Form Center

2. Read Carefully and Completely

   You may use this form to submit proof of Court Ordered Requirements. These may include, but not limited to, Signed Plea Form, Court Ordered Community Service Log, Proof of Insurance, Road Test, Certificate of Course Completion for Tobacco or Alcohol Awareness, Anti-Theft, Drug Awareness, or Anger Management.

   It is your responsibility, as the Defendant, to ensure that all requirements of the order are completely satisfied and timely submitted. Refer to your Court Order.

4. First Name*
5. Last Name*
7. Street*
9. Apt. or Suite No.
11. City*
12. State*
13. Zip*
15. Phone Number*
16. Email Address*
18. Submission Type By Disposition*
    -- Select One --Driver Safety Dismissal Deferral of Final Disposition RequirementInstructed by AttorneyOtherI Don't Know My Disposition

    Select the Disposition Type you are submitting your proof for, for example; Driver Safety Dismissal, Deferral of Final Disposition, Other, Don't Know.
20. Citation/Cause Number*
22. What documents are you sending today?*
24. Upload Form Here*
    Attach a scanned or PDF copy of your document here.
25. Additional Document
    You may attach an additional form or document here.
Leave This Blank:


27. 1. Receive an email copy of this form.
28. Email address

    This field is not part of the form submission.

29. Submit

* indicates a required field