Civil Infraction Hearing Request Form
Defendant Name
*
First Name
Last Name
Ticket #/Citation #
*
Phone Number
*
Please enter a valid phone number.
Email
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Attorney Name, if applicable.
Attorney P#
Please list any upcoming travel, unavailable dates, or other scheduling notes the clerk should be aware,
File/Appearance Upload
Browse Files
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Choose a file
Please upload any documentation you wish to have included. *If you are an attorney your appearance must be uploaded.
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