Free TR-115 - California


File Size: 59.3 kB
Pages: 2
Date: June 24, 2009
File Format: PDF
State: California
Category: Court Forms - State
Author: CTucker
Word Count: 812 Words, 5,089 Characters
Page Size: Letter (8 1/2" x 11")
URL

http://www.courtinfo.ca.gov/forms/documents/tr115.pdf

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TRAFFIC NOTICE TO APPEAR
Automated Traffic Enforcement System

(NAME OF AGENCY AND JURISDICTION)

NOTICE TO APPEAR Automated Traffic Enforcement
Date of Violation 1. / Time

(Citation No.)

/

AM PM

Day of Week SMTWTFS

Case No.

Name (First, Middle, Last) 2. Address 3. City State State Class ZIP Code Commercial Yes No Weight Race Age Birth Date

4.
Driver Lic. No. 5. Sex 6. Hair Eyes

/

/

Height

Veh. Lic. No. or VIN 7. Yr. of Veh. 8. Make Model

State COMMERCIAL VEHICLE (Veh. Code, § 15210(b)) Body Style Color HAZARDOUS MATERIAL (Veh. Code, § 353)

Registered Owner or Lessee 9. Address 10. City 11. Code and Section 12. Location of Violation at 13. Description State ZIP Code

City/County of Occurrence

Violation was not committed in my presence. The above is declared on information and belief and is based on photographic evidence.

I declare under penalty of perjury under the laws of the State of California the foregoing is true and correct. Date Issued 14. Declarant ID No.

YOU MUST RESPOND TO THE COURT ON OR BEFORE: 15. WHEN: DATE:_____________________________________ Time: __________ AM PM

WHAT TO DO: FOLLOW THE INSTRUCTIONS ON THE REVERSE. 16. WHERE: [Name of court[s]] [Section[s] or division[s], room no[s].] [Street address[es]] [Phone no.] Clerk's Office Hours [Insert hours clerk's office is open.]

FPO Barcode
Judicial Council of California Form Rev. 09-20-05 (Veh. Code, § 40518)

DEFENDANT COPY SEE REVERSE TR-115

Shaded areas on the form indicate spaces subject to modification for local or agency requirements.

TRAFFIC NOTICE TO APPEAR
Automated Traffic Enforcement System

IMPORTANT--READ CAREFULLY

This Citation Is Based on Photographic Evidence
The vehicle identified on the front was photographed in violation of a traffic signal or sign. You may see the photographs. Contact: ______________________________________ If you were not driving the vehicle at the time of the violation, contact ________________________________________________________________ WHAT TO DO You have been issued a citation that charges you with a traffic infraction. You must respond by following one of the procedures below by the date on the front (see "WHEN"). If you do not, you may lose your license to drive, and your money penalties may increase. 1. If you do NOT contest the violation a. (Pay the bail amount) (See "BAIL INFORMATION" below) Your bail will be forfeited to the court. You will not have to appear in court. You will be convicted of the violation, and it will appear on your record at the Department of Motor Vehicles (DMV). A point count will be charged to your DMV record for this offense and your insurance may be adversely affected. b. (Traffic school) You may be able to avoid the point count and adverse effect on your insurance by attending traffic school. Contact the court to request traffic school. You must pay the bail amount as a fee, and you may have to pay other fees. 2. If you contest the violation (select one) a. (Court trial) Send a certified or registered letter postmarked not later than five days prior to the appearance date, or come to the court by the appearance date to request a court trial on a future date when an officer and witnesses will be present. You will be required to submit the bail amount. You will be given a date for your trial. --OR-- b. (Trial by written declaration) Send a certified or registered letter postmarked not later than five days prior to the appearance date, or come to the court on or before the date on the front and request a trial by written declaration. Submit the bail amount. You will be given forms to allow you to write a statement and submit other evidence without appearing in court. An officer will also submit a statement. The judicial officer will consider all of the evidence at the same time and decide the case. WRITING TO THE COURT If you write to the court, always write the citation number and your driver license number on your letter. Use of certified or registered mail is required. Do not send your copy of the citation. Keep it for your own records. BAIL INFORMATION The "bail" is the amount you must pay or deposit for the charged violation. Bail Amount: $ ________ OR [See enclosed information] Make the check or money order payable to ____________________________________. Write the citation number and your driver license number on your check or money order. You may deposit the bail in person, by mail or by phone. NIGHT COURT TRIALS [are] [are NOT] available for this citation. JUVENILES If you are under 18, you must be accompanied by your parent or guardian when you appear in court. Bring this citation and your driver license. You will be notified by the Juvenile Court of your court date. [For additional information, call the Juvenile Traffic Court at________________________________________________________________] ONLINE INFORMATION You may obtain additional information at [Local Web site: ________________________________________________________]

Shaded areas on the form indicate spaces subject to modification for local or agency requirements.