Fill and Sign the Dui 497429566 Form

Court of Washington For No . Plaintiff , vs . Defendant . Judgment and Sentence for : 1) Driving Under The Influence Physical Control 2) Reckless Driving (RCW 46.61.500(3) Negligent Driving - 1 st Degree (RCW 46.61.5249(4)) 3) ___________________________________ (DUIJS) The defendant is adjudged guilty based upon a guilty plea, jury verdict, or bench trial. The court verified the defendant’s criminal history and driving record and made findings as follows: (check all that apply): GY Passenger under age 16, BAC _____, No Test, Refusal, Drug related, THC_____, C DL Vehicle Information: Hazmat vehicle, Commercial vehicle, 16 Passenger vehicle, and ____________________________________________________________________________________ ____________________________________________________________________________________; therefore, the defendant is sentenced as follows: Sentence is suspended for a period of months/years on the following conditions: Count 1) ____ days of jail and suspends____ days; and a fine of $________ with $ _______ suspended Count 2) ____ days of jail and suspends____ days; and a fine of $_________ with $ ______ suspended Count 3) ____ days of jail and suspends____ days; and a fine of $_________ with $ ______ suspended Jail : Serve a total of ____________ days in jail with credit for ___________ days served, and serve a total of _______ days of electronic home monitoring with credit for ______ days served. other alternative means of confinement: _________________________________________. Jail sentences are concurrent/consecutive with all other commitments _____________________. Pay : fine of $____________ Alcohol violator fee DUC $___________ assessments $____________ criminal traffic fee $___________ costs $____________ probation/monitoring fee $___________ bench warrant fee $____________ booking fee $___________ jail recoupment fee $____________ public defender recoupment $___________ other __________ $ criminal conviction fee $ Passenger under 16 fine $ DUI emergency response reimbursement to (agency): ___________________ $ restitution to: $ (All payments shall be made through the clerk of this court, including restitution.) Total : $___________ $ _________ of this total is converted to ______ hours of community restitution (service) which must be completed by _________. Proof of completion shall be provided to the court/probation department . Mandatory Conditions of Sentence - DUI/Physical Control (a) The defendant shall not drive a motor vehicle without a valid license. (b) The defendant shall not drive a motor vehicle without proof of liability insurance or other financial responsibility. (c) The defendant shall not drive or be in physical control of a motor vehicle with an alcohol concentration of . 08 or more or a THC concentration of 5.00 nanograms per milliliter of whole blood or higher, within two hours after driving. (d) The defendant shall submit to a breath or blood alcohol test upon the reasonable request of a law enforcement officer. (e) The defendant shall not drive a motor vehicle without a functioning ignition interlock device as required by the Department of Licensing. For each violation of the above mandatory conditions, the court shall order your confinement for a minimum of 30 days, which may not be suspended or deferred. For each incident involving a violation, the court shall suspend your license for 30 days. DUI Judgment and Sentence Form (DUIJS) - Page 1 of 3 CrRLJ 07.0100 (07/2017) CrRLJ 7.2, 7.3; RCW 46.20.720, 46.61.5055 No criminal violations of law or alcohol related infractions. Comply with the rules and requirements of the Department of Licensing regarding the installation and use of a functioning ignition interlock device. Comply with the requirement to install an ignition interlock device for 6 months in addition to any other ignition interlock device requirements imposed by the Department of Licensing or the court. (Passenger under 16, RCW 46.61.5055(6).) The court has ordered the defendant to refrain from consuming any alcohol. The defendant must comply with alcohol monitoring as authorized by law. The defendant shall pay the cost of monitoring. The cost of monitoring shall be paid by __________________________________. (RCW 46.61.5055(5)). Conditions of Sentence – Reckless Driving/Negligent Driving – 1 st Degree (a) The defendant shall not drive a motor vehicle without a valid license and proof of liability insurance or other financial responsibility. (b) The defendant shall not drive or be in physical control of a motor vehicle with an alcohol concentration of .08 or more or a THC concentration of 5.00 nanograms per milliliter of whole blood or higher, within two hours after driving. The defendant shall submit to a breath or blood alcohol test upon the reasonable request of a law enforcement officer. No criminal violations of law or alcohol related infractions. Comply with mandatory ignition interlock device requirements as imposed by the Department of Licensing. Additional Conditions of Sentence – 24/7 Sobriety Program/Discretionary Ignition Interlock 24/7 Sobriety Program is available. For 6 months ____ days/months : comply with the 24/7 Sobriety Program (RCW 46.61.5055(1) – (3).) do not drive any motor vehicle unless it is equipped with an ignition interlock device (this does not authorize you to drive without a valid license). Comply with discretionary ignition interlock device requirements. RCW 46.20.720(1)(e): For a period of _________ years or for _______ months drive only a motor vehicle equipped with a functioning ignition interlock device, which is in addition to any ignition interlock device restriction imposed by DOL. Unless otherwise stated, the calibration level for any ignition interlock requirement imposed under this order shall be .025% _______. Employer exemption : When the defendant provides an Employer Exemption declaration to the Department of Licensing, this order shall not apply to vehicles owned, leased, or rented by defendant’s employer or to those vehicles whose care and/or maintenance is the temporary responsibility of the employer and driven at the direction of the defendant’s employer as a requirement of employment during working hours. Except that , the employer exemption does not apply when the employer’s vehicle is assigned exclusively to the defendant and used solely to commute to and from employment. Additional Conditions of Sentence Probation for _________ months. Supervised probation for ________________ months with probation department and abide by all rules and regulations of probation department. Pay a pre- sentence fee and a monthly probation fee as set by the probation department. Obtain a substance use disorder evaluation expanded alcohol assessment from a Washington State approved agency and file a copy of the evaluation/assessment within ________ days. Begin any recommended/appropriate substance use disorder treatment or education within ______ days and file proof of timely enrollment and completion. Begin the following within ________days, complete within ______________ days, and file proof of timely enrollment and completion: DUI Victim’s Panel Alcohol/Drug Information School One Year Substance Use Disorder Treatment Two Year Substance Use Disorder Treatment Substance Use Disorder Treatment for a period of ______________ Driver Improvement School Other _________________________. DUI Judgment and Sentence Form (DUIJS) - Page 2 of 3 CrRLJ 07.0100 (07/2017) CrRLJ 7.2, 7.3; RCW 46.20.720, 46.61.5055 Use no alcoholic beverages or non-prescribed controlled drugs. Attend Alcoholics Anonymous Narcotics Anonymous Other self-help program (____________) meetings _____ times a week for _____ months or as recommended by treatment provider. Other: ___________________________________________________________________________. D epartment of Licensing Notice – DUI, Physical Control, Reckless Driving, Negligent Driving 1 st . D epartment of Licensing Notice – Defendant under age 21 only. Count ________ is (a) a violation of RCW chapter 69.41 [Legend drug], 69.50 [VUCSA], or 69.52 [Imitation drugs], and the defendant was under 21 years of age at the time of the offense OR (b) a violation under RCW 9.41.040 (unlawful possession of firearm), and the defendant was under the age of 18 at the time of the offense OR (c) a violation under RCW chapter 66.44 [Alcohol],and the defendant was under the age of 18 at the time of the offense, AND the court finds that the defendant previously committed an offense while armed with a firearm, an unlawful possession of a firearm offense, or an offense in violation of chapter 66.44, 69.41, 69.50, or 69.52 RCW. Clerk’s Action – The clerk shall forward an Abstract of Court Record (ACR) to the DOL, which must suspend/revoke the Defendant’s driver’s license. Return for a review hearing: . Bail or Bond is Exonerated Forfeited. Dated : I have read the rights, conditions, and warnings . Defendant’s Signature Date of Birth Judge/Court Commissioner/Pro Tem Prosecuting Attorney WSBA No. Defendant’s Address and Telephone Defense Attorney WSBA No. Written Waiver of Counsel is filed. DUI Judgment and Sentence Form (DUIJS) - Page 3 of 3 CrRLJ 07.0100 (07/2017) CrRLJ 7.2, 7.3; RCW 46.20.720, 46.61.5055