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Hearing Request
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Defendant's Name
*
Case Number
*
I have received an infraction within the thirty (30) days and request:
A mitigation hearing to explain the circumstances. I know I can ask witnesses to appear but they are not required to appear.
A contested hearing. I did not commit the infraction. I know I can require witneses, including the officer who wrote the ticket, to attend the hearing.
Please send me a court date and I promise to appear either in person on that date, or submit a written statement at least one court day prior to the hearing date. I undertand if "traffic" is checked on the front of the infraction, that this will go on my driving record.
Mailing Address
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City
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State
*
Zip Code
*
Phone Number
*
Fax Number
Email Address
If you want an email response acknowledging receipt of your hearing request please supply an email address. We will send you a written notice of your court date via mail at the address you have provided.
Signature
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Please type your name here
Date
Date
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