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Information Center: Traffic Offenses

Traffic Offenses Contact Form

Name:
Address:
City:
State:
Zip:
Email Address:
Phone Number:
Booking Number:
Driver's License Number:
Court Date:
Time:
Court Name:
Division/Room:
Arresting Officer's Name and Badge:
City of Arrest:
What were you arrested/ticketed for (include Code section)?
Have you been convicted of or ticketed for a similar crime before?	Yes	No
If yes, when?
Have you been convicted of or ticketed for other offenses?	Yes	No
If yes, what and when?
Are you on probation or parole?	Yes	No
For what?
Do you have any other cases pending?	Yes	No
What statements do you remember making to the police about the alleged violation?
Describe the order of events leading up to the arrest/citation:
Have you discussed the alleged violation with anybody else?	Yes	No
If so, whom did you discuss it with and what did you tell them?
Were there any witnesses to the alleged offense?	Yes	No
If yes, provide names and contact information if known:
Were any injuries or property damage caused during the incident?	Yes	No
If yes, provide details:
What is the amount of the bond you posted, if any?
Are there any special bond conditions?
Did someone refer you to this law office?	Yes	No
Who?
Special Concerns:
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