The Canadian Drinking Driver's Worksheet

905-273-3322 or 1-877-273-3322

 

This form is for use by persons who have recently been charged with an excess blood alcohol or over 80 offence in Canada. Use this form to make notes of what happened and bring this form with you to your lawyer. Keep this information absolutely confidential. WARNING! If this memorandum when completed is not delivered to your lawyer forthwith, and if it or a photocopy is seen, obtained, or seized by the police or anyone else who is not your lawyer, this memorandum could be used in Court against you. Deliver it to your lawyer in person forthwith.

 


Drinker:

 

Witness to Drinking:

 

Drinking Date:

 

Weight and Date of Last Time Weighed? 

 

How will you document your weight?

 


 

Were you Drinking the Day or Night Before?

 

How Much and What Did You Drink the Day or Night Before?

 

Do You Drink That Much Every Day?

 

How long before the current drinking scenario was date and time when your body was last alcohol-free?

 


Were you on a specific diet?

 

Name of doctor who supervised that diet?

 

What are the side effects of that diet?

 

What has your doctor told you about the chemicals produced by that diet?

 

 


Drink #1:

Location:

 

Arrival Time:

 

Server Name:

 

Food, Side Dish, Medication - Consumed Before:

 

Description of drink (type, brand, quantity, size, % alcohol, and details: (how was it measured, measuring device, bottle, glass size - purchase glass, ice)

 

 

 

Did you Share? How was it shared - exact procedure:

 

Time Served & Price: (keep meal/bar receipts, how did you pay)

 

Time Started: (what was on bar video, who was present, you and companion(s) should make separate notes without assistance from each other)

 

Time Finished that Drink and Pace of Drinking:

 

Food , Side Dish, Medication - Consumed After:

 


Drink #2:

Change of Location?

 

Arrival Time:

 

Server Name:

 

Food, Side Dish, Medication - Consumed Before:

 

Description of drink (type, brand, quantity, size, % alcohol, and details: (how was it measured, measuring device, bottle, glass size - purchase glass, ice)

 

 

 

Did you Share? How was it shared - exact procedure:

 

Time Served & Price: (keep meal/bar receipts, how did you pay)

 

Time Started: (what was on bar video, who was present, you and companion(s) should make separate notes without assistance from each other)

 

Time Finished that Drink and Pace of Drinking:

 

Food , Side Dish, Medication - Consumed After:

 


Drink #3:

Change of Location?

 

Arrival Time:

 

Server Name:

 

Food, Side Dish, Medication - Consumed Before:

 

Description of drink (type, brand, quantity, size, % alcohol, and details: (how was it measured, measuring device, bottle, glass size - purchase glass, ice)

 

 

 

Did you Share? How was it shared - exact procedure:

 

Time Served & Price: (keep meal/bar receipts, how did you pay)

 

Time Started: (what was on bar video, who was present, you and companion(s) should make separate notes without assistance from each other)

 

Time Finished that Drink and Pace of Drinking:

 

Food , Side Dish, Medication - Consumed After:

 


Drink #4:

Change of Location?

 

Arrival Time:

 

Server Name:

 

Food, Side Dish, Medication - Consumed Before:

 

Description of drink (type, brand, quantity, size, % alcohol, and details: (how was it measured, measuring device, bottle, glass size - purchase glass, ice)

 

 

 

Did you Share? How was it shared - exact procedure:

 

Time Served & Price: (keep meal/bar receipts, how did you pay)

 

Time Started: (what was on bar video, who was present, you and companion(s) should make separate notes without assistance from each other)

 

Time Finished that Drink and Pace of Drinking:

 

Food , Side Dish, Medication - Consumed After:

 


Drink #5:

Change of Location?

 

Arrival Time:

 

Server Name:

 

Food, Side Dish, Medication - Consumed Before:

 

Description of drink (type, brand, quantity, size, % alcohol, and details: (how was it measured, measuring device, bottle, glass size - purchase glass, ice)

 

 

 

Did you Share? How was it shared - exact procedure:

 

Time Served & Price: (keep meal/bar receipts, how did you pay)

 

Time Started: (what was on bar video, who was present, you and companion(s) should make separate notes without assistance from each other)

 

Time Finished that Drink and Pace of Drinking:

 

Food , Side Dish, Medication - Consumed After:

 


Drink #6:

Change of Location?

 

Arrival Time:

 

Server Name:

 

Food, Side Dish, Medication - Consumed Before:

 

Description of drink (type, brand, quantity, size, % alcohol, and details: (how was it measured, measuring device, bottle, glass size - purchase glass, ice)

 

 

 

Did you Share? How was it shared - exact procedure:

 

Time Served & Price: (keep meal/bar receipts, how did you pay)

 

Time Started: (what was on bar video, who was present, you and companion(s) should make separate notes without assistance from each other)

 

Time Finished that Drink and Pace of Drinking:

 

Food , Side Dish, Medication - Consumed After:

 


Bring this Form to Your Lawyer Forthwith Without Showing It To Anyone Else


|Stephen R. Biss, Barrister & Solicitor|Impaired Driving |DUI DWI Courthouses |Instruments|YOA YCJA Debate|Bills| CLA|Privacy

 

 

Stephen R. Biss, Barrister & Solicitor

470 Hensall Circle, Suite 303
Mississauga, Ontario
L5A 3V4

905-273-3322  or 1-877-273-3322

 


Advertisement. Any legal opinions expressed at this site relate to the Province of Ontario, Canada only. If you reside or carry on business in any other jurisdiction please consult a lawyer, solicitor, or attorney in your own jurisdiction. WARNING: All information contained herein is provided for the purpose of providing basic information only and should not be construed as formal legal advice. The author disclaims any and all liability resulting from reliance upon such information. You are strongly encouraged to seek and retain professional legal advice before relying upon any of the information contained herein.