NOTICE TO APPEAR AND RELATED FORMS
Revised Effective
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ACKNOWLEDGMENTS
The Administrative Office of the Courts gratefully acknowledges the contributions and
cooperation of those representatives from the judicial community, law enforcement
agencies, and special interest groups who made this manual possible.
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TABLE OF CONTENTS
CHAPTER 1 PURPOSE OF FORMS ........................................................................\
.................................... 1
1.000. DEFINITIONS ........................................................................................................................................... 1
1.010. IN GENERAL ........................................................................................................................................... 1
1.020. NOTICE TO APPEAR ................................................................................................................................ 1
1.030. CONTINUATION FORM ............................................................................................................................ 1
1.040. ELECTRONIC NOTICE TO APPEAR ........................................................................................................... 2
1.050. NOTICE OF CORRECTION AND PROOF OF SERVICE .................................................................................. 2
CHAPTER 2 AUTHORITY TO PRESCRIBE FORMAT ........................................................................\
... 2
2.010. JUDICIAL COUNCIL ................................................................................................................................. 2
CHAPTER 3 REVISION DATE ........................................................................\
............................................ 3
3.010. JUDICIAL COUNCIL ................................................................................................................................. 3
CHAPTER 4 FORM SP ECIFICATIONS ........................................................................\
............................. 3
4.010. REQUIRED COPIES .................................................................................................................................. 3
4.020. SIZE AND COLOR .................................................................................................................................... 3
4.030. PAPER STOCK ......................................................................................................................................... 4
4.040. SERIAL NUMBERS ................................................................................................................................... 4
4.050. PRINTING FORMAT ................................................................................................................................. 4
4.060. PRINTING EXPENSES ............................................................................................................................... 4
CHAPTER 5 VARIATIONS OF MANDATORY LANGUAGE/DATA FI ELDS ..................................... 4
5.000. IN GENERAL ........................................................................................................................................... 4
5.010. PERMITTED VARIATIONS ........................................................................................................................ 4
CHAPTER 6 MANDATORY LANGUAGE/DATA FIELDS ..................................................................... 5
6.000. IN GENERAL ........................................................................................................................................... 5
6.010. AGENCY NAME ...................................................................................................................................... 5
6.020. TITLE OF FORM ....................................................................................................................................... 5
6.030. SERIAL NUMBER .................................................................................................................................... 5
6.040. MISDEMEANOR CHECK BOX .................................................................................................................. 6
6.050. DATE AND TIME ..................................................................................................................................... 6
6.060. DEFENDANT ’S NAME .............................................................................................................................. 6
6.070. DEFENDANT ’S ADDRESS ........................................................................................................................ 6
6.071.
DEFENDANT ’S CLA SS AND CATEGORY OF DRIVER ’S LICENSE ................................................................ 7
6.080. DEFENDANT ’S AGE AND BIRTH DATE .................................................................................................... 7
6.090. DEFENDANT ’S PHYSICAL DESCRIPTION .................................................................................................. 7
6.100. COMMERCIAL VEHICLE .......................................................................................................................... 7
6.110. HAZARDOUS MATERIAL ......................................................................................................................... 7
6.120. VEHICLE DESCRIPTION .......................................................................................................................... 7
6.130. FINANCIAL RESPONSIBILITY ................................................................................................................... 7
6.140. NAME OF REGISTERED OWNER /LESSE E .................................................................................................. 8
6.150. ADDRESS OF THE REGISTERED OWNER /LESSEE ...................................................................................... 8
6.160. CORRECTABLE VIOLATION ADVISEMENT AND CHECK BOXES ................................................................ 8
6.170. BOOKING REQUIRED ............................................................................................................................... 8
6.1 80. VIOLATIONS ........................................................................................................................................... 8
6.190. SPEED ..................................................................................................................................................... 8
6.200. LOCATION OF VIOLATION ....................................................................................................................... 9
6.210. OFFICER ’S DECL ARATION ON INFORMATION AND BELIEF ....................................................................... 9
6.220. OFFICER ’S DECLARATION UNDER PENALTY OF PERJURY ....................................................................... 9
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6.230. OTHER OFFICER ..................................................................................................................................... 9
6.231. DECLARANT -A UTOMATED TRAFFIC ENFORCEMENT SYSTEM CITATIONS ............................................... 9
6.240. DEFENDANT ’S SIGNATURE ..................................................................................................................... 9
6.250. TIME TO APPEAR .................................................................................................................................. 10
6.260. PLACE TO APPEAR ................................................................................................................................ 10
6.270. NIGHT COURT ....................................................................................................................................... 10
6.280. LEGEND ................................................................................................................................................ 10
CHAPTER 7 DISCRETION ARY LANGUAGE/DATA FI ELDS ............................................................. 11
7.000. IN GENERAL ......................................................................................................................................... 11
7.010. BAIL STATEMENT ................................................................................................................................. 11
7.020. DEFENDANT ’S RACE /ETHNICITY .......................................................................................................... 11
7.030. DEFENDANT ’S THUMBPRINT ................................................................................................................ 11
CHAPTER 8 PROHIBITED LANGUAGE/DATA FIELDS ..................................................................... 12
8.010.
DEFENDANT ’S SOCIAL SECURITY NUMBER ........................................................................................... 12
APPENDIXES
OF COUNCIL FORMS
Appendix A Notice of Correction and Proof of Service , Form TR-100 ....................................................... A
Appendix B Continuation of Notice to Appear, Form TR -106 ..................................................................... B
Appendix C Continuation of Citation, Form TR -108 ........................................................................\
........... C
Appendix D Automated Traffic Enforcement System Notice to Appear, Form TR -115 .............................. D
Appendix E Nontraffic Notice to Appear, Form TR -120 ........................................................................\
...... E
Appendix F Traffic/Nontraffic Notice to Appear , Form TR-130 ................................................................ F
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Chapter 1 PURPOSE OF FORMS
1.000. Definitions
For the purposes of these instructions the following words are synonymous: (a) Notice to
Appear, citation; (b) violation, offense, allegation, charges; (c) defendant, violator,
person, individual, citee, driver; (d) court, court of jurisdiction; (e) officer, arresting
officer, citing officer, issuing officer.
1.010. In General
Notice to Appear forms are designed to meet statutory requirements and, to the extent
possible, address the procedural requirements of local courts and law enforcement
agencies. Notices to Appear should provide the defendant with pertinent information
regarding the charges and what steps the defendant must take to answer the allegations.
The uniform language and data fields assist law enforcement and the courts in the timely
and accurate processing of the citation information. The design also ensures statewide
conformity of advisements important to the defendant and that those advisements are
clear and explicit.
1.020. Notice to Appear
a) Whenever a person is arrested for any violation declared to be an infraction or
misdemeanor, or for a violation of any city or county ordinance, and the person is not
immediately taken before a magistrate, the arresting officer must prepare a Notice to
Appear form.
1
b) When the Notice to Appear is prepared on a form approved by the Judicial Council it
constitutes a complaint to which the defendant may enter a plea.
2
1.030. Continuation Form
a) Th e Continuation of Notice to Appear or Continuation of Citation form must be used
when multiple offenses are charged and the Notice to Appear form does not provide
sufficient space for the listing of all the charges. A Continuation of Citation is a
multipur pose form intended for use with either a Notice to Appear form or a Notice to
Correct Violation form.
b) A second Notice to Appear must not be issued in lieu of a continuation form.
c) The Notice to Appear and the corresponding continuation form must be treated as one
law enforcement document and contain the same citation number.
1Per Veh. Code, § 40500(a) and Pen. Code, § 853.6. 2Per Veh. Code, § 40513(b) and Pen. Code, § 853.9.
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1.040. Electronic Notice to Appear
a) The electronic Notice to Appear eliminates those citation -processing problems caused
by the illegibility of handwritten information. The use o f an electronic Notice to
Appear also reduces the amount of information that must be entered into law
enforcement and court computer systems.
b) A court is authorized to receive and file a Notice to Appear in an electronic form if all
of the following conditions are met:
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1) The information is on a form approved by the Judicial Council.
2) The Notice to Appear is transmitted to the court by a law enforcement
agency.
3) The court has the facility to electronically store the information for the
statutory period of record retention.
4) The court has the ability to reproduce the Notice to Appear in physical
form upon the demand and payment of the reproduction costs.
1.050. Notice of Correction and Proof of Service
Form TR -100, Notice of Correction and Proof of Serv ice, must be used for any corrections
to the original Notice to Appear citation.
4 (See Appendix A.)
Chapter 2 AUTHORITY TO PRESCRIBE FORMAT
2.010. Judicial Council
a) The Judicial Council has adopted three forms for the Notice to Appear:
1) Form TR -115, Automated Traffic Enforcement System Notice to Appear ,
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to be used in conjunction with violations of sections 22451, 21453, and
22101 recorded by an automated traffic enforcement system. (See
Appendix D.)
2) Form TR -120, Nontraffic Notice to Appear ,
6 to be used for violations
other than traffic offenses. (See Appendix E.)
3) Form TR -130, Traffic/Nontraffic Notice to Appear ,
7 to be used for both
infraction and misdemeanor offenses. (See Appendix F.) The electronic
Notice to Appear
8 emulates the format of the Traffic/Nontraffic Notice to
Appear . A computer- generated paper citation is issued to the defendant at
the time of arrest.
3Per Pen. Code, § 959.1. 4Per Veh. Code, § 40505. 5Per Veh. Code, § 40518. 6Per Pen. Code, § 853.9. 7Per Veh. Code, §§ 40500(b), 40513(b), 40522, and Pen. Code, § 853.9. 8Per Pen. Code, § 959.1.
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b) Form TR -106, Continuation of Notice to Appear , and form TR-108, Continuation of
Citation , are intended for use in conjunction with N ontraffic and Traffic/Nontraffic
Notice to Appear forms. (See Appendix B.)
c) The Judicial Council has not adopted a form for, nor established guidelines
governing, the following: (1) parking citations, (2) arrest/booking reports, and (3)
court bail court esy notices.
Chapter 3 REVISION DATE
3.010. Judicial Council
a) Periodically, the Judicial Council will adopt revisions of Notice to Appear forms.
Law enforcement must use the revised Notice to Appear form by the effective
date of the revised form adopt ed by the Judicial Council. (See section 6.030 for
exception.) Depending on changes in statutory requirements, effective dates are
established to allow law enforcement as much time as possible to deplete any existing
supplies of the old form, print and disseminate new forms, and, if necessary, develop
new procedures and train personnel regarding the revisions.
b) The council adopted revised form TR-115, effective January 1, 2013. The council
adopted revised forms TR-120 and TR-130, effective September 20, 2005. The
council adopted forms TR-100, TR-106, and TR-108 with an effective date of January
1, 2004.
Chapter 4 FORM SPECIFICATIONS
4.010. Required Copies
The arresting officer must prepare the Notice to Appear form, at a minimum, in triplicate
for Veh icle Code violations
9 and in duplicate for all other violations. 10 Before printing
Notice to Appear forms, law enforcement agencies should contact their local court to
determine if there are any local requirements for the court’s case management system.
4.020. Size and Color
The size and color of Notice to Appear copies should conform with the requirements
of the courts in which they are filed. The Judicial Council recommends the following
minimum size and other form specifications :
a) A “trim” size of 4 1/4 inches wide and 7 1/2 inches long; 5/8-inch tabs on the top or
bottom of the form.
b) Original (Court’s copy) white, 15-pound paper stock. Print head- to-head.
c) Duplicate (Police agency’s copy) pink, 15-pound paper stock. No printing on reverse.
d) Triplicate (Officer’s copy) green, 15 -pound paper stock. Print reverse head- to-head.
9Per Veh. Code, § 40500(a). 10Per Pen. Code, § 853.6.
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e) Quadruplicate (Defendant’s copy) yellow, 20-pound paper stock. Print reverse head-
to -head.
f) The colors of the “Court’s copy” and “Police agency’s copy” correspond with rule
1:3-1 of the “Model Rules Governing Procedure in Traffic Cases” adopted by the
National Conference of Commissioners on Uniform State Laws.
4.030. Paper Stock
Paper stock for hand-written citations must be pressure sensitive and have a shelf l ife of
at least five years. The citation text must be reproducible on photocopy equipment.
4.040. Serial Numbers
a) The serial numbers of the form sets must be sequential. There must be no
“duplication” of numbers between form sets.
b) The format of the seri al numbers is at the discretion of local law enforcement with the
approval of the court.
4.050. Printing Format
a) A vertical format is required, except for the Proof of Service on form TR-100, which
is printed horizontally to facilitate mailing.
b) All tex t on the forms must be printed in black ink. All text on citation forms TR-115,
TR -120, and TR-130 must have a minimum font size of 6.0. Serial numbers may be
printed in red ink. The box for the defendant’s signature may be printed in red ink.
4.060. Pr inting Expenses
The printing of the forms and the associated costs are not the responsibility of the Judicial
Council; printing is to be arranged in accordance with local custom.
Chapter 5 VARIATIONS OF MANDATORY LANGUAGE/DATA
FIELDS
5.000. In General
Mandatory language and data fields are indicated on examples of Judicial Council–
adopted forms by unshaded areas; see section 5.010 for exceptions.
5.010. Permitted Variations
a) To meet the unique customs and/or needs of local law enforcement agencies and courts, the Judicial Council form permits limited variations in the “time,” “place,” and
“proof of correction certification” data fields, among others. To indicate that
variations may be permitted, these data fields are identified by shaded areas. Shading
should not appear on printed forms.
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b) The California Highway Patrol is permitted to alter the format and location of the fields for the name of the court, court address, and phone number and to add a field for
the location of a CHP Inspection F acility on the face of a form TR-130,
Traffic/Nontraffic Notice to Appear for their form CHP-215X.
c) Formatting for the bracketed information that is required in the “Where” field on
notice to appear forms may be modified to include information f or multiple court
locations.
Chapter 6 MANDATORY LANGUAGE/DATA FIELDS
6.000. In General
The mandatory language and data fields vary between the various Notice to Appear forms
depending on the purpose of the form. All language and data fields in unshaded areas on
the forms are mandatory, even if not discussed below. Mandatory text or data fields of the
forms may not be re-worded or omitted, except for references to statutory authorities,
which may be abbreviated differently. Electronic Notice to Appear forms may abbreviate
terms and have minor alterations to formatting to facilitate printing of forms.
Law enforcement agencies should be aware that if a written Notice to Appear is not
prepared on an approved council form, a court may conclude tha t it does not constitute a
complaint to which a defendant may enter a plea. (Veh. Code, § 40513(b).) If a defendant
pleads other than “guilty” or “nolo contendere” and the court concludes that the Notice to
Appear is defective, it could be necessary to re- file the charges by a formal complaint.
(Veh. Code, § 40513(a).)
6.010. Agency Name
The name of the citing agency and jurisdiction must appear near the top of the form.
6.020. Title of Form
The title of the form must be printed near the top of the form.
6.030. Serial Number
a) A sequential serial number for each multipart set of Notice to Appear forms must
appear horizontally near the top right corner of each form.
b) To facilitate the filing systems of some courts, statewide law enforcement agencies
must also print the serial number in the lower right margin of the court’s copy.
Statewide law enforcement agencies must comply with this requirement as specified
in section 3.010. Local law enforcement agencies must comply with the requirement
for the d uplication of the serial number in the right margin within one calendar year of
a request from a local court.
c) The serial number may be preprinted on the Notice to Appear.
d) The serial number on the continuation form must be the same as that on the
correspo nding Notice to Appear; the duplication of the serial number in the right
margin is not required.
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e) Bar coding of the serial number permits those courts with bar code readers to improve
the timeliness and accuracy of processing Notice to Appear forms. With in the
following parameters, the bar coding of the serial number must be placed on the face
of the court’s copy of the Notice to Appear form:
1. The bar code must appear as near as practical to the bottom of the form.
2. The bar code should have a 1/4- inch area (quiet zone) that is clear and free of all
printing preceding the start character and the following stop character.
3. Statewide law enforcement agencies must comply with the bar code requirement
as specified in section 3.010.
4. Local law enforcement agenci es must comply with the bar code requirement
within one calendar year of a request from a local court.
6.040. Misdemeanor Check Box
To facilitate processing, the citing officer must check the misdemeanor box at the top of
the Notice to Appear if one of the offenses charged is a misdemeanor. The misdemeanor
check box does not appear on the automated traffic enforcement system notice.
6.050. Date and Time
a) The date and time of the issuance of the Notice to Appear must be indicated near the
top of the for m.
b) The “Date of Violation” data field must be: Mo./Day/Yr.
c) A check box “A.M./P.M.” format is provided as an optional field to indicate the time.
Indicating the time in the form of “A.M./P.M.” is more easily understood by most
defendants than the use of the 24 hour clock (military time).
6.060. Defendant’s Name
a) The defendant’s name is required on the Notice to Appear.
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b) The sequence of the defendant’s name must be First/Middle/Last. This sequence
corresponds with the California Driver License/Identif ication Card.
6.070. Defendant’s Address
a) The defendant’s address must be indicated on the Notice to Appear.
12
b) The address must be the defendant’s mailing address. The mailing address allows the
court to mail a courtesy notice and/or other correspondence to the defendant.
c) A street address may also be indicated in addition to the mailing address.
11Per Veh. Code, §§ 40500(a), 40518(b) and Pen. Code, § 853.6. 12Per Veh. Code, §§ 40500(a), 40518(b) and Pen. Code, § 853.6.
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6.071. Defendant’s Class and Category of Driver’s License
a) The defendant’s class of driver’s license may be specified on the Notice to Appear.
b) Notice to Appear forms TR -115 and TR-130 must specify whether the defendant’s
driver’s license is a commercial driver’s license.
6.080. Defendant’s Age and Birth Date
a) The defendant’s age and birth date is required on the Notice to Appear. The sequence
of the bi rth date must be: Mo./Day/Yr.
b) The birth date data field is designed to accept a numerical entry.
6.090. Defendant’s Physical Description
a) The defendant’s sex, hair, color of eyes, height, and weight are required on the Notice
to Appear. See section 7 .020 for the policy regarding the defendant’s race/ethnicity.
b) Data fields for the recording of the defendant’s physical description are designed to
accept the standard abbreviations of physical descriptors.
6.100. Commercial Vehicle
If the vehicle invol ved in an offense when a notice to appear is issued is a commercial
vehicle
13 the citing officer must mark the check box within the data field,
“ COMMERCIAL VEHICLE (Veh. Code, § 15210(b)).”
6.110. Hazardous Material
If the vehicle involved in an offense when a notice to appear is issued was transporting
hazardous material, the citing officer must mark the check box within the data field,
“ HAZARDOUS MATERIAL (Veh. Code, § 353)”.
6.120 Vehicle Description
The year, make, and body style of the vehicle ope rated by the defendant at the time of the
offense must be indicated on the Notice to Appear.
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6.130. Financial Responsibility
The officer must write the driver’s evidence of financial responsibility on the Notice
to Appear.
15 A person issued a Notice to Appear for a violation of this section may
submit to the clerk of the court, in person or by mail, written evidence that the driver was
in compliance with this section at the time of the citation .
13Commercial vehicle is defined in Veh. Code, § 15210(b). The requirement to indicate if offense involves a
motor vehicle is per Veh. Code, § 40300.2.
14Per Veh. Code, § 40500(a). 15Per Veh. Code, § 16028.
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6.140. Name of Registered Owner/Lessee
a) The Notice to Appe ar must contain the name of the registered owner or lessee. 16
b) The name must be indicated on the Notice to Appear in the following sequence:
First/Middle/Last.
6.150. Address of the Registered Owner/Lessee
a) The address of the registered Owner/Lessee must be indicated on the Notice to
Appear.
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b) The address must be the registered owner’s mailing address.
6.160. Correctable Violation Advisement and Check Boxes
a) Whenever a person is arrested for violations specified in Vehicle Code section
40303.5 and none of the disqualifying conditions set forth in Vehicle Code section
40610(b) exist, and the officer issues a Notice to Appear, the notice must specify the
offense charged and note in a form approved by the Judicial Council that the charge
will be dismissed up on proof of correction.
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b) For offenses identified in Vehicle Code section 40303.5 the citing officer must
indicate by marking the appropriate check box whether or not the offense is eligible
for dismissal upon proof of timely correction. Marking the “no” box denotes that
disqualifying conditions specified in Vehicle Code section 40610(b) exist.
c) The correctable violation advisement and the check boxes do not appear on the
Automated Traffic Enforcement System notice.
6.170. Booking Required
The officer m ay either book the arrested person prior to release, or indicate on the Notice
to Appear that the arrested person must be booked before appearing in court.
19 If the
“Booking Required” check box is checked on form TR-120 or TR-130, the arresting
agency must complete the verification of booking section on the defendant’s copy of the
form. The “booking required” check box does not appear on the Automated Traffic
Enforcement System notice.
6.180. Violations
The Notice to Appear must state the offenses charged . 20
6.190. Speed
A Notice to Appear charging a speeding violation must specify the approximate
speed, prima facie or maximum speed, and any other speed limit exceeded.
21
16Per Veh. Code, § 40500(a). 17Per Veh. Code, § 40500(a). 18Per Veh. Code, § 40522. 19Per Pen. Code, § 853.6. 20Per Veh. Code, § 40500(a) and Pen. Code, § 853.6. 21Per Veh. Code, § 40503.
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a) The “safe speed” box is provided so that the officer can indicate a speed differen t
from the maximum or prima facie (posted) speed when the Notice to Appear is
prepared charging a violation of the basic speed law (Veh. Code, § 22350).
Conditions affecting the safe speed limit should be noted on the Notice to Appear
(e.g., fog, rain, et c.).
b) When a speed violation is charged, both the approximate speed and the prima facie
speed applicable to the street or highway should be indicated.
c) Entry of the maximum speed limit pertaining to the particular type of vehicle, or
combination of vehicles, is only required if the defendant is cited for exceeding the
speed limit for that vehicle.
6.200. Location of Violation
The Notice to Appear must state the location of where the offenses charged occurred.
6.210. Officer’s Declaration on Informatio n and Belief
The officer must indicate on the Notice to Appear (check box) when the offense was not
committed in his/her presence and that his/her declaration is on information and belief. A
citizen’s complaint is an example of a situation that may result in the officer’s checking
the box. The declaration is separate and distinct from the officer’s declaration under
penalty of perjury discussed in section 6.220.
6.220. Officer’s Declaration under Penalty of Perjury
The Notice to Appear must contain the officer’s declaration, under penalty of perjury,
subscribed by the officer, that the information regarding the violations is true and
correct .
22
6.230. Other Officer
The name of the arresting officer, if different from the name of the officer completin g the
Notice to Appear, must be stated on the Notice to Appear. This policy was adopted to
address situations in which there are teams of officers working radar enforcement or aerial
patrol. This option is not available on the Automated Traffic Enforceme nt System Notice to
Appear . (See section 6.231.)
6.231. Declarant -Automated Traffic Enforcement System Citations
The name of the government agency or law enforcement representative making the
declaration, “Violation was not committed in my presence. The above is declared on
information and belief and is based on photographic evidence,” must be stated on the
Automated Traffic Enforcement System Notice to Appear.
6.240. Defendant’s Signature
To secure release from arrest, the defendant must give his/her written promise to
appear .
23 This option does not apply to citations issued for violations recorded by an
Automated Traffic Enforcement System Notice to Appear.
22Per Code Civ. Proc., § 2015.5. 23Per Veh. Code, § 40504 and Pen. Code, § 853.6.
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6.250. Time to Appear
a) The time specified in a Notice to Appear issued for a traffic offense must be a specific
date which is at least 21 days after arrest; the court having jurisdiction over the
offense charged may authorize the arresting officer to specify on the Notice to Appear
that the appearance may be made before the time specified .
24
b) When a Notice to Appear has been issued for a violation recorded by an automated
traffic enforcement system, it must be mailed within 15 days of the violation date to
the current address of the registered owner of the vehicle on file with the Department
of Mo tor Vehicles, with a certificate of mailing obtained as evidence of service.
25 The
time to appear must be at least ten days after the Notice to Appear is delivered . 26
c) The time to appear placed on the Nontraffic Notice to Appear or on a
Traffic/Nontraffic No tice to Appear for a nontraffic offense must be at least 10 days
after the date of arrest for a nontraffic violation. (Pen. Code, § 853.6.)
d) In the case of juveniles, the court having jurisdiction over the offense charged may
require the arresting officer to indicate on the Notice to Appear “to be notified” rather
than a specific date.
27
6.260. Place to Appear
The place specified on the Notice to Appear must be one of the following:
a) Before a magistrate or judge.
28
b) Before a person authorized to receive a deposit of bail.
29
c) Before the juvenile court, juvenile court referee, or juvenile hearing officer .
30
6.270. Night Court
If the court identified in the Notice to Appear holds night sessions, the notice must
include a statement advising the defendant .
31
6.280. Legend
The lower left corner of the Notice to Appear forms must denote that the form is a
Judicial Council form and specify the council’s form number. On electronic Notice to
Appear forms, the approval legend may appear near the top of the form.
24Per V eh. C o d e, § 40501( a) . 25Per Veh. Code, § 40518(a). 26Per Veh. Code, § 40518(b). 27Per Veh. Code, § 40501(b). 28Per Veh. Code, § 40502(a) –(b) and Pen. Code, § 853.6. 29Per Veh. Code, § 40502(c) and Pen. Code, § 853.6. 30Per Veh. Code, § 40502(d). 31Per Veh. Code, § 40502(d).
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Chapter 7 DISCRETIONARY LANGUAGE/DATA FIELDS
7.000. In General
The discretionary (shaded) areas on the forms (see Appendix) depict language and data
fields that are frequently included at the option of the court or law enforcement agency
(with the consent of the court in which the Notice to Appear is to be filed).
Because of limited space, not all of the discretionary language and data fields used
throughout the state can be shown on the sample forms. The following are narrative
descriptions of several discretionary data fields.
7.010. Bail Statement
If the offense is bailable, the magistrate must fix the amount of bail and endorse the
following statement on the warrant for arrest.
35
BAIL:
The defendant is to be admitted to bail in the sum of dollars.
Judge
Note: The mandatory requirement that the above statement appear on the reverse of the
court’s copy disrupts the processing of Notice to Appear forms in those automated courts`
that use the space for cash register validations, automated traffic system notations, and
notes of court proceedings. These courts use a separate form when issuing a warrant for
arrest. For those reasons, the warrant for arrest statement is now discretionary.
7.020. Defendant’s Race/Ethnicity
a) A specific data field for the defendant’s “Race” or “Ethnicity” may be added to the
Notice to Appear form. The data field should be located on the same line as other
physical descriptors.
b) The defendant’s “Race” or “Ethnicity” may be indicated in the “Other Description”
data field.
c) If the defendant’s “Race” or “Ethnicity” is to be indicated, the Judicial Council
recommends the use of a single alpha character. Reference: California Department
of Justice’s Arrest and Disposition Instruction Manual.
7.030. Defendant’s Thumbprint
a) The defendant’s thumbprint may be placed on the Notice to Appear in situations in
which there is a question in the citing officer’s mind as to the true identity of the
defendant. The court will then have the option of comparing thumbprints in those
cases where the defendant alleges that another person has committed the cited
offense.
33
32Per Pen. Code, § 815(a). 33Per Veh. Code, § 4 0500( a) and Pen. Code, § 853.6.
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12
b) The Judicial Council recommends that the thumbprint be placed in a one-inch square
area located on the reverse of the court’s copy in the lower left corner.
c) The thumbprint item does not appear on the Automated Traffic Enforcement System Notice to Appear .
Chapter 8 PROHIBITED LANGUAGE/DATA FIELDS
8.010. Defendant’s Social Security Number
The defendant’s social security number must not be indicated on the Notice to Appear,
unless the social security number is also the driver license number and/or the defendant
holds a commercial driver license.
To protect an individual’s civil rights, federal statutes allow a very restricted compulsory
use of a person’s social security number for the purpose of establishing identity .
34
Federal statutes do permit an agency having administrative responsibility for driver
license and motor vehicle registration laws to use a person’s social security number to
establish that person’s identity as it relates to the laws within the agency’s jurisdiction .
35
The California Department of Motor Vehicles requires an individual to disclose his or her
social security number in order to obtain a driver license or identification card.
36 A
number of other states use the individual’s social security number as the driver license
number.
34Per Public Law 93 -579, § 7. 35Per 42 USC § 405, (c)(2)(c)(i)– (iv). 36Per Veh. Code, §§ 1653.5 and 12801.
19
13
APPENDIXES OF COUNCIL FORMS
Appendix A Notice of Correction and Proof of Service, Form TR-100
A
20
14
I am at least 18 years of age, not a party to this action, and I am a resident of or employed in the county where the mailing took place. My business address is:
On (date): , I served this Notice of Correcti on on the parties at the address listed below by
depositing it in a sealed envelope, postage prepaid, with the United States Postal Service at (city and state):
I declare under penalty of perjury under the laws of the St ate of California that the foregoing is true and correct.
Date: Original to Court
_____________________________
_
(Type or print name)
Defendant's Address:
____________________________________
_
(SIGNATURE)
NAME OF COURT:
STREET ADDRESS:
MAILING ADDRESS:
CITY AND ZIP CODE: BRANCH NAME: TELEPHONE:
PEOPLE OF THE STATE OF CALIFORNIA
vs.
DEFENDANT:
NOTICE OF CORRECTION AND PROOF OF SERVICE (Vehicle Code, § 40505)
AMENDING OFFICER NAME/ID NO. : DEPARTMENT/AGENCY:
CITATION NUMBER: CASE NUMBER:
1. A Notice to Appear/Notice to Correct Violation was issued to you
by an officer of this department on (date):
2. The citation issued to you contained an error as indicated by
the items checked below. This notice of correction does not
affect the validity of the ci tation or the required court
appearance.
Date/time of violation should be
Date/time of court appearance should be changed
from
from
from
to
Violation section(s) should be changed
to
Location of violation should be changed
to
Other (specify):
I declare under penalty of perjury under the laws of the State of
California that the foregoing is true and correct.
Date: Form Adopted for Mandatory Use
Judicial Council of California
TR-100 [Rev. January 1, 2004]
(Signature of officer)
21
B 15
Appendix B Continuation of Notice to Appear, Form TR-106
22
CONTINUATION OF NOTICE TO APPEAR16
Yes 4.
No
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.
(Face of Violator’s Copy)
(Name of Agency and Jurisdiction )
CONTINUATION OF NOTICE
TO
APPEAR
MISDEMEANOR
Traffic Nontraffic (Citation No.)
Date
1. / / Name (First, Middle, Last) 2.
Veh. Lic. No. or VIN 3.
Time AM PM Day of Week S M T W T F S Case No.
State
Correctable Violation (Veh. Code, § 40610)
Misdemeanor or
Code and Section Description Infraction (Circle)
M I M I M I M I M I M I M I M I M I M I M I M I M I M I M I M I M I 21.
Violations not committed in my presence, declared on information and belief.
I declare under penalty of perjury under the laws of the State of California the foregoing is true and
correct, and a continuation of the enforcement document noted.
22. Arresting or Citing Officer Serial No. 23. / /
Date Name of Arresting Officer, if different from Citing Officer Serial No.
WITHOUT ADMITTING GUILT, I PROMISE TO APPEAR AT THE TIME AND
PLACE INDICATED. 24. X Signature
Judicial Council of California Form
Rev. 01-01-04 (Veh. Code, §§ 40500(b), 40513(b), 40522, 40600; Pen. Code, § 853.9) SEE REVERSE TR-106
Shaded areas on the form indicate spaces subject to modification for local or agency requirements.
23
CONTINUATION OF NOTICE TO APPEAR17
(REVERSE OF VIOLATOR’S COPY)
IMPORTANT — READ CAREFULLY This form is used when multiple offenses are charged and the original notice to appear form does not
provide sufficient space for the listing of all the charges. PLEASE REFER TO THE REVERSE OF THE
ORIGINAL NOTICE TO APPEAR FOR IMPORTANT INFORMATION REGARDING YOUR LEGAL
OBLIGATIONS.
CORRECTABLE VIOLATIONS: Those driver license, vehicle registration, and mechanical violations
cited in accordance with Vehicle Code section 40610(a) will be dismissed by the court if PROOF OF
CORRECTION and payment of a transaction fee are presented to the court by mail or in person on or
before the appearance date.
Violations of Vehicle Code section 16028 (automobile insurance) will be dismissed upon your showing
to the court that evidence of financial responsibility was valid at the time this citation was issued.
Proof of correction should be obtained for driver license, registration, and equipment violations.
CORRECT EQUIPMENT VIOLATIONS IMMEDIATELY.
METHODS FOR OBTAINING CERTIFICATION OF CORRECTION (Veh. Code, § 40616): 1. Pollution control device violations must be certified by a smog check station licensed by the California Bureau of Automobile Repair. 2. Lamp, brakes, and exhaust system violations may be certified as corrected by an authorized inspection and installation station for the specific violation(s). 3. Registration and driver license violations may also be certified as corrected by an office of the Department of Motor Vehicles or by any clerk or deputy clerk of a court. 4. Proof of correction, except for violations that must be cleared at a certified inspection and installation station, may be obtained at (fill in location) during regular business hours.
CERTIFICATE OF CORRECTION (MUST BE RETURNED TO COURT) Section(s) Violated Signature of Person Certifying Correction Serial No. Agency Date
Shaded areas on the form indicate spaces subject
to modification for local or agency requirements.
24
18
CONTINUATION OF NOTICE TO APEAR (Reverse of Court Copy)
(Circle one)
RIGHT or LEFT THUMB PRINT
Shaded areas on the form indicate spaces subject to modification for local or agency requirements.
25
Appendix C Continuation of Citation, Form TR-108
C 19
26
20
CONTINUATION OF CITATION
(Face of Violator’s Copy)
(Name of Agency and Jurisdiction)
CONTINUATION
OF CITATION ■ NOTICE TO APPEAR ■ MISDEMEANOR ■ NOTICE TO CORRECT VIOLATION ■ Tr a f
fic ■ Nontraf fic (Citation No.) Date of Violation / /
Time ❏ AM ❏ PM Day of Week S M T W T F S Case No.
Name (First, Middle, Last) Veh. Lic. No. or VIN State Correctable Violation (Veh. Code, § 40610) Misdemeanor or
Yes No Code and Section Description Infraction (Circle)
M I
M I
M I
M I
M I
M I
M I
M I
M I ■ ■
M I
■ ■
M I
■
M I
■ ■
M I
■ ■
M I ■ ■
M I ■ ■ M I ■ ■
M I ■ Violations not committed in my presence, declared on information and belief.
I declare under penalty of perjury under the laws of the State of California the foregoing is true and correct, and
a continuation of the enforcement document noted.
___ ____________________________________ ________________ Date Arresting or Citing Officer
Serial No
Date
Name of Arresting Of ficer, if different from Citing Of ficer
Serial No
WITHOUT ADMITTING GUILT, I PROMISE TO APPEAR AT THE TIME AND PLACE
INDICATED.
X Signature
Judicial Council of California Form Rev. 01-01-04 (Veh. Code, §§ 40500(b), 40513(b), 40522, 40600, 40610(d), 40618; Pen. Code, § 853.9) SEE REVERSE
TR-108
Shaded areas on the form indicate spaces subject
to modi fication for local or agency requirements.
27
21
CONTINU
ATION OF CIT ATION
(Reverse of Violator’s Copy)
IMPORTANT—READ CAREFULLY
This form is used when multiple offenses are charged and the original Notice to Appear / Notice to Correct
Violation form does not provide suf ficient space for the listing of all the charges. PLEASE REFER TO THE
REVERSE OF THE ORIGINAL NOTICE TO APPEAR / NOTICE TO CORRECT VIOLATION FOR
IMPORTANT INFORMATION REGARDING YOUR LEGAL OBLIGATIONS.
CORRECTABLE VIOLATIONS ON A NOTICE TO APPEAR: Those driver license, vehicle registration, and
mechanical violations cited in accordance with Vehicle Code section 40610(a) will be dismissed by the court if
PROOF OF CORRECTION and payment of a transaction fee are presented to the court by mail or in person on
or before the appearance date. Proof of correction should be obtained for driver license, registration, and
equipment violations. CORRECT EQUIPMENT VIOLATIONS IMMEDIATELY.
Violations of Vehicle Code section 16028 (automobile insurance) will be dismissed only upon (1) your showing
or mailing to the court evidence of financial responsibility valid at the time this notice to appear was issued and
(2) your payment of a transaction fee.
CORRECTABLE VIOLATIONS ON A NOTICE TO CORRECT VIOLATION: Those driver license, vehicle
registration, and mechanical violations cited in accordanc e with Vehicle Code section 40610(a) must be corrected
and PROOF OF CORRECTION must be provided to the law enforcement agency’s of fice designated on the
reverse side of the Notice to Correct Violation form within 30 days in order to have the violation cleared. Proof of
correction should be obtained for driver license, registration, and equipment violations. CORRECT EQUIPMENT
VIOLATIONS IMMEDIATELY.
METHODS FOR OBTAINING CERTIFICATION OF CORRECTION (Veh. Code, § 40616): 1. Pollution control device violations must be certi fied by a smog check station licensed by the California Bureau of Automobile Repair. 2. Lamp, brakes, and exhaust system violations may be certi fied as corrected by an authorized inspection and installation station for the specific violation(s). 3. Registration and driver license violations may also be cer tified as corrected at an office of the Department of Motor Vehicles or by any clerk or deputy clerk of a court. 4. Proof of correction, except for violations that must be cleared at a certi fied inspection and installation station, may be obtained at (fill in location) during regular business hours.
CERTIFICATE OF CORRECTION (MUST BE RETURNED TO: ■ COURT, ■ CITING AGENCY)
Section(s) Violated Signature of Person Certifying Correction Serial No. Agency Date
Shaded areas on the form indicate spaces subject
to modi fication for local or agency requirements.
28
CONTINU ATION OF CIT ATION
(Reverse of Court’s Copy)
22
(Circle one) RIGHT or LEFT
THUMBPRINT
Shaded areas on the form indicate spaces subject
to modi fication for local or agency requirements.
29
D 23
Appendix D Automated Traffic Enforcement System Notice to Appear, Form TR-115
30
TRAFFIC NOTICE TO APPEAR
Automated Traffic Enforcement System
(NAME OF AGENCY AND JURISDICTION)
NOTICE TO APPEAR Automated Traffic Enforcement (Citation No.) Date of Violation 1. / / Ti me AM PM Day of Week S M T W T F S Case No.
Na me (First, Middle, Last) 2. Address 3. City State ZIP Code 4. Driver Lic. No. 5.
State Class Commercial Yes No
Age Birth Date / /
Sex 6.
Hair Eyes Height Weight Race
Veh. Lic. No. or VIN State 7.
COMMERCIAL VEHICLE (Veh. Code, § 15210(b)) HAZ ARDOUS MATERI AL (Veh. Code, § 353)
Yr. of Veh. 8. Make Model Body Style Color
Registered Owner or Lessee 9. Address 10. City State ZIP Code 11. Code and Section Description 12. Location of Violation at 13.
City/County of Oc currence
Violation was not committed in my presence. The above is declared on information and belief and is
based on photographic evidence.
I declare under penalty of perjury under the laws of the State of California the foregoing is true and correct. Date Issued Declarant 14.
ID No.
YOU MUST RESPOND TO THE COURT ON OR BEFORE:
15. WHEN: DATE :_____________________________________
WHAT TO DO: FOLLOW THE INSTRUCTIONS ON THE REVERSE.
16. WHERE: [Name of court[s]] [Section[s] or division[s], room no[s].]
[Street address[es]]
[Phone no.
Ti me: __________ AM PM
Clerk’s Office Hours [Insert ho urs clerk’s office is open.]
FPO Barcode
DEFENDANT COPY Judicial Council of California Form SEE REVERSE Rev. 01-01-13 (Veh. Code, § 40518) TR-115
Shaded areas on the form indicate spaces subject
to modification for local or agency requirements.
31
TRAFFIC NOTICE TO APPEAR
Automated Traffic Enforcement System
IMPORTANT—READ CAREFULLY
This Citation Is Based on Photographic Eviden ce The vehicle identified on the front was photographed in violation of a traffic signal or sign.
You may see the photographs. Contact: ________________________________ You may see the photographs online at: ________________________________ For more information about the evidence in this case, you may contact the issuing agency,
_________________________________________ by telephone at: _________________ or in person at:____________________________________________________________ on _________________________ _______ during the hours of _____________________ If you were not driving the vehicle at the time of the violation, contact ________________________________________________________
WHAT TO DO You have been issued a citation that charges you with a traffic infraction. You must
respond by following one of the procedures below by the date on the front (see “W HEN”).
If you do not, you may lose your license to drive, and your money penalties may increase.
1. If you do NOT contest the violation
a. (Pay the bail amount) (See “BAIL INFORMATION” below) Your bail will be forfeited to
the court. You will not have to appear in court. You will be convicted of the violation, and it
will appear on your record at the Department of Motor Vehicles (DMV). A point count will
be charged to your DMV record for this offense and your insurance may be adversely
affected.
b. (Traffic school) You may be able to avoid the point count and adverse effect on your
insurance by attending traffic school. Contact the court to request traffic school. You must
pay the bail amount as a fee, and you may have to pay other fees.
2. If you contest the violation (select one)
a. (Court trial) Send a certified or registered letter postmarked not later than five days
prior to the appearance date, or come to the court by the appearance date to request a court trial on a future date when an officer and witnesses will be present. You will be
required to submit the bail amount. You will be given a date for your trial.
—OR — b. (Trial by written declaration) Send a certified or registered letter postmarked not later
than five days prior to the appearance date, or come to the court on or before the date on
the front and request a trial by written declaration. Submit the bail amount. You will be
given forms to allow you to write a statement and submit other evidence without appearing
in court. An officer will also submit a statement. The judicial officer will consider all of the
evidence at the same time and decide the case.
WRITING TO THE COURT If you write to the court, always write the citation number and your driver license number
on your letter. Use of certified or registered mail is required. Do not send your copy of
the citation. Keep it for your own records.
BAIL INFORMATION The “bail” is the amount you must pay or deposit for the charged violation.
Bail Amount: $ ________ OR [See enclosed information]
Make the check or money order payable to ________________________________ _____.
Write the citation number and your driver license number on your check or money order.
You may deposit the bail in person, by mail or by phone.
NIGHT COURT TRIALS [are] [are NOT] available for this citation.
JUVENILES If you are under 18, you must be accompanied by your parent or guardian when you appear in court. Bring this citation and your driver license. You will be notified by the Juvenile Court of your court date. [For additional information, call the Juvenile Traffic Court at ____________________________________________________________ _] ONLINE INFORMAT ION You may obtain additional information at [Local Web site: _____________________________ ___ _______________________]
Shaded areas on the form indicate spaces subject
to modification for local or agency requirements.
32
E 26
Appendix E Nontraffic Notice to Appear, Form TR-120
33
27
NONTRAFFIC NOTICE TO APPEAR
(Face of Court’s Copy)
(Name of Agency and Jurisdiction)
NOTICE TO APPEAR MISDEMEANOR Nontraffic
(Citation No.)
Date of Violation 1. / / Time
AM PM Day of Week S M T W T F S Case No.
Name (First, Middle, Last) 2.
Address 3.
City 4. State ZIP Code
Driver Lic. No. 5. State Class
Age Birth Date / / Juvenile (Phone No.) ( )
Sex 6. Hair Eyes Height Weight Race Other Description
Misdemeanor or
7. 8.
9.
10. 11. 12.
13. 14. 15. 16. 17.
18.
Code Ordinance Description Infraction (Circle)
M I
M
I
M I
M I
M I
M I
M I
M I
M I
M I
M I
M I
Evidence Seized 19 . Booking Required(see reverse)
\
Location of Violation(s) 20. City/County of Occurrence
Comments 21. Violations not committed in my presence, declared on information and belief. 22. I declare under penalty of perjury under the laws of the State of California the foregoing is true and correct. 23. ______________________________________________________
Arresting or Citing Officer ___________ Serial No.
_____to _____ Dates Off 24.___/ ___/ ___
Date
____________________________________________
Name of Arresting Officer, if different from Citing Officer ___________ Serial No.
_____to _____ Dates Off
25.
WITHOUT ADMITTING GUILT, I PROMISE TO APPEAR AT THE TIME AND PLACE
INDICATED BELOW.
X
Signature
26. WHEN: ON OR BEFORE THIS DATE: _____/ _____/ _____ Time: __________ AM PM Time: __________ AM PM WHAT TO DO: FOLLOW THE IN STRUCTIONS ON THE REVERSE. 27. WHERE: [Name of court[s]]
[Section[s] or division[s], room no[s].]
[Street address[es]]
[Phone No.]
28. To be notified You may arrange with the clerk to appear at a night session of the court.
FPO Barcode DEFENDANT COPY
Judicial Council of California Form
Rev. 09-20-05 (Pen. Code, § 853.9) SEE REVERSE
TR-120
Shaded areas on the form indicate spaces subject to modification for local or agency requirements.
34
28
NONTRAFFIC NOTICE TO APPEAR
(Reverse Of Defendant’s Copy)
IMPORTANT — READ CAREFULLY
WARNING: If you fail to appear in court as you have promised, you may be arrested and punished
by 6 MONTHS IN JAIL AND/OR A $1,000 FINE, regardless of the disposition of the original charge.
(Pen. Code, § 853.7.)
If “Booking Required” is checked you must appear on a weekday prior to your court date for booking at: _____________________________________________________ between the hours of ___ and ___ and bring the signed verification to your court appearance. Call _______________ for more information.
Booking Verification : I declare under penalty of perjury under the laws of the State of California that
______________________________ was booked on _______ ____________________ ____________
Defendant’s name Date Officer Serial No.
WHAT TO DO
Shaded areas on the form indicate spaces subject
to modification for local or agency requirements.
35
29
NONTRAFFIC NOTICE TO APPEAR
( Reverse Of Court’s Copy )
(Circle one)
RIGHT or LEFT THUMB PRINT
Shaded areas on the form indicate spaces subject to modification for local or agency requirements.
36
F 30
Appendix F Traffic/Nontraffic Notice to Appear, Form TR-130
37
31
TRAFFIC/NONTRAFFIC NOTICE TO APPEAR
(Face of Court’s Copy)
(NAME OF AGENCY AND JURISDICTION )
NOTICE TO APPEAR MISDEMEANOR Traffic Nontraffic
(Citation No.) Date of Violation 1. / / Time
AM PM Day of Week S M T W T F S Case No.
Name (First, Middle, Last) 2. Owner’s Responsibility (Veh. Code, § 40001)
Address 3.
City 4. State ZIP Code Juvenile (Phone No.) ( )
Driver Lic. No. 5. State Class Commercial
Yes No Age Birth Date / / Sex 6. Hair Eyes Height Weight Race Other Description
Veh. Lic. No. or VIN 7. State Reg. MO/YR
COMMERCIAL VEHICLE
(Veh. Code, § 15210(b))
HAZARDOUS MATERIAL
(Veh. Code, § 353) Yr. of Veh. 8. Make Model Body Style Color
Evidence of Financial Responsibility
CHP/DOT/PUC/ICC 9.
Registered Owner or Lessee 10. Same as Driver
Address 11. Same as Driver
City 12. State ZIP Code
Correctable Violation (Veh. Code,
§ 40610) Booking Required (see reverse) Misdemeanor or Yes No Code and Section Description
Infraction (Circle)
13.
M I
14.
M I
15.
M I
16.
M I
Speed Approx. 17. > P.F./Max Spd. Veh. Lmt. Safe Radar Continuation Form Issued N
Location of Violation(s) 18. at City/County of Occurrence W E
Comments (Weather, Road & Traffic Conditions) \
Accident 19. S
Violations not committed in my presence, declared on information and belief. 20.
I declare under penalty of perjury under the laws of the State of California the foregoing is true and correct.
Executed at (place) Violation location 21.______________________________________________________ Arresting or Citing Officer ___________ Serial No.
_____to _____ Dates Off 22.___/ ___/ __
Date
____________________________________________
Name of Arresting Officer, if different from Citing Officer ___________ Serial No.
_____to _____ Dates Off 23.
WITHOUT ADMITTING GUILT, I PROMISE TO APPEAR AT THE TIME AND PLACE
INDICATED BELOW.
X
Signature
24. WHEN: ON OR BEFORE THIS DATE: _____/ _____/ _____ Time: __________ AM PM Time: __________ AM PM WHAT TO DO: FOLLOW THE IN STRUCTIONS ON THE REVERSE. 25. WHERE: [Name of court[s]]
[Section[s] or division[s], room no[s].]
[Street address[es]]
[Phone No.]
26. To be notified You may arrange with the clerk to appear at a night session of the court.
FPO Barcode DEFENDANT COPY
Judicial Council of Califo
