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Ticket Information
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At the location you were stopped, were you given a field sobriety test?
Which tests were you given? (Check all that apply)
Follow the pen
Handheld breathalyzer test
Recite the alphabet
Stand on one leg
Touch your nose
Walk and turn heel to toe
Other
Did you take an intoxilyzer test?
Name of testing officer:
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Blood test results:
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