_field form-field frm_verify\" name=\"item_meta[626]\" value=\"\"  \/>\n\t\t<\/div>\n\t\t<input name=\"frm_state\" type=\"hidden\" value=\"G5iE806AiFaXn7fkjBTbf733ldoZhoL1hrIYF3rSHS3DX9JWhEzfUXHD0emG8s39\" \/>\t\t<svg aria-hidden=\"true\" style=\"position: absolute; width: 0; height: 0; overflow: hidden;\" version=\"1.1\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\">\n\t\t\t<defs>\n\t\t\t\t<symbol id=\"frm_trash_icon\" viewBox=\"0 0 20 20\" fill=\"none\"><path d=\"M2.5 5h15M6.667 5V3.334a1.667 1.667 0 011.667-1.667h3.333a1.667 1.667 0 011.667 1.667V5m2.5 0v11.667a1.667 1.667 0 01-1.667 1.667H5.834a1.667 1.667 0 01-1.667-1.667V5h11.667z\" stroke=\"#484E54\" stroke-linecap=\"round\" stroke-linejoin=\"round\"\/><\/symbol>\n\t\t\t<\/defs>\n\t\t<\/svg>\n\t\t<\/div>\n<\/fieldset>\n<\/div>\n\n<\/form><div class=\"frm-chat-wrapper\"><div class=\"frm_continue_chat_wrapper frm_submit\"><button class=\"button button-primary frm-button-primary frm_continue_chat frm_button_submit frm_hidden\"><span class=\"frm_continue_text\">Continue<\/span><span class=\"frm_continue_final_text\">SUBMIT<\/span> <svg width=\"16\" height=\"11\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 16 11\"><path fill=\"currentColor\" d=\"M15.3 6c0 .7-.3 1.2-.7 1.7a2.2 2.2 0 0 1-1.7.7H7.4v2.3L.6 7.5l6.8-3.2v2.3H12c.3 0 .6-.1.8-.3.3-.2.4-.5.4-.8V.7h2V6Z\"\/><\/svg><\/button><\/div><div class=\"frm_chat_arrows\"><a href=\"#\" class=\"frm_chat_arrow frm_chat_prev_arrow\" role=\"button\" aria-label=\"Previous\"><svg width=\"19\" height=\"19\" viewBox=\"0 0 19 19\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M14.75 9.5H4.25\" stroke=\"currentColor\" stroke-linecap=\"round\" stroke-linejoin=\"round\"\/><path d=\"M9.5 14.75L4.25 9.5L9.5 4.25\" stroke=\"currentColor\" stroke-linecap=\"round\" stroke-linejoin=\"round\"\/><\/svg><\/a><a href=\"#\" class=\"frm_chat_arrow frm_chat_next_arrow frm_button_submit\" role=\"button\" aria-label=\"Continue\"><svg width=\"19\" height=\"19\" viewBox=\"0 0 19 19\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M4.25 9.5H14.75\" stroke=\"currentColor\" stroke-linecap=\"round\" stroke-linejoin=\"round\"\/><path d=\"M9.5 14.75L14.75 9.5L9.5 4.25\" stroke=\"currentColor\" stroke-linecap=\"round\" stroke-linejoin=\"round\"\/><\/svg><svg class=\"frm_next_checkmark\" width=\"19\" height=\"19\" viewBox=\"0 0 19 19\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M15.5 4.875L7.25 13.125L3.5 9.375\" stroke=\"currentColor\" stroke-linecap=\"round\" stroke-linejoin=\"round\"\/><\/svg><\/a><\/div><div class=\"frm-key-instructions\">Use <span class=\"frm-instruction-key\">Shift+Tab<\/span> to go back<\/div><\/div>\n<\/div>\n<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-3e4631e6 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"3e4631e6\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;animation&quot;:&quot;none&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-689443ac\" data-id=\"689443ac\" data-element_type=\"column\" data-e-type=\"column\" data-settings=\"{&quot;animation&quot;:&quot;none&quot;,&quot;animation_delay&quot;:400,&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-2d1c59df elementor-widget elementor-widget-image\" data-id=\"2d1c59df\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img fetchpriority=\"high\" decoding=\"async\" width=\"3000\" height=\"70\" src=\"https:\/\/i0.wp.com\/debestlegal.com\/wp-content\/uploads\/2023\/03\/stripes.png?fit=3000%2C70&amp;ssl=1\" class=\"attachment-full size-full wp-image-1866\" alt=\"\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-5836e95a elementor-widget elementor-widget-heading\" data-id=\"5836e95a\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;none&quot;}\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h1 class=\"elementor-heading-title elementor-size-default\">Request A Referral!<\/h1>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-369d1fd2 elementor-widget elementor-widget-image\" data-id=\"369d1fd2\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img fetchpriority=\"high\" decoding=\"async\" width=\"3000\" height=\"70\" src=\"https:\/\/i0.wp.com\/debestlegal.com\/wp-content\/uploads\/2023\/03\/stripes.png?fit=3000%2C70&amp;ssl=1\" class=\"attachment-full size-full wp-image-1866\" alt=\"\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-45fb8d05 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"45fb8d05\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-6debc9e0\" data-id=\"6debc9e0\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-72ed9de5 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"72ed9de5\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-33 elementor-inner-column elementor-element elementor-element-2632e70d\" data-id=\"2632e70d\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-33 elementor-inner-column elementor-element elementor-element-3bbbb8ba\" data-id=\"3bbbb8ba\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-d5dbcde elementor-align-justify elementor-widget elementor-widget-button\" data-id=\"d5dbcde\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-button-wrapper\">\n\t\t\t\t\t<a class=\"elementor-button elementor-button-link elementor-size-sm\" href=\"https:\/\/debestlegal.com\/index.php\/subscriber-account\/\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">BACK<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-33 elementor-inner-column elementor-element elementor-element-75dbe628\" data-id=\"75dbe628\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Call Us Already Arrested? Log In ARREST INFORMATION If you have already been arrested, please complete the following form to receive your referral: Connecting You with Your Defense Team: Great, you have been released. To connect you with your defense team, we&#8217;ll need some additional details from you. 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