Civil Infraction Hearing Request Form

Civil Infraction Hearing Request Form

DO NOT COMPLETE IF YOU HAVE REQUESTED AN ONLINE TICKET REVIEW
Defendant Name*

First NameLast Name
Ticket #/Citation #*
Phone Number*
Please enter a valid phone number.
Email
example@example.com
Address*

Street Address

Street Address Line 2

CityState / 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

Please upload any documentation you wish to have included. *If you are an attorney your appearance must be uploaded.
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After submitting this form, you will receive an official court notice by mail with further instructions. Please do not call the Court regarding the status of your request unless you have not received the notice within 10 business days.

DO NOT SUBMIT THIS FORM IF YOU HAVE AN ONLINE TICKET REVIEW PENDING.
Should be Empty: