Drink Drive Calculator Drink Driving Form Name* First Last Email* Phone* What type of specimen did you provide?* Blood Breath Urine Please fill out the reading for either Blood, Breath or Urine belowBreath Options - Please Select Your Reading Result36 - 5960 - 8990 - 119120 - 150Blood Options - Please Select Your Reading Result81-137138-206207-275276-345+Urine Options - Please Select Your Reading Result108-183184-274275-366367-459+Have you been convicted of any of the following offences? Causing death by careless or dangerous driving whilst under the influence of alcohol or drugs Driving or attempting to drive whilst unfit under the influence of alcohol or drugs. Driving or attempting to drive with excess alcohol Failing to provide a specimen of breath, blood or urine. Other contributing factors Aggregating circumstancesWere you driving an HGV, LGV, PSV etc..?YesNoWere the weather conditions poor?YesNoWere there any passengers in your car?YesNoHas any evidence been produced of an unacceptable standard of driving?YesNoWas your car involved in an accident?YesNoWas there a high level of traffic or pedestrian activity?YesNoDid you have full UK driving licence AND valid policy of insurance in place?YesNo