I will provide my driver's license, registration, and proof of insurance.

I will sign a citation, if any, and then I want to leave immediately.

I will not answer any questions without an attorney present.

I do not have to do "Field Sobriety Tests" and I refuse to do them.

I do not consent to or want to be recorded.

I do not consent to my person, car, or other property being searched.

If I am arrested I want an attorney immediately. I do not waive my rights.

If you want me to take a breath or blood test, I want to contact my attorney first.

If he/she cannot be reached I want to talk to a public defender or some other attorney.

I will submit to a breath or blood test. If I am requested to take a breath or blood test I also want an additional legal blood test.

If I am not under arrest I want to leave. Please tell me so I may lock my car and walk away.