Attorney Request Form
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Attorney Request Form. This is a Virginia form and can be use in Prince William Local County.
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Tags: Attorney Request Form, Virginia Local County, Prince William
ATTORNEY REQUEST
______ REQUEST FOR THE FOLLOWING TO BE PICKED UP FROM THE COURT
APPOINTED ATTORNEY FILE:
______ REQUEST FOR THE FOLLOWING TO BE FAXED TO THE ATTORNEY’S
OFFICE:
FAX NUMBER _______________________________________________
______ CERTIFICATE OF ANALYSIS (BREATH/BLOOD/DRUG)
______ COPY OF WARRANT & COMPLAINT
______ COPY OF WITNESS SUBPOENA
DATE _____________________________________
PLEASE PROVIDE AS MUCH INFORMATION AS POSSIBLE:
______________________________________________________________________________
NAME OF DEFENDANT
_________________________________________
HEARING DATE
______________________________
CASE NUMBER(S)
______________________________________________________________________________
NAME OF ATTORNEY (PLEASE PRINT)
UPON RECEIVING THE BLOOD ALCOHOL/DRUG ANALYSIS, PLEASE SIGN THE
FOLLOWING AND PUT IN THE ATTORNEY FILE BOX.
I CERTIFY THAT I HAVE RECEIVED A COPY OF THE ANALYSIS I REQUESTED
FOR THE ABOVE-NAMED DEFENDANT.
________________________________________________
SIGNATURE
_________________________
DATE
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