Beltz Law Firm

TRAFFIC TICKET HELP | OCCUPATIONAL LICENSES | DRIVER'S LICENSE RE-INSTATEMENT

Driver License Suspension Questionnaire

Has your driver’s license been suspended in the state of Texas? If so, please complete the form below and one of our attorneys will promptly respond back to discuss your needs.

Your Name

Your Email

Phone

Address

City

State

DL Number

Has Your License Been Suspended?
 Yes No

Reason for Suspension?

Date of Suspension?

Are You Seeking to Reinstate Your Driver's License?
 Yes No

Explain Your Situation and Needs

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**The use of the Internet or this form for contacting our firm or an individual within our firm does not establish an attorney client relationship.

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DO YOU HAVE A

SUSPENDED LICENSE?

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