Ralph W. Muxlow Kevin W. Muxlow
Traffic Law Criminal Defense Additional Areas
Overland Park, KS Les's Summit, MO Kansas City, MO Mid-Missouri

Contact Us - Mid-Missouri

First Name *
Last Name *
Email *
Cell Phone
Date of Birth *
How many charges or tickets *
What are the ticket number(s)?
Was your Ticket given to you by a Highway Patrolman/State Trooper or City Officer? *
If Highway Patrol, which County were you stopped in?
If City Officer, which City were you stopped in?
When is your Court Date? *
Do you have more than one Court Date? If so, please list each date and where:
Have you missed your Court Date, and if so, is there a Warrant for your arrest?
[DUI / DWI only] - Why were you stopped by the Police?
[DUI / DWI only] - Did the Officer take your license?
[DUI / DWI only] - What day were you arrested?
[DUI / DWI only] - Did you submit a breath test at the police station?
[DUI / DWI only] - If so, what was the result?
[DUI / DWI only] - Did you refuse a breath test at the police station?
[DUI / DWI only] - Have you ever had a DUI / DWI in your past?
[DUI / DWI only] - If so, please provide the City or County where your Case was and when:
[DUI / DWI only] - If so, how was your prior case disposed?
Please provide any other details relevant to your ticket(s) below, be as detailed or brief as you desire:
Please type the letters and numbers shown in the image.
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