General Sessions DUI Court Referral – Recovery Court of Metropolitan Nashville and Davidson County

Screen Date & Location

Return Court Date*

Court Room & Docket Time

Client Information

Client First Name*

Client Last Name*

OCA

Date of Birth*

Age*

Race*

Sex*

Client Phone Number

Client Email Address

Client Address

Current Charge(s)

Warrant Number(s)

Drug(s) of Choice*

Currently on Probation?*

Yes
No

Location of Probation

Probation Officer

Find Probation Officer (Davidson County General Sessions Only)

Currently on DUI Bond?*

Yes
No

Pending Cases Outside of Davidson County?*

Yes
No

County of Pending Cases

Charges Pending Outside of Davidson County

Holds?*

Yes
No

Where is the hold and for what?

Is Client in Custody?*

Yes
No

Is Client a CDL holder?*

Yes
No

Was a chemical test performed?*

Yes
No

Type of chemical test:

Breath
Blood
Both

Substances present and levels:

Is there an ignition interlock currently installed?

Yes
No

If required, please select language translations

Additional Comments (Optional)

Attorney Completing Referral Information

Attorney First Name*

Attorney Last Name*

Email*

Attorney Phone Number

Assistant District Attorney

Acknowledgement of Referral*

I certify that I have communicated with the A.D.A. that this referral is for all open cases in GS/Criminal Court and all PVs in Criminal Court.

District Attorney Name

Name

This field is for validation purposes and should be left unchanged.