STATE OF RHODE ISLAND
Rhode Island Traffic Tribunal
AND PROVIDENCE PLANTATIONS
670 New London Avenue Cranston, Rhode Island 029203081 (401) 2752700
DATE________________
MOTION TO VACATE JUDGMENT
(All Motions are done in the Cranston Location)
MOTORIST'S NAME: _______________________________________________________________________________ LAST FIRST MI ADDRESS: _______________________________________________________________________________ (Street) (City) (Zip) PHONE ( ) _______________________________
SUMMONS NUMBER: ___________________________________ LICENSE NO._______________________________ HEARING DATE: _________________________________________________ 2:00 p.m. COURTROOM _______
(CRANSTON)
(NOT LESS THAN FIVE (5) DAYS FROM FILING DATE)
I.
REASON FOR MOTION: ________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________
II.
I HEREBY CERTIFY THAT I HAVE A VALID DEFENSE TO THE CHARGE(S), WHICH DEFENSE IS AS FOLLOWS: ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________ ________________________________________________________________________________________________
________________________________________ SIGNATURE OF ATTORNEY
________________________________________ SIGNATURE OF MOTORIST
CERTIFICATION (Please Print or Type)
I,____________________________, do hereby certify that I have caused to be forwarded a copy of the above Motion by ordinary mail, postage prepaid to the ____________________________________Police Department/and or the Attorney General for Breathalyzer cases only on the ___________day of _________________, 20__________.
(Month)
(Year)
___________________________________ SIGNATURE OF CERTIFICATION If further information is to be submitted, please attach an additional sheet.