Free IN THE DISTRICT COURT FOR THE STATE OF ALASKA AT - Alaska

IN THE DISTRICT COURT FOR THE STATE OF ALASKA AT PLEA FORM (for mail-in-bail offenses only) Print Defendant's Name: DOB: Citation No: I hereby enter the following plea to the above citation charging me with NO CONTEST. I do not wish to contest this citation. I request that the bail or fine I am paying be used to satisfy this citation. I have read the back of this form, and I understand that my NO CONTEST plea means: (1) I am giving up my right to a trial and the other rights listed on the back of this form, (2) a judgment of conviction will be entered against me, (3) [in traffic cases] the conviction may result in administrative action against my driver's license by the Division of Motor Vehicles, and (4) [in fish and game cases] any fish, game or equipment seized and listed on the face of the citation will be forfeited to the State of Alaska and, if I have a prior conviction for a fish and game offense, an action may be filed to revoke my license under AS 16.05.410(g). NOT GUILTY. I request a trial. I have read my rights on the back of this form, and I understand them. I waive my right to appear for arraignment. I understand the court will send me notice of the time and place of trial. I will not be available for trial on the following dates: NOTICE: If you fail to appear, one of the following will happen: 1. A default judgment will be entered against you for the maximum penalty permitted by law plus $50 in court and collection costs plus any surcharge required by statute. In addition, points will be assessed against your driver's license. Collection efforts will include attachment of your Permanent Fund Dividend. ­ OR ­ 2. A warrant will be issued for your arrest, and you will be assessed an additional $75 fee. Defendant's Signature: ________________________________ Date: ________________ Daytime Phone: Mailing Address:
TR-215 (7/98)(cs-duplex)(4 x 8 ½)(no hole punch). Page 1 of 2 PLEA FORM

RIGHTS You have the following rights when charged with an optional appearance offense: 1. To remain silent. You do not have to make any statements or answer any questions. Any statements you make can be used to prove the case against you. 2. To hire an attorney to represent you in court. 3. To request a postponement of your court appearance. 4. To a public and speedy trial before a judge or magistrate without a jury. 5. To be presumed innocent until proven guilty. 6. To confront and question witnesses against you. 7. To testify on your own behalf. 8. To have subpoenas issued to compel your witnesses to appear at your trial. 9. To one change of the judge or magistrate assigned to your trial. The request must be made within 5 days of the date the judge is assigned. If you plead NO CONTEST, you give up these rights. For moving motor vehicle offense convictions, points will be assessed against your driver's license. If you accumulate 12 points within 12 months or 18 points within 24 months, the Division of Motor Vehicles will suspend your driving privileges.
TR-215 (7/98) (cs-duplex)(4 x 8 ½)(no hole punch). Page 2 of 2 PLEA FORM Dist. Ct. Crim. Rule 8