Fill and Sign the State of Alabama Waiver of Counsel for Defendant Charged Form

State of Alabam a Unif ied Judicial System Form UTC-20 Rev.9 /96 WAIVER OF COUNSEL FOR DEFENDANT CHARGED WITH DRIVING UNDER THE INFLUENCE (DUI) CASE NUMBER IN T HE ________________________________________ COURT OF ________________________________ A LABAMA ( Circu it, District o r Mu nicipal) (Nam e of M unicipality or County ) … STATE O F ALABAMA … MUNICIPALITY OF ____________________________________________________________________\ V.______________________________________________________________________\ ____________________________, DEFENDANT I, _______________________________, defendant in the abov e-sty led case, hav ing been charged w ith the offense of D UI in v iolatio n of §32-5A - 191, Code of A labama 1975, or O rdinance N umber _______________duly adopting §32-5A -191, Code of A labama 1975 and in force at the time the offense w as committed, hav ing been informed of my RIGHT TO THE ASSISTANCE OF COUNSEL and adv ised that if I cannot afford counse l and I qualify for such representation, the court will appoint counsel, DO HEREBY VOLUNTARI LY AND OF MY OW N FREE W ILL FOREGO AND W AIVE MY RIGHT TO THE ASSISTANCE OF COUNSEL. I hav e been adv ised of the penalties w hich may be imposed upon conv iction fo r this offense. I u nderstand that I may withdraw this w aiver upon due notice to the court at any time, but that I w ill not be entitled to repeat any proceeding h eld or w aived solely on the grounds of a subsequent or retention of counsel. I hav e also been informed and understand that by waiving my right to counsel I am not hereby waiving any of my other constitutional rights. ________________________________________________ _______________________________________________ DATE SIGNATURE OF DEFENDANT _______________________________________________ ADDRESS JUDICIA L ORDER It appearing that the foregoing W aiver of C ounsel is made by defendant k now ingly , intelligently , and v oluntarily , its is ORDERE D that it be and the same is hereby ACCEPTED, subj ect to further orders of the court. It appearing that the purported W aiver of Counsel made by defendant is NOT made know ingly , intelligently , and v oluntarily , the waiver is hereby DENIED, and, The case is continued to (Date) __________________ to afford defendant time to retain counsel. The Order Appointing Counsel her etofore entered in this cause remains in full fore and effect. _______________________________________________________________________\ ______ … Municipal ________________________________________________________________________\ _____ … District … Circuit COURT OF _____________________________ ____________________\ _____ _________________ \ Judge Date COURT: Original DEFENDANT: Copy