Traffic Ticket Trial by Written Declaration Form
Submit your written declaration and supporting details to contest your traffic ticket.
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Ticket Number
*
Issuing Agency
*
Please Select
California Highway Patrol
Local Police Department
Sheriff's Department
Other
Date of Violation
*
-
Month
-
Day
Year
Date
Location of Violation
*
Type of Violation
*
Please Select
Speeding
Red Light Violation
Illegal Turn
Parking Violation
Other
Written Declaration Statement
*
Upload Supporting Evidence (photos, documents, etc.)
Upload a File
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of
Declaration and Signature: I declare under penalty of perjury that the foregoing is true and correct. Please sign below.
*
Submit Declaration
Submit Declaration
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