Free Superior Court of California, County of San Luis Obispo - California

TR-205

Superior Court of California, County of San Luis Obispo
San Luis Obispo Branch, County Government Center, 1050 Monterey Street, Room 220, San Luis Obispo, CA 93408 Grover Beach Branch, 214 South 16th Street, Grover Beach, CA 93433 Paso Robles Branch, 901 Park Street, Paso Robles, CA 93446

FOR COURT USE ONLY

THE PEOPLE OF THE STATE OF CALIFORNIA vs. DEFENDANT
REQUEST FOR TRIAL BY WRITTEN DECLARATION (Vehicle Code, § 40902) CITATION NUMBER: TO BE FILLED OUT BY COURT CLERK A. DUE DATE (for receipt of this form and any unpaid bail) (specify): CASE NUMBER:

B. Bail amount required: $ C. Bail amount already deposited by defendant: $ D. Date mailed or delivered by clerk: E. Mail or deliver completed form, evidence, and mail to the Clerk of the (specify): Court at (mailing address):

REQUEST FOR TRIAL 1. 2. 3. 4. 5. I have reviewed the Instructions to Defendant (Trial by Written Declaration) (form TR-200). I request to have a trial by written declaration. The facts contained in the Declaration of Facts on the reverse are personally known to me and are true and correct. I know that I have the right not to be compelled to be a witness against myself. I understand and agree that by making any statement, I am giving up and waiving that right and privilege. EVIDENCE The following evidence supports my case and includes everything I want the court to consider in deciding my case: a. b. c. d.
photographs (specify total number): medical record registration documents inspection certificate

e. f. g. h.

diagram car repair receipt insurance documents other (specify):

(Declaration continued
Form Adopted by the Judicial Council of California TR-205 (New January 1, 1999]

)
WEST GROUP
Official Publisher Vehicle Code, § 40902

REQUEST FOR
(Trial by Written Declaration-Traffic)

TR-205
PEOPLE v. DEFENDANT:

CASE NUMBER/ CIATION NUMBER:

6.

DECLARATION OF FACTS (Type or print only. State what happened and explain all the items of evidence you checked in item 5 on

the reverse and tell how they support your case. You may add additional pages.) (Name): (Current mailing address):
STATEMENT OF FACTS (begin here):

7. Number of pages attached: ______ I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Date:

___________________________________________________________________________ (TYPE OR PRINT NAME)

_____________________________________________________________________________ (SIGNATURE)

Form Adopted by the Judicial Council of California TR-205 (New January 1, 1999]

REQUEST FOR
(Trial by Written Declaration-Traffic)

WEST GROUP
Official Publisher

Vehicle Code, § 40902