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(NAME OF AGENCY AND JURISDICTION) 

OTICE TO APPEAR   Automated Traffic Enforcement      (Citation No.) 

Time

 AM 
 PM 

Day of Week 
S M T W T F S 

Case No.

ate of Violation 
 1.             /             / 
Name (First, Middle, Last) 
  2. 

ddress 

  3. 

 COMMERCIAL VEHICLE 
 (Veh. Code, § 15210(b)) 
 

 HAZARDOUS MATERIAL 

(Veh. Code, § 353)

   

    Birth Date 
       /         / 

 

  Yes    No 

  

 

Weight

Race

river Lic. No.  

           State 

Class

Commercial 

Age

Eyes

Hair 

 5. 
 
Sex 
 6. 
 
Veh. Lic. No. or VIN                                      State 
 7. 
 
Yr. of Veh. 
 8. 

Make 

Height

Model

Body Style

Color

ity                                                          State                    ZIP Code 

Registered Owner or Lessee 
 9. 

ddress 

 10. 

ity                                                                                          State                  ZIP Code 

ode and Section                                            Description

ocation of Violation at 

City/County of Occurrence 

      ID No. 

   

 

  Violation was not committed in my presence. The above is declared on information and belief and is 

     based on photographic evidence. 

 declare under penalty of perjury under the laws of the State of California the foregoing is true and 
correct. 

   Date Issued                                             Declarant 
 14. 

YOU MUST RESPOND TO THE COURT ON OR BEFORE: 

15.         WHEN: DATE:_____________________________________ 

ime: _______  AM  PM 

HAT TO DO: FOLLOW THE INSTRUCTIONS ON THE REVERSE. 

16.    WHERE:  [Name of court[s]] 
                         [Section[s] or division[s], room no[s].] 
                         [Street address[es]] 
                         [Phone no. 

Clerk’s Office Hours
[Insert hours clerk’s office 
is open.] 

  N

  D

  A

  C

  D

  4. 

  A

  C

  C

  L

  

 11. 

12. 

 13. 
 

    I

     

   

   

   

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FPO Barcode 

DEFENDANT COPY 
Judicial Council of California Form                                                                                  SEE REVERSE 
Rev. 06-26-15 (Veh. Code, § 40518)                                                                                            TR-115 
 

   

Shaded areas on the form indicate spaces subject 
to modification for local or agency requirements. 

                                     
                                       TRAFFIC NOTICE TO APPEAR                     
        

         Automated Traffic Enforcement System 

 

 

       

 

 

                                     
                                       TRAFFIC NOTICE TO APPEAR                     
        

         Automated Traffic Enforcement System 

IMPORTANT—READ CAREFULLY 

This Citation Is Based on Photographic Evidence 
The vehicle identified on the front was photographed in violation of a traffic signal or sign. 
You may see the photographs. Contact: ________________________________ 
You may see the photographs online at:________________________________ 
For more information about the evidence in this case, you may contact the issuing agency, 
_________________________________________ by telephone at: _________________ 
or in person at:____________________________________________________________ 
on ________________________________ during the hours of _____________________ 
If you were not driving the vehicle at the time of the violation, 
contact ________________________________________________________ 

WHAT TO DO 

ou have been issued a citation that charges you with a traffic infraction. You must 

respond by following one of the procedures below by the date on the front (see “WHEN”). 
If you do not, you may lose your license to drive, and your money penalties may increase. 
1. If you do NOT contest the violation 
a. (Pay the bail amount) (See “BAIL INFORMATION” below) Your bail will be forfeited to 
the court. You will not have to appear in court. You will be convicted of the violation, and it 
will appear on your record at the Department of Motor Vehicles (DMV). A point count will 
be charged to your DMV record for this offense and your insurance may be adversely 
affected. 
b. (Traffic school) You may be able to avoid the point count and adverse effect on your 
insurance by attending traffic school. Contact the court to request traffic school. You must  
pay the bail amount as a fee, and you may have to pay other fees. 

. If you contest the violation (select one) 

a. (Court trial) Send a certified or registered letter postmarked not later than five days 
prior to the appearance date, or come to the court by the appearance date to request a 
court trial on a future date when an officer and witnesses will be present. You may be 
required to submit the bail amount. You will be given a date for your trial. Go online or call the 
court for information on going to court without paying bail. 
—OR— 
b. (Trial by written declaration) Send a certified or registered letter postmarked not later 
than five days prior to the appearance date, or come to the court on or before the date on 
the front and request a trial by written declaration. Submit the bail amount. You will be 
given forms to allow you to write a statement and submit other evidence without appearing 
in court. An officer will also submit a statement. The judicial officer will consider all of the  
evidence at the same time and decide the case. 
 

WRITING TO THE COURT

f you write to the court, always write the citation number and your driver license number 
on your letter. Use of certified or registered mail is required. Do not send your copy of 
the citation. Keep it for your own records. 
 

The “bail” is the amount to pay or deposit for the charged violation. 
 

BAIL INFORMATION

Bail Amount: $ ________ OR [See enclosed information] 

 

ake the check or money order payable to _____________________________________. 

Write the citation number and your driver license number on your check or money order. 
You may deposit the bail in person, by mail or by phone. Go online or call the court for 
information on going to court without paying bail. 
 

NIGHT COURT TRIALS [are] [are NOT] available for this citation. 

If you are under 18, you must be accompanied by your parent or guardian when you 
appear in court. Bring this citation and your driver license. You will be notified by the 
Juvenile Court of your court date. [For additional information, call the Juvenile Traffic 
Court at_____________________________________________________________] 

JUVENILES

You may obtain additional information at 
[Local Web site: _______________________________________________________] 

ONLINE INFORMATION

   

 

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Shaded areas on the form indicate spaces subject 
to modification for local or agency requirements.