Day 3 What It Cost Me
Name
First Name
Last Name
Date
In order to determine cost of DWI, will you please answer these questions to the best of your knowledge at this time? In round numbers, my costs are:
Amount
Attorney's Fees
Fines and Court Costs
Loss of Salary
(Car Costs: if crash involved) Car Damage Repairs:
Towing and Storage
Temporary Transportation(Bus, Cab)
Temporary Transportation(Rental/Lease Car, etc.)
DWI Education Course Fees
Alcohol/Drug Programs/Counseling Treatment
Increased Cost of Insurance per Year
Probation Fees
Any Other Costs (Example: Restitution)
Total Cost $
Submit
Should be Empty: