NOTICE-FAILURE TO APPEAR IN COURT 

 
Case Number 
___   ____    _____________ 
   ID         YR                   Number  

tate of Alabama  

Unified Judicial System  

orm UTC-6A                Rev.1/96 

  S

  F

 

   

     Our court records indicate that you did not appear on (DATE) ____________________ to answer the charge of _________________________ 

____________________________________________. THIS COURT HAS RESENT YOUR CASE TO (NEW COURT DATE)__________________. 

         Unless you contact this court and settle this case, a warrant will be issued for your arrest and the Department of Public safety or your home state’s 

licensing authority will be notified to suspend your drivers license.  If suspended, you may not legally operate a motor vehicle and will not be permitted to 

renew  your  license  after  expiration  until  this  case  is  settled.    Driving  while  suspended  or  failure  to  submit  license  upon  request  of  the  department  of  

Public safety is punishable by fine or jail sentence. 

 

THIS CASE CAN BE SETTLED BY □ COURT APPEARANCE □ MAILING PAYMENT.  If the Court Appearance Block is checked, YOU MUST 

APPEAR IN COURT.  If the Payment block is checked, the court costs and fine is  

$ 

  .You  may  pay  in  person  or  send  a  Money 

Order or Certified Check made payable to this Court. Personal Checks cannot be accepted.  Please return this Notice with your payment.  If you wish to 

contest this charge, you must appear in court on the new court date shown above. 
 

 

                           - COURT – 

 

 

 

 

 
Mail  
Notice 
To: 
 
 
 

 

 

 

 
 
 
 
 
 
 

 
 
 
 
 
 
 

 

 

 
 

 
 
  Name - 
 
  Address - 
 
 

 

 
Telephone No. - 

 

     

   

tate of Alabama 

Unified Judicial System 

orm UTC-6B              Rev.10/92 

COURT REPORT TO THE DEPARTMENT OF PUBLIC SAFETY, STATE OF ALABAMA, 
THAT THE FOLLOWING PERSON FAILED TO APPEAR IN COURT TO ANSWER 
CHARGE OF A TRAFFIC OFFENSE. 

CASE NUMBER 

UTC NUMBER 

ALABAMA, COUNTY OF 

OFFENSE DATE 
YEAR
 
DAY
 

MONTH 

 

 

 

First  

Middle/Maiden  

Last 

State 

 

NAME AND ADDRESS 

DRIVERS LICENSE NUMBER 

   SEX 

     RACE 

                  DATE OF BIRTH 

MONTH 

 DAY

YEAR 

 

 

 

     

City 

 

 

State 

Zip 

 

 

VEHICLE TAG NUMBER 
 

 

STATE 

     YEAR 

 

             VEHICLE DESCRIPTION – YEAR, MAKE , TYPE 

Street Address 

 

 

 

 

 

 

 

 

 

 

 

 

 

OFFENSE DESCRIPTION 

ADDRESS  

 

 

PHONE 

 □ DISTRICT        □ MUNICIPAL 

COURT OF  
Street Address 

 

(205) 
 

COURT ORI NUMBER  

FAILED TO APPEAR 

MONTH 
 

 

 

DAY
 

YEAR
 

City  

 

 

       State                   

Zip 

ail Total Amount of Fine and cost due Directly to the Court Named Above.  Total Amount Due: $ ________________________. 

DISTRIBUTION:  Part 1- DPS suspension Copy 

 

 

 

  Part 2- DPS Clearance Copy 
  Part 3 – Court Record Copy  

Judge/Clerk Signature 

Date 

  S

  F

 

 

 

 

 

     

 

  M

 

   

 

tate of Alabama 

Unified Judicial System 

orm UTC-6B              Rev.10/92 

COURT REPORT TO THE DEPARTMENT OF PUBLIC SAFETY, STATE OF ALABAMA, 

THAT THE FOLLOWING PERSON SETTLED CASE                                 
INVOLVING CHARGE OF A TRAFFIC OFFENSE. 

CASE NUMBER 

UTC NUMBER 

ALABAMA, COUNTY OF 

 

OFFENSE DATE 
YEAR
 
DAY
 

MONTH 

 

 

 

First  

Middle/Maiden  

Last 

State 

 

NAME AND ADDRESS 

DRIVERS LICENSE NUMBER 

     RACE 
 

                  DATE OF BIRTH 
MONTH 

DAY 

 

 

YEAR
 

 

   SEX 
 

     

City 

 

 

State 

Zip 

VEHICLE TAG NUMBER 
 

 

STATE 

     YEAR 

 

             VEHICLE DESCRIPTION – YEAR, MAKE , TYPE 

Street Address 

 

 

 

 

 

 

 

 

 

 

 

 

 

OFFENSE DESCRIPTION 

ADDRESS  

 

 

PHONE 

 

(205) 
 

 

 

□ DISTRICT       □ MUNICIPAL 

COURT OF  
Street Address 
 

     

 

COURT ORI NUMBER  

FAILED TO APPEAR 

MONTH 
 

 

 

DAY
 

YEAR
 

City  

 

       State                   

Zip 

FINAL – CONVICTION OF 

COST 

FINE 

DATE SETTLED 

 

 

DISTRIBUTION:  Part 2- DPS Clearance Copy 

 

 

 

 

 

 

Judge/Clerk Signature

 

Date

 

  S

  F

 

 

 

 

 

     

 

     

 

   

tate of Alabama 

Unified Judicial System 

orm UTC-6B              Rev.10/92 

COURT REPORT TO THE DEPARTMENT OF PUBLIC SAFETY, STATE OF ALABAMA, 

THAT THE FOLLOWING PERSON SETTLED CASE                                 
INVOLVING CHARGE OF A TRAFFIC OFFENSE. 

CASE NUMBER 

UTC NUMBER 

ALABAMA, COUNTY OF 

 

OFFENSE DATE 
YEAR
 
DAY
 

MONTH 

 

 

 

First  

Middle/Maiden  

Last 

State 

 

NAME AND ADDRESS 

DRIVERS LICENSE NUMBER 

     RACE 
 

                  DATE OF BIRTH 
MONTH 

DAY 

 

 

YEAR
 

 

   SEX 
 

     

City 

 

 

State 

Zip 

VEHICLE TAG NUMBER 
 

 

STATE 

     YEAR 

 

             VEHICLE DESCRIPTION – YEAR, MAKE , TYPE 

Street Address 

 

 

 

 

 

 

 

 

 

 

 

 

 

OFFENSE DESCRIPTION 

ADDRESS  

 

 

PHONE 

 

(205) 
 

 

 

□ DISTRICT       □ MUNICIPAL 

COURT OF  
Street Address 
 

     

 

COURT ORI NUMBER  

FAILED TO APPEAR 

MONTH 
 

 

 

DAY
 

YEAR
 

City  

 

       State                   

Zip 

FINAL – CONVICTION OF 

COST 

FINE 

DATE SETTLED 

 

 

DISTRIBUTION:  Part 3- Court Record Copy 

 

 

 

 

 

 

Judge/Clerk Signature

 

Date

 

  S

  F