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2. Read Carefully and Completely

   DO NOT USE THIS FORM IF YOUR CASE IS IN WARRANT STATUS OR PAST DUE. Contact the court at 972-292-5555 to speak with a court staff about options and appearance instructions.

   You may use this form to request a Pre-Trial Hearing/Court Date. This is for first time notification. If you wish to enter a plea of NOT GUILTY and contest the citation or want to exercise your right to appear in open court, you must attend a Pre-Trial hearing. By filing this form, you acknowledge that you may be waiving your right to choose the Driving Safety Course.

   Court Response and Notice

   Please allow at least 5 business days for court staff to process your submission. You will be notified by email of the first court setting. By making this request, you are fulfilling your initial appearance.

6. Defendant Information
8. First Name*
9. Last Name*
11. Street*
13. Apt. or Suite No.
15. City*
16. State*
    -- Select One --ALAKAZARCACOCTDEFLGAHIIDILINIAKSKYLAMEMDMAMIMNMSMOMTNENVNHNJNMNYNCNDOHOKORPARISCSDTNTXUTVTVAWAWVWIWY
17. Zip*
19. Phone Number *
20. Email Address*
22. Parent's/Guardian's Name (for Juvenile)

    Required if under 17 years of age

23. Parent's/Guardian's Email Address

    Required if under 17 years of age

27. Citation Information
29. Citation Number*
30. Issue Date*
    Issue Date
32. Violation/s

    Type in ALL the violations on your citation that you want set for court.

34. Are you going to require an Interpreter?
    -- Select One --NoYes
36. If yes, what language do you need an Interpreter for?
38. I swear or affirm the following statements are true:*

    1. I am the person charged with this violation(s) and making this request voluntarily.
    2. I have read and acknowledge all the information in this form.
    3. I was not charged with an offense involving Domestic or Family Violence.
    4. I agree to update any changes of address, phone number, or email to the court.
    5. By submitting this form, I promise to appear as required by the Court.
    6. I understand that failure to appear may result in additional charges, denial of vehicle registration, driver's licenses denial, and/or issuance of a warrant.
40. Electronic Signature*

    Typing your name here represents your electronic signature.

42. DRIVER'S LICENSE OR I.D. UPLOAD*

    You must attach a scanned image of your DL or any govt.-issued picture ID.

Leave This Blank:


43. 1. Receive an email copy of this form.
44. Email address

    This field is not part of the form submission.

45. Submit

* indicates a required field