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2. Instructions

   You may use this form to request a dismissal of an eligible case. Remember to attach the required proof to ensure proper processing of your request.

4. I hereby request the court to dismiss my citation for:*

   1. Defective equipment
   2. Parking-Name Amendment**
   3. Statement of Compliance (SOC)
   4. Driver Record (DR-15)
   5. Driver Safety Course Certification (signed)

   1. Expired motor vehicle registration (Late fee paid)
   2. Expired driver's license
   3. Failure to change name or address on driver's license
   4. No motor vehicle insurance
   5. Fail to Display (Plate, DL, MVR)

   **If this option is selected, complete the Parking - Name Amendment Form

6. Proof of Correction / Insurance

   I am providing the required documents as proof that the issue I was cited for was corrected or of valid insurance coverage at the time of the stop. If eligible, I will receive notification by email or text message of any fee assed along with payment instructions to complete the dismissal process. I further understand that submission of a request does not guarantee the dismissal of my request.

8. Attach File 1*
9. Attach File 2
11. Citation Number*
13. Defendant's First Name*
14. Defendant's Last Name*
16. Defendant's Address*
18. Address2
20. City*
21. State*
22. Zip*
24. Primary Phone Number*
25. Alternate Phone Number
27. Defendant's Email Address*
Leave This Blank:


29. 1. Receive an email copy of this form.
30. Email address

    This field is not part of the form submission.

31. Submit

* indicates a required field