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TR-INST, NOTICE TO APPEAR AND RELATED FORMS
Revised Effective June 26, 2015
JUDICIAL COUNCIL OF CALIFORNIA
455 Golden Gate Avenue
San Francisco, California 94102-3688
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ACKNOWLEDGMENTS
he Judicial Council gratefully acknowledges the contributions and cooperation of those
representatives from the judicial community, law enforcement agencies, and special
interest groups who made this manual possible.
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TABLE OF CONTENTS
CHAPTER 1 PURPOSE OF FORMS ........................................................................................................... 1
1.000. DEFINITIONS ........................................................................................................................................... 1
1.010. IN GENERAL ........................................................................................................................................... 1
1.020. NOTICE TO APPEAR ................................................................................................................................ 1
1.030. CONTINUATION FORM ............................................................................................................................ 1
1.040. ELECTRONIC NOTICE TO APPEAR ........................................................................................................... 2
1.050. NOTICE OF CORRECTION AND PROOF OF SERVICE .................................................................................. 2
HAPTER 2 AUTHORITY TO PRESCRIBE FORMAT .......................................................................... 2
2.010. JUDICIAL COUNCIL ................................................................................................................................. 2
CHAPTER 3 REVISION DATE .................................................................................................................... 3
3.010. JUDICIAL COUNCIL ................................................................................................................................. 3
CHAPTER 4 FORM SPECIFICATIONS ..................................................................................................... 3
4.010. REQUIRED COPIES .................................................................................................................................. 3
4.020. SIZE AND COLOR .................................................................................................................................... 4
4.030. PAPER STOCK ......................................................................................................................................... 4
4.040. SERIAL NUMBERS ................................................................................................................................... 4
4.050. PRINTING FORMAT ................................................................................................................................. 4
4.060. PRINTING EXPENSES ............................................................................................................................... 5
CHAPTER 5 VARIATIONS OF MANDATORY LANGUAGE/DATA FIELDS .................................... 5
5.000. IN GENERAL ........................................................................................................................................... 5
5.010. PERMITTED VARIATIONS ........................................................................................................................ 5
CHAPTER 6 MANDATORY LANGUAGE/DATA FIELDS .................................................................... 5
6.000. IN GENERAL ........................................................................................................................................... 5
6.010. AGENCY NAME ...................................................................................................................................... 6
6.020. TITLE OF FORM ....................................................................................................................................... 6
6.030. SERIAL NUMBER .................................................................................................................................... 6
6.040. MISDEMEANOR CHECK BOX ................................................................................................................... 6
6.050. DATE AND TIME ..................................................................................................................................... 7
6.060. DEFENDANT’S NAME.............................................................................................................................. 7
6.070. DEFENDANT’S ADDRESS ........................................................................................................................ 7
6.071. DEFENDANT’S CLASS AND CATEGORY OF DRIVER’S LICENSE ............................................................... 7
6.080. DEFENDANT’S AGE AND BIRTH DATE ................................................................................................... 7
6.090. DEFENDANT’S PHYSICAL DESCRIPTION .................................................................................................. 7
6.100. COMMERCIAL VEHICLE .......................................................................................................................... 8
6.110. HAZARDOUS MATERIAL ......................................................................................................................... 8
6.120. VEHICLE DESCRIPTION .......................................................................................................................... 8
6.130. FINANCIAL RESPONSIBILITY ................................................................................................................... 8
6.140. NAME OF REGISTERED OWNER/LESSEE .................................................................................................. 8
6.150. ADDRESS OF THE REGISTERED OWNER/LESSEE ...................................................................................... 8
6.160. CORRECTABLE VIOLATION ADVISEMENT AND CHECK BOXES ............................................................... 8
6.170. BOOKING REQUIRED .............................................................................................................................. 9
6.180. VIOLATIONS ........................................................................................................................................... 9
6.190. SPEED ..................................................................................................................................................... 9
6.200. LOCATION OF VIOLATION ....................................................................................................................... 9
6.210. OFFICER’S DECLARATION ON INFORMATION AND BELIEF .................................................................... 10
6.220. OFFICER’S DECLARATION UNDER PENALTY OF PERJURY ..................................................................... 10
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6.230. OTHER OFFICER .................................................................................................................................... 10
6.231. DECLARANT-AUTOMATED TRAFFIC ENFORCEMENT SYSTEM CITATIONS ............................................ 10
6.240. DEFENDANT’S SIGNATURE ................................................................................................................... 10
6.250. TIME TO APPEAR .................................................................................................................................. 10
6.260. PLACE TO APPEAR ................................................................................................................................ 11
6.270. NIGHT COURT ...................................................................................................................................... 11
6.280. LEGEND ................................................................................................................................................ 11
CHAPTER 7 DISCRETIONARY LANGUAGE/DATA FIELDS ............................................................ 11
7.000. IN GENERAL ......................................................................................................................................... 11
7.010. BAIL STATEMENT ................................................................................................................................. 12
7.020. DEFENDANT’S RACE/ETHNICITY .......................................................................................................... 12
7.030. DEFENDANT’S THUMBPRINT ................................................................................................................ 12
CHAPTER 8 PROHIBITED LANGUAGE/DATA FIELDS ..................................................................... 13
8.010. DEFENDANT’S SOCIAL SECURITY NUMBER .......................................................................................... 13
PPENDIXES OF COUNCIL FORMS
Appendix A Notice of Correction and Proof of Service, Form TR-100 ....................................................... A
Appendix B Continuation of Notice to Appear, Form TR-106 ..................................................................... B
Appendix C Continuation of Citation, Form TR-108 ................................................................................... C
Appendix D Automated Traffic Enforcement System Notice to Appear, Form TR-115 .............................. D
Appendix E Nontraffic Notice to Appear, Form TR-120 .............................................................................. E
Appendix F Traffic/Nontraffic Notice to Appear, Form TR-130 ................................................................ F
Appendix G Electronic Traffic/Nontraffic Notice to Appear (4-inch format), Form TR-135 .................... G
Appendix H Electronic Traffic/Nontraffic Notice to Appear (3-inch format), Form TR-145 .................... H
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hapter 1 PURPOSE OF FORMS
1.000. Definitions
For the purposes of these instructions the following words are synonymous: (a) Notice to
Appear, citation; (b) violation, offense, allegation, charges; (c) defendant, violator,
person, individual, citee, driver; (d) court, court of jurisdiction; (e) officer, arresting
officer, citing officer, issuing officer.
1.010. In General
Notice to Appear forms are designed to meet statutory requirements and, to the extent
possible, address the procedural requirements of local courts and law enforcement
agencies. Notices to Appear should provide the defendant with pertinent information
regarding the charges and what steps the defendant must take to answer the allegations.
he uniform language and data fields assist law enforcement and the courts in the timely
and accurate processing of the citation information. The design also ensures statewide
conformity of advisements important to the defendant and that those advisements are
clear and explicit.
1.020. Notice to Appear
a) Whenever a person is arrested for any violation declared to be an infraction or
misdemeanor, or for a violation of any city or county ordinance, and the person is not
immediately taken before a magistrate, the arresting officer must prepare a Notice to
Appear form.1
) When the Notice to Appear is prepared on a form approved by the Judicial Council it
constitutes a complaint to which the defendant may enter a plea.2
1.030. Continuation Form
a) The Continuation of Notice to Appear or Continuation of Citation form must be used
when multiple offenses are charged and the Notice to Appear form does not provide
sufficient space for the listing of all the charges. A Continuation of Citation is a
multipurpose form intended for use with either a Notice to Appear form or a Notice
to Correct Violation form.
) A second Notice to Appear must not be issued in lieu of a continuation form.
) The Notice to Appear and the corresponding continuation form must be treated as one
law enforcement document and contain the same citation number.
d) Form TR-135, Electronic Traffic/Nontraffic Notice to Appear (4-inch format), may,
when necessary, include a short-version continuation page to allow for citing multiple
offenses or offenses that involve multiple vehicles.
1Per Veh. Code, § 40500(a) and Pen. Code, § 853.6.
2Per Veh. Code, § 40513(b) and Pen. Code, § 853.9.
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.040. Electronic Notice to Appear
a) The electronic Notice to Appear issued on either form TR-135, Electronic
Traffic/Nontraffic Notice to Appear (4-inch format) or form TR-145, Electronic
Traffic/Nontraffic Notice to Appear (3-inch format), eliminates those citation-
processing problems caused by the illegibility of handwritten information. The use of
an electronic Notice to Appear also reduces the amount of information that must be
entered into law enforcement and court computer systems.
) A court is authorized to receive and file a Notice to Appear in an electronic form if all
of the following conditions are met:3
1) The information is on a form approved by the Judicial Council.
2) The Notice to Appear is transmitted to the court by a law enforcement
agency.
3) The court has the facility to electronically store the information for the
statutory period of record retention.
4) The court has the ability to reproduce the Notice to Appear in physical
form upon the demand and payment of the reproduction costs.
c) Requirements for citations issued by an electronic citation device on form TR-135 or
form TR-145 that differ from those for preprinted citations are specified below where
necessary.
.050. Notice of Correction and Proof of Service
Form TR-100, Notice of Correction and Proof of Service, must be used for any corrections
to the original Notice to Appear citation.4 (See Appendix A.)
1) Form TR-115, Automated Traffic Enforcement System Notice to Appear,5
to be used in conjunction with violations of sections 22451, 21453, and
22101 recorded by an automated traffic enforcement system. (See
Appendix D.)
) Form TR-120, Nontraffic Notice to Appear,6 to be used for violations
other than traffic offenses. (See Appendix E.)
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2.010. Judicial Council
a) The Judicial Council has adopted five forms for the Notice to Appear:
hapter 2 AUTHORITY TO PRESCRIBE FORMAT
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3Per Pen. Code, § 959.1.
4Per Veh. Code, § 40505.
5Per Veh. Code, § 40518.
6Per Pen. Code, § 853.9.
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3) Form TR-130, Traffic/Nontraffic Notice to Appear,7 to be used for both
infraction and misdemeanor offenses. (See Appendix F.)
4) Forms TR-135 and TR-1458 to be used for both infraction and
misdemeanor offenses. (See Appendix G and Appendix H.) A computer-
generated paper citation is issued to the defendant at the time of arrest and
a copy is filed with the court either electronically when permitted or as a
paper copy.
) Form TR-106, Continuation of Notice to Appear, and form TR-108, Continuation of
Citation, are intended for use in conjunction with Nontraffic and Traffic/Nontraffic
Notice to Appear forms. (See Appendix B.)
) The Judicial Council has not adopted a form for, nor established guidelines governing,
the following: (1) parking citations, (2) arrest/booking reports, and (3) court bail
courtesy notices.
hapter 3 REVISION DATES
3.010. Judicial Council
a) Periodically, the Judicial Council will adopt revisions of Notice to Appear forms.
Law enforcement must use the revised Notice to Appear form by the effective
date of the revised form adopted by the Judicial Council. (See section 6.030 for
exception.) Depending on changes in statutory requirements, effective dates are
established to allow law enforcement as much time as possible to deplete any existing
supplies of the old form, print and disseminate new forms, and, if necessary, develop
new procedures and train personnel regarding the revisions.
) The council adopted forms TR-135 and TR-145 and revised forms TR-115, TR-120,
and TR-130, effective June 26, 2015, with implementation as soon as reasonably
possible, but no later than November 15, 2015. The council adopted forms TR-100,
TR-106, and TR-108 with an effective date of January 1, 2004.
hapter 4 FORM SPECIFICATIONS
4.010. Required Copies
The arresting officer must prepare the Notice to Appear form, at a minimum, in triplicate
with a copy delivered to the court and the issuing agency for Vehicle Code violations8
and in duplicate for all other violations.9 The copy of the citation issued to the arrested
person must include all of the information on the copy of the citation filed with the court,
including any signature for the defendant’s promise to appear.10 Before printing or
programming Notice to Appear forms, law enforcement agencies should contact their
local court to determine if there are any local requirements for the court’s case
management system.
7Per Veh. Code, §§ 40500(b), 40513(b), 40522, and Pen. Code, § 853.9.
8Per Veh. Code, §§ 40500(a) and 40506.
9Per Pen. Code, § 853.6.
10Per Veh. Code, § 40505.
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4.020. Size and Color
The size and color of Notice to Appear copies for forms TR-106, TR-108, TR-120,
and TR-130 should conform with the requirements of the courts in which they are
filed. The Judicial Council recommends the following minimum size and other form
specifications:
) A “trim” size of 4 1/4 inches wide and 7 1/2 inches long; 5/8-inch tabs on the top or
bottom of the form.
) Original (Court’s copy) white, 15-pound paper stock. Print head-to-head.
) Duplicate (Police agency’s copy) pink, 15-pound paper stock. No printing on
reverse.
to-head.
inches wide.
) Triplicate (Officer’s copy) green, 15-pound paper stock. Print reverse head-to-head.
) Quadruplicate (Defendant’s copy) yellow, 20-pound paper stock. Print reverse head-
) The colors of the “Court’s copy” and “Police agency’s copy” correspond with rule
1:3-1 of the “Model Rules Governing Procedure in Traffic Cases” adopted by the
National Conference of Commissioners on Uniform State Laws.
orm TR-135 has a “trim’ size of 4 inches wide, and form TR-145 has a “trim” size of 3
4.030. Paper Stock
Paper stock for hand-written citations must be pressure sensitive and have a shelf life of
at least five years. The citation text must be reproducible on photocopy equipment.
4.040. Serial Numbers
a) The serial numbers of the form sets must be sequential. There must be no
“duplication” of numbers between form sets.
) The format of the serial numbers is at the discretion of local law enforcement with the
approval of the court.
4.050. Printing Format
a) A vertical format is required, except for the Proof of Service on form TR-100, which
is printed horizontally to facilitate mailing.
) All text on the forms must be printed in black ink. All text on citation forms TR-115,
TR-120, TR-130, TR-135, and TR-145 must have a minimum font size of 6.0. Serial
numbers may be printed in red ink. The box for the defendant’s signature may be
printed in red ink.
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4.060. Printing Expenses
The printing of the forms and the associated costs are not the responsibility of the
Judicial Council; printing is to be arranged in accordance with local custom.
hapter 5 VARIATIONS OF MANDATORY LANGUAGE/DATA
FIELDS
5.000. In General
Mandatory language and data fields are indicated on examples of Judicial Council–
adopted forms by unshaded areas; see section 5.010 for exceptions.
5.010. Permitted Variations
a) To meet the unique customs and/or needs of local law enforcement agencies and
courts, the Judicial Council form permits limited variations in the “time,” “place,” and
“proof of correction certification” data fields, among others. To indicate that
variations may be permitted, these data fields are identified by shaded areas. Shading
should not appear on printed forms.
) The California Highway Patrol is permitted to alter the format and location of the
fields for the name of the court, court address, and phone number and to add a field for
the location of a CHP Inspection Facility on the face of a form TR-130,
Traffic/Nontraffic Notice to Appear for their form CHP-215X.
) Formatting for the bracketed information that is required in the “Where” field on
notice to appear forms may be modified to include information for multiple court
locations.
hapter 6 MANDATORY LANGUAGE/DATA FIELDS
6.000. In General
The mandatory language and data fields vary between the various Notice to Appear
forms depending on the purpose of the form. All language and data fields in unshaded
areas on the forms are mandatory, even if not discussed below. Mandatory text or data
fields of the forms may not be re-worded or omitted, except for references to statutory
authorities, which may be abbreviated differently. Electronic Notice to Appear citations
issued on forms TR-135 and TR-145 may abbreviate terms to facilitate printing of forms.
aw enforcement agencies should be aware that if a written Notice to Appear is not
prepared on an approved council form, a court may conclude that it does not constitute a
complaint to which a defendant may enter a plea. (Veh. Code, § 40513(b).) If a
defendant pleads other than “guilty” or “nolo contendere” and the court concludes that
the Notice to Appear is defective, it could be necessary to re-file the charges by a formal
complaint. (Veh. Code, § 40513(a).)
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6.010. Agency Name
The name of the citing agency and jurisdiction must appear near the top of the form.
6.020. Title of Form
The title of the form must be printed near the top of the form.
6.030. Serial Number
a) A sequential serial number for each multipart set of Notice to Appear forms must
appear horizontally near the top right corner of each form.
) To facilitate the filing systems of some courts, statewide law enforcement agencies
must also print the serial number in the lower right margin of the court’s copy.
Statewide law enforcement agencies must comply with this requirement as specified
in section 3.010. Local law enforcement agencies must comply with the requirement
for the duplication of the serial number in the right margin within one calendar year
of a request from a local court.
) The serial number may be preprinted on the Notice to Appear.
) The serial number on continuation form TR-106 or TR-108 must be the same as that
on the corresponding Notice to Appear; the duplication of the serial number in the
right margin is not required.
) Bar coding of the serial number permits those courts with bar code readers to improve
the timeliness and accuracy of processing Notice to Appear forms. Within the
following parameters, the bar coding of the serial number must be placed on the face
of the court’s copy of the Notice to Appear form:
1. The bar code must appear as near as practical to the bottom of the form and is the
USS Code 39 barcode data format.
. The bar code should have a 1/4-inch area (quiet zone) that is clear and free of all
printing preceding the start character and the following stop character.
. Statewide law enforcement agencies must comply with the bar code requirement
as specified in section 3.010.
. Local law enforcement agencies must comply with the bar code requirement
within one calendar year of a request from a local court.
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6.040. Misdemeanor Check Box
To facilitate processing, the citing officer must check the misdemeanor box at the top of
the Notice to Appear if one of the offenses charged is a misdemeanor. The misdemeanor
check box does not appear on the Automated Traffic Enforcement System notice form,
TR-115.
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6.050. Date and Time
a) The date and time of the issuance of the Notice to Appear must be indicated near the
top of the form.
) The “Date of Violation” data field must be: Mo./Day/Yr.
) A check box “A.M./P.M.” format is provided as an optional field to indicate the time.
Indicating the time in the form of “A.M./P.M.” is more easily understood by most
defendants than the use of the 24 hour clock (military time).
6.060. Defendant’s Name
a) The defendant’s name is required on the Notice to Appear.11
) The sequence of the defendant’s name must be First/Middle/Last. This sequence
corresponds with the California Driver License/Identification Card.
6.070. Defendant’s Address
a) The defendant’s address must be indicated on the Notice to Appear.12
) The address must be the defendant’s mailing address. The mailing address allows the
court to mail a courtesy notice and/or other correspondence to the defendant.
) A street address may also be indicated in addition to the mailing address.
6.071. Defendant’s Class and Category of Driver’s License
a) The defendant’s class of driver’s license may be specified on the Notice to Appear.
) Notice to Appear forms TR-115, TR-130, TR-135, and TR-145 must specify whether
the defendant’s driver’s license is a commercial driver’s license.
6.080. Defendant’s Age and Birth Date
a) The defendant’s age and birth date is required on the Notice to Appear. The
sequence of the birth date must be: Mo./Day/Yr.
) The birth date data field is designed to accept a numerical entry.
6.090. Defendant’s Physical Description
a) The defendant’s sex, hair, color of eyes, height, and weight are required on the Notice
to Appear. See section 7.020 for the policy regarding the defendant’s race/ethnicity.
) Data fields for the recording of the defendant’s physical description are designed to
accept the standard abbreviations of physical descriptors.
11Per Veh. Code, §§ 40500(a), 40518(b) and Pen. Code, § 853.6.
12Per Veh. Code, §§ 40500(a), 40518(b) and Pen. Code, § 853.6.
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6.100. Commercial Vehicle
If the vehicle involved in an offense when a notice to appear is issued is a commercial
vehicle,13 the citing officer must mark the check box within the data field,
“COMMERCIAL VEHICLE (Veh. Code, § 15210(b)).”
6.110. Hazardous Material
If the vehicle involved in an offense when a notice to appear is issued was transporting
hazardous material, the citing officer must mark the check box within the data field,
“HAZARDOUS MATERIAL (Veh. Code, § 353)”.
6.120 Vehicle Description
The year, make, model, body style, and color of the vehicle operated by the defendant at
the time of the offense must be indicated on the Notice to Appear.14
.130. Financial Responsibility
The officer must write the driver’s evidence of financial responsibility on the Notice
to Appear.15 A person issued a Notice to Appear for a violation of this section may
submit to the clerk of the court, in person or by mail, written evidence that the driver was
in compliance with this section at the time of the citation.
6.140. Name of Registered Owner/Lessee
a) The Notice to Appear must contain the name of the registered owner or lessee.16
) The name must be indicated on the Notice to Appear in the sequence
First/Middle/Last, unless a company is listed as the registered owner of the vehicle or
vehicles.
6.150. Address of the Registered Owner/Lessee
a) The address of the registered Owner/Lessee must be indicated on the Notice to
Appear.17
) The address must be the registered owner’s mailing address.
.160. Correctable Violation Advisement and Check Boxes
a) Whenever a person is arrested for violations specified in Vehicle Code section
40303.5 and none of the disqualifying conditions set forth in Vehicle Code section
40610(b) exist, and the officer issues a Notice to Appear, the notice must specify the
offense charged and note in a form approved by the Judicial Council that the charge
13Commercial vehicle is defined in Veh. Code, § 15210(b). The requirement to indicate if offense involves a
motor vehicle is per Veh. Code, § 40300.2.
14Per Veh. Code, § 40500(a).
15Per Veh. Code, § 16028.
16Per Veh. Code, § 40500(a).
17Per Veh. Code, § 40500(a).
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ill be dismissed upon proof of correction.18
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) For offenses identified in Vehicle Code section 40303.5 the citing officer must
indicate by marking the appropriate “Yes” or “No” check box whether or not the
offense is eligible for dismissal upon proof of timely correction. Marking the “No”
box denotes that disqualifying conditions specified in Vehicle Code section 40610(b)
exist.
) The correctable violation advisement and the check boxes do not appear on the
Automated Traffic Enforcement System notice form, TR-115.
6.170. Booking Required
The officer may either book the arrested person prior to release, or indicate on the Notice
to Appear that the arrested person must be booked before appearing in court.19 If the
“Booking Required” check box is checked on form TR-120, TR-130, TR-135, or TR-145
the arresting agency must complete the verification of booking section on the defendant’s
copy of the form. The “booking required” check box does not appear on the Automated
Traffic Enforcement System notice form, TR-115.
6.180. Violations
The Notice to Appear must state the offenses charged.20 Forms TR-135 and TR-145 may
include special data fields to cite construction zone violations (Veh. Code, § 42009),
Safety Enhancement-Double Fine Zone violations (Veh. Code, § 42010), and overweight
violations (Veh. Code, §§ 42030 and 42030.1).
6.190. Speed
A Notice to Appear charging a speeding violation must specify the approximate
speed, prima facie or maximum speed, and any other speed limit exceeded.21
) The “safe speed” box is provided so that the officer can indicate a speed different
from the maximum or prima facie (posted) speed when the Notice to Appear is
prepared charging a violation of the basic speed law (Veh. Code, § 22350).
Conditions affecting the safe speed limit should be noted on the Notice to Appear
(e.g., fog, rain, etc.).
) When a speed violation is charged, both the approximate speed and the prima facie
speed applicable to the street or highway should be indicated.
) Entry of the maximum speed limit pertaining to the particular type of vehicle, or
combination of vehicles, is only required if the defendant is cited for exceeding the
speed limit for that vehicle.
6.200. Location of Violation
The Notice to Appear must state the location of where the offenses charged occurred.
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18Per Veh. Code, § 40522.
19Per Pen. Code, § 853.6.
20Per Veh. Code, § 40500(a) and Pen. Code, § 853.6.
21Per Veh. Code, § 40503.
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6.210. Officer’s Declaration on Information and Belief
The officer must indicate on the Notice to Appear (check box) when the offense was not
committed in his/her presence and that his/her declaration is on information and belief. A
citizen’s complaint and a collision investigation are examples of a situation that may
result in the officer checking the box. The declaration is separate and distinct from the
officer’s declaration under penalty of perjury discussed in section 6.220.
6.220. Officer’s Declaration under Penalty of Perjury
The Notice to Appear must contain the officer’s dated declaration, under penalty of
perjury, subscribed by the officer, that the information regarding the violations is true and
correct.22 The date of the declaration must appear in the declaration date field when
completed by either an arresting or a citing officer.
6.230. Other Officer
The name of the arresting officer, if different from the name of the officer completing the
Notice to Appear, must be stated on the Notice to Appear. This policy was adopted to
address situations in which there are teams of officers working radar enforcement or aerial
patrol. This option is not available on the Automated Traffic Enforcement System Notice to
Appear. (See section 6.231.)
6.231. Declarant-Automated Traffic Enforcement System Citations
The name of the government agency or law enforcement representative making the
declaration, “Violation was not committed in my presence. The above is declared on
information and belief and is based on photographic evidence,” must be stated on the
Automated Traffic Enforcement System Notice to Appear.
.240. Defendant’s Signature
To secure release from arrest, the defendant must give his/her written promise to
appear.23 The defendant’s signature on the defendant’s copy of the citation must be
identical to the signature on the copy of the citation filed with the court. The requirement
for a signed promise to appear does not apply to citations issued for violations recorded
by an Automated Traffic Enforcement System Notice to Appear.
.250. Time to Appear
a) The time specified in a Notice to Appear issued for a traffic offense must be a
specific date which is at least 21 days after arrest; the court having jurisdiction over
the offense charged may authorize the arresting officer to specify on the Notice to
Appear that the appearance may be made before the time specified.24
) When a Notice to Appear has been issued for a violation recorded by an automated
traffic enforcement system, it must be mailed within 15 days of the violation date to
the current address of the registered owner of the vehicle on file with the Department
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22Per Code Civ. Proc., § 2015.5.
23Per Veh. Code, § 40504 and Pen. Code, § 853.6.
24Per Veh. Code, § 40501(a).
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of Motor Vehicles, with a certificate of mailing obtained as evidence of service.25 The
time to appear must be at least ten days after the Notice to Appear is delivered.26
) The time to appear placed on Notice to Appear for a nontraffic offense must be at
least 10 days after the date of arrest for a nontraffic violation. (Pen. Code, § 853.6.)
) In the case of juveniles, the court having jurisdiction over the offense charged may
require the arresting officer to indicate on the Notice to Appear “to be notified” rather
than a specific date.27
6.260. Place to Appear
The place specified on the Notice to Appear must be one of the following:
) Before a magistrate or judge.28
) Before a person authorized to receive a deposit of bail.29
) Before the juvenile court, juvenile court referee, or juvenile hearing officer.30
6.270. Night Court
If the court identified in the Notice to Appear holds night sessions, the notice must
include a statement advising the defendant.31
6.280. Legend
The lower left corner of the Notice to Appear forms must denote that the form is a
Judicial Council form and specify the council’s form number.
hapter 7 DISCRETIONARY LANGUAGE/DATA FIELDS
7.000. In General
The discretionary (shaded) areas on the forms (see Appendix) depict language and data
fields that are frequently included at the option of the court or law enforcement agency
(with the consent of the court in which the Notice to Appear is to be filed).
ecause of limited space, not all of the discretionary language and data fields used
throughout the state can be shown on the sample forms. The following are narrative
descriptions of several discretionary data fields.
_
c
d
a
b
c
C
B
25Per Veh. Code, § 40518(a).
26Per Veh. Code, § 40518(b).
27Per Veh. Code, § 40501(b).
28Per Veh. Code, § 40502(a)–(b) and Pen. Code, § 853.6.
29Per Veh. Code, § 40502(c) and Pen. Code, § 853.6.
30Per Veh. Code, § 40502(d).
31Per Veh. Code, § 40502(d).
11
____________________________________________________________
7.010. Bail Statement
If the offense is bailable, the magistrate must fix the amount of bail and endorse the
following statement on the warrant for arrest.32
BAIL:
The defendant is to be admitted to bail in the sum of dollars.
Judge
ote: The mandatory requirement that the above statement appear on the reverse of the
court’s copy disrupts the processing of Notice to Appear forms in those automated
courts` that use the space for cash register validations, automated traffic system
notations, and notes of court proceedings. These courts use a separate form when issuing
a warrant for arrest. For those reasons, the warrant for arrest statement is now
discretionary.
7.020. Defendant’s Race/Ethnicity
a) A specific data field for the defendant’s “Race” or “Ethnicity” may be added to the
Notice to Appear form. The data field should be located on the same line as other
physical descriptors.
) The defendant’s “Race” or “Ethnicity” may be indicated in the “Other Description”
data field.
) If the defendant’s “Race” or “Ethnicity” is to be indicated, the Judicial Council
recommends the use of a single alpha character. Reference: California Department
of Justice’s Arrest and Disposition Instruction Manual.
7.030. Defendant’s Thumbprint
a) The defendant’s thumbprint may be placed on the Notice to Appear in situations in
which there is a question in the citing officer’s mind as to the true identity of the
defendant. The court will then have the option of comparing thumbprints in those
cases where the defendant alleges that another person has committed the cited
offense.33
) The Judicial Council recommends that the thumbprint on form TR-120 or TR-130 be
placed in a one-inch square area located on the reverse of the court’s copy in the
lower left corner. For citations on forms TR-135 or TR-145, a digitized thumbprint or
fingerprint may be printed on the defendant’s paper copy of the citation and filed with
the court as part of the notice to appear. If the defendant’s thumbprint or fingerprint is
captured electronically as a digital image, but not included as part of the notice to
appear, the digital image may be retained by the arresting agency for use as provided
in Penal Code sections 853.5 and 853.6 and Vehicle Code sections 40500 and 40504
and any other purposes permitted by law.
32Per Pen. Code, § 815(a).
33Per Veh. Code, § 40500(a) and Pen. Code, § 853.6.
12
_
N
b
c
b
____________________________________________________________
c) The thumbprint item does not appear on the Automated Traffic Enforcement System
Notice to Appear.
Chapter 8 PROHIBITED LANGUAGE/DATA FIELDS
8.010. Defendant’s Social Security Number
The defendant’s social security number must not be indicated on the Notice to Appear,
unless the social security number is also the driver license number and/or the defendant
holds a commercial driver license.
o protect an individual’s civil rights, federal statutes allow a very restricted compulsory
use of a person’s social security number for the purpose of establishing identity.34
ederal statutes do permit an agency having administrative responsibility for driver
license and motor vehicle registration laws to use a person’s social security number to
establish that person’s identity as it relates to the laws within the agency’s jurisdiction.35
he California Department of Motor Vehicles requires an individual to disclose his or her
social security number in order to obtain a driver license or identification card.36 A
number of other states use the individual’s social security number as the driver license
number.
_
T
F
T
34Per Public Law 93-579, § 7.
35Per 42 USC § 405, (c)(2)(c)(i)–(iv).
36Per Veh. Code, §§ 1653.5 and 12801.
13
APPENDIXES OF COUNCIL FORMS
Appendix A Notice of Correction and Proof of Service, Form TR-100
A
1
I am at least 18 years of age, not a party to this action, and I am a resident of or employed in the county where
the mailing took place. My business address is:
, I served this Notice of Correction on the parties at the address listed below by
On (date):
depositing it in a sealed envelope, postage prepaid, with the United States Postal Service at (city and state):
I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct.
Date:
____________________________________ _
Original to Court
______________________________
(Type or print name)
Defendant's Address:
(SIGNATURE)
1
PEOPLE OF THE STATE OF CALIFORNIA
vs.
NOTICE OF CORRECTION AND PROOF OF SERVICE
(Vehicle Code, § 40505)
AMENDING OFFICER NAME/ID NO.:
DEPARTMENT/AGENCY:
CITATION NUMBER:
CASE NUMBER:
1. A Notice to Appear/Notice to Correct Violation was issued to you
by an officer of this department on (date):
2. The citation issued to you contained an error as indicated by
the items checked below. This notice of correction does not
affect the validity of the citation or the required court
appearance.
Date/time of violation should be
Date/time of court appearance should be changed
from
from
Violation section(s) should be changed
Location of violation should be changed
to
to
to
ther (specify):
O
from
I declare under penalty of perjury under the laws of the State of
California that the foregoing is true and correct.
Signature of officer)
(
Date:
Form Adopted for Mandatory Use
Judicial Council of California
TR-100 [Rev. January 1, 2004]
NAME OF COURT:
STREET ADDRESS:
MAILING ADDRESS:
CITY AND ZIP CODE:
BRANCH NAME:
TELEPHONE:
DEFENDANT:
B
1
Appendix B Continuation(cid:3)of Notice to Appear, Form TR-106
1
(Citation No.)
Case No.
State
isdemeanor or
Infraction (Circle)
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
CONTINUATION OF NOTICE TO APPEAR
(Face of Violator’s Copy)
(Name of Agency and Jurisdiction)
CONTINUATION OF NOTICE
TO APPEAR
Date
Time
/
1.
Name (First, Middle, Last)
2.
/
Veh. Lic. No. or VIN
3.
Correctable Violation (Veh. Code, § 40610)
MISDEMEANOR
Traffic Nontraffic
AM
Day of Week
S M T W T F S
PM
Yes
No
Code and Section
Description
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.
21.
Violations not committed in my presence, declared on information and belief.
I declare under penalty of perjury under the laws of the State of California the foregoing is true and
correct, and a continuation of the enforcement document noted.
rresting or Citing Officer
Serial No.
A
22.
23.
/
/
Date
Name of Arresting Officer, if different from Citing Officer
Serial No.
WITHOUT ADMITTING GUILT, I PROMISE TO APPEAR AT THE TIME AND PLACE
INDICATED.
X Signature
24.
Judicial Council of California Form
Rev. 01-01-04 (Veh. Code, §§ 40500(b), 40513(b), 40522, 40600; Pen. Code, § 853.9)
SEE REVERSE
TR-106
Shaded areas on the form indicate spaces subject
to modification for local or agency requirements.
CONTINUATION OF NOTICE TO APPEAR
(REVERSE OF VIOLATOR’S COPY)
IMPORTANT — READ CAREFULLY
This form is used when multiple offenses are charged and the original notice to appear form does not
provide sufficient space for the listing of all the charges. PLEASE REFER TO THE REVERSE OF THE
ORIGINAL NOTICE TO APPEAR FOR I MPORTANT INFORMATION REGARDING YOUR LEGAL
OBLIGATIONS.
CORRECTABLE VIOLATIONS: Those driver license, vehicle registration, and mechanical violations
cited in accordance with V ehicle Code section 40610(a) will be dismissed by the court if PROOF OF
CORRECTION and payment of a transaction fee are presented to the co urt by mail or in person on or
before the appearance date.
Violations of Vehicle Code section 16028 (automobile insurance) will be dismissed upon your showing
to the court that evidence of financial responsibility was valid at the time this citation was issued.
Proof of correction should be obtained for driver license, registration, and equipment violations.
CORRECT EQUIPMENT VIOLATIONS IMMEDIATELY.
METHODS FOR OBTAINING CERTIFICATION OF CORRECTION (Veh. Code, § 40616):
1. Pollution control device violations must be certified by a smog check station licensed by the
California Bureau of Automobile Repair.
2. Lamp, brakes, and exhaust system violations may be certified as corrected by an authorized
inspection and installation station for the specific violation(s).
3. Registration and driver license violations may also be certified as corrected by an office of the
Department of Motor Vehicles or by any clerk or deputy clerk of a court.
4. Proof of correction, except for violations that must be cleared at a certified inspection and
installation station, may be obtained at
during regular business hours.
(fill in location)
CERTIFICATE OF CORRECTION (MUST BE RETURNED TO COURT)
Section(s)
Violated
Signature of Person
Certifying Correction
Serial No.
Agency
Date
Shaded areas on the form indicate spaces subject
to modification for local or agency requirements.
1
CONTINUATION OF NOTICE TO APEAR
(Reverse of Court Copy)
(Circle one)
RIGHT or LEFT
THUMB PRINT
Shaded areas on the form indicate spaces subject
to modification for local or agency requirements.
1
C
2
Appendix C Continuation of Citation, Form TR-108
1 Violations not committed in my presence, declared on information and belief.
I declare under penalty of perjury under the laws of the State of California the foregoing is true and
correct, and a continuation of the enforcement document noted.
Arresting or Citing Officer
Serial No.
23 / /
Date Name of Arresting Officer, if different from Citing Officer
Serial No.
ITHOUT ADMITTING GUILT, I PROMISE TO APPEAR AT THE TIME AND PLACE
INDICATED.
X Signature
W
24
Judicial Council of California Form
Rev. 01-01-04 (Veh. Code, §§ 40500(b), 40513(b), 40522, 40600; Pen. Code, § 853.9)
SEE REVERSE
TR-108
Shaded areas on the form indicate spaces subject
to modification for local or agency requirements.
CONTINUATION OF CITATION
(Face of Violator’s Copy)
Name of Agency and Jurisdiction)
CONTINUATION NOTICE TO APPEAR MISDEMEANOR
OF CITATION NOTICE TO CORRECT VIOLATION Traffic Nontraffic (Citation No.)
Date of Violation
1 / /
Name (First, Middle, Last)
2
Time
AM
PM
Day of Week
S M T W T F S
Case No.
Veh. Lic. No. or VIN
3
State
Correctable Violation (Veh. Code, § 40610)
Yes
No
Code and Section Description
Misdemeanor or
Infraction (Circle)
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
(
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
20
2
22
CONTINUATION OF CITATION
(Reverse of Violator’s Copy)
IMPORTANT — READ CAREFULLY
This form is used w hen multiple offenses are charged and the or iginal Notice to Appear/Notice to
Correct Violation form does not provide sufficient space for the l isting of all the char ges. PLEASE
REFER TO THE REVERSE OF T HE ORIGINAL NOTICE TO APPEAR/NOTICE TO CORRECT
VIOLATION FOR IMPORTANT INFORMATION REGARDING YOUR LEGAL OBLIGATIONS.
CORRECTABLE VIOLATIONS ON A NOTICE TO APPEAR: Those driver license, vehicle registration,
and mechanical violations cited in accordance with Vehicle Code section 40610(a) will be dismissed by
the court if PROOF OF CORRECTION and payment of a transaction fee are presented to the cour t by
mail or in person on or before the appear ance date. Pr oof of correction should be obtai ned for driver
license, registration, and equipment violations. CORRECT EQUIPMENT VIOLATIONS IMMEDIATELY.
iolations of Vehicle Code section 16028 (autom obile insurance) will be dism issed upon (1) y our
showing to the court evidence of financial responsibility valid at the time this notice to appear was issued
and (2) your payment of a transaction fee.
CORRECTABLE VIOLATIONS ON A NOTICE TO CORRECT VIOLATION: Those driver license, vehicle
registration, and mechanical violations cited in accordance with Vehicle Code section 40610(a) must be
corrected and PROOF OF C ORRECTION must be pr ovided to the law enforcement agency’s office
designated on the reverse side of the Notice to Correct Violation form within 30 days in order to have the
violation cleared. Proof of correction should be obtai ned for driver license, registration, and equipment
violations. CORRECT EQUIPMENT VIOLATIONS IMMEDIATELY.
METHODS FOR OBTAINING CERTIFICATION OF CORRECTION (Veh. Code, § 40616):
1. Pollution control device violations must be certified by a smog check station licensed by the
California Bureau of Automobile Repair.
2. Lamp, brakes, and exhaust system violations may be certified as corrected by an authorized
inspection and installation station for the specific violation(s).
3. Registration and driver license violations may also be certified as corrected by an office of the
Department of Motor Vehicles or by any clerk or deputy clerk of a court.
4. Proof of correction, except for violations that must be cleared at a certified inspection and
installation station, may be obtained at ____________________________________ (fill in location)
during regular business hours.
CERTIFICATE OF CORRECTION (MUST BE RETURNED TO: COURT, CITING AGENCY)
Section(s)
Violated
Signature of Person
Certifying Correction
Serial No.
Agency
Date
Shaded areas on the form indicate spaces subject
to modification for local or agency requirements.
V
CONTINUATION OF CITATION
(Reverse Of Court Copy)
Shaded areas on the form indicate spaces subject
to modification for local or agency requirements.
(Circle one)
RIGHT or LEFT
THUMBPRINT
Appendix D Automated Traffic Enforcement System Notice to Appear, Form TR-115
D
2
T
(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
W
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
Y
2
I
M
Shaded areas on the form indicate spaces subject
to modification for local or agency requirements.
Appendix E Nontraffic Notice to Appear, Form TR-120
E
M
M
M
M
M
M
M
M
M
M
M
M
I
I
I
I
I
I
I
I
I
I
I
I
NONTRAFFIC NOTICE TO APPEAR
(Face of Court’s Copy)
Citation No.)
(
Case No.
MISDEMEANOR
Nontraffic
AM
PM
Day of Week
S M T W T F S
Name of Agency and Jurisdiction)
NOTICE TO APPEAR
Date of Violation
1. / /
Name (First, Middle, Last)
2.
Time
State/Country
ZIP Code E-mail Address
State
Class
Age
Birth Date
/ /
Juvenile (Phone No.)
( )
Hair
Eyes
Height
Weight
Race
Other Description
Code
Ordinance Description
Misdemeanor or
Infraction (Circle)
(
DEFENDANT COPY
SEE REVERSE
TR-120
_
_
_
_
ime: __________ AM PM
Time: __________ AM PM
23.___/___/___ ___________________________________________
Dec. Date Arresting or Citing Officer
__________
____to_____
Serial No.
Dates Off
24.___/___/___
Dec. Date
___________________________________________
Name of Arresting Officer, if different from Citing Officer
__________
____to_____
Serial No.
Dates Off
T
WITHOUT ADMITTING GUILT, I PROMISE TO APPEAR AT THE TIME AND PLACE
INDICATED BELOW.
X Signature
26. WHEN:
N OR BEFORE THIS DATE: _____/_____/_____
O
25.
_
Violations not committed in my presence, declared on information and belief.
I declare under penalty of perjury under the laws of the State of California the foregoing is true and correct.
WHAT TO DO:
27. WHERE:
FOLLOW THE INSTRUCTIONS ON THE REVERSE.
[Name of court[s]]
[Section[s] or division[s], room no[s].]
[Street address[es]]
[Phone No.]
28. To be notified
You may arrange with the clerk to appear at a night session of the court.
FPO Barcode (USS Code 39)
Evidence Seized
Booking Required
Location of Violation(s)
City/County of Occurrence
Comments
Shaded areas on the form indicate spaces subject
to modification for local or agency requirements.
Judicial Council of California Form
Rev. 06-26-15 (Pen. Code, § 853.9)
Address
3.
City
4.
Driver Lic. No.
5.
Sex
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
6.
7.
8.
1
1
1
19.
20.
21.
22.
NONTRAFFIC NOTICE TO APPEAR
(Reverse Of Defendant’s Copy)
IMPORTANT — READ CAREFULLY
LOCAL INFORMATION FOR THE CITATION IS AVAILABLE ONLINE
AT [website address]
WARNING: If you fail to appear in court as you have promised, you may be arrested and punished
by 6 MONTHS IN JAIL AND/OR A $1,000 FINE, regardless of the disposition of the original charge.
(Pen. Code, § 853.7.)
f “Booking Required is checked you must appear on a weekday prior to your court date for booking
at: ___________________________________________________ between the hours of ___ and ___
and bring the signed verification to your court appearance. Call ____________ for more information.
Booking Verification: I declare under penalty of perjury under the laws of the State of California that
____________________________ was booked on _______ ___________________ ___________
Defendant’s name Date Officer Serial No.
I
_
WHAT TO DO
Shaded areas on the form indicate spaces subject
to modification for local or agency requirements.
NONTRAFFIC NOTICE TO APPEAR
(Reverse Of Court’s Copy)
(Circle one)
RIGHT or LEFT
THUMB PRINT
Shaded areas on the form indicate spaces subject
to modification for local or agency requirements.
Appendix F Traffic/Nontraffic Notice to Appear, Form TR-130
F
State/Country
ZIP Code E-mail Address
State
Class
Commercial
Yes No
Age
Birth Date
/ /
Hair
Eyes
Height
Weight
Race
Juvenile (Phone No.)
( )
COMMERCIAL VEHICLE
(Veh. Code, § 15210(b))
HAZARDOUS MATERIAL
(Veh. Code, § 353)
State Reg. MO/YR
Make
Model
Body Style
Color
Evidence of Financial Responsibility CHP/DOT/PUC/ICC
9.
Address
3.
City
4.
Driver Lic. No.
5.
Sex
6.
Veh. Lic. No. or VIN
7.
Yr. of Veh.
8.
Registered Owner or Lessee
10.
Address
11.
City
12.
Correctable Violation (Veh. Code,
Yes
No
Same as Driver
Same as Driver
ZIP Code
State
§ 40610)
Code and Section Description
Booking Required (see reverse) Misdemeanor or
Infraction (Circle)
I
I
I
I
N
S
M
M
M
M
_
_
Speed Approx.
P.F./Max Spd.
Veh. Lmt.
Safe
Radar
Continuation
Form Issued
Location of Violation(s)
City/County of Occurrence
W E
Comments (Weather, Road & Traffic Conditions) Accident
DEFENDANT COPY
FPO Barcode (USS Code 39)
_
_
I declare under penalty of perjury under the laws of the State of California the foregoing is true and correct.
Executed at (place) Violation Location
21.___/___/__ ___________________________________________
Dec. Date Arresting or Citing Officer
__________
____to_____
Serial No.
Dates Off
___________________________________________
Name of Arresting Officer, if different from Citing Officer
__________
____to_____
Serial No.
Dates Off
ime: __________ AM PM
Time: __________ AM PM
T
WITHOUT ADMITTING GUILT, I PROMISE TO APPEAR AT THE TIME AND PLACE
INDICATED BELOW.
X Signature
24. WHEN:
N OR BEFORE THIS DATE: _____/_____/_____
O
22.___/___/__
Dec. Date
23.
WHAT TO DO:
25. WHERE:
FOLLOW THE INSTRUCTIONS ON THE REVERSE.
[Name of court[s]]
[Section[s] or division[s], room no[s].]
[Street address[es]]
[Phone No.]
26. To be notified
You may arrange with the clerk to appear at a night session of the court.
Judicial Council of California Form
Rev. 06-26-15 (Veh. Code, §§ 40500(b), 40513(b), 40522, 40600; Pen. Code, § 853.9)
SEE REVERSE
TR-130
Violations not committed in my presence, declared on information and belief.
Shaded areas on the form indicate spaces subject
to modification for local or agency requirements.
_
13.
14.
15.
16.
17.
18. at
19.
20.
(
Citation No.)
(
MISDEMEANOR
Traffic Nontraffic
AM
PM
Day of Week
S M T W T F S
Owner’s Responsibility (Veh. Code, § 40001)
Case No.
NAME OF AGENCY AND JURISDICTION)
NOTICE TO APPEAR
Date of Violation
1. / /
Name (First, Middle, Last)
2.
Time
TRAFFIC/NONTRAFFIC NOTICE TO APPEAR
(Face of Court’s Copy)
TRAFFIC/NONTRAFFIC NOTICE TO APPEAR
(Reverse of Defendant’s Copy)
IMPORTANT — READ CAREFULLY
LOCAL INFORMATION FOR THE CITATION IS AVAILABLE ONLINE
AT [website address]
WARNING: If you fail to appear in court as you have promised, you may be arrested and punished
by 6 MONTHS IN JAIL AND/OR A $1,000 FINE regardless of the disposition of the original charge.
(Veh. Code, § 40508 or Pen. Code, § 853.7.) In addition, any person who fails to appear as provided
by law may be deemed to have elected to have a trial by written declaration (in absentia) pursuant to
Vehicle Code section 40903(a) upon any alleged infraction, as charged by the arresting/citing
officer.
JUVENILE: If you were under age 18 at the time the citation was issued, you must appear in court with
your parent or guardian.
COURTESY NOTICE: A courtesy notice may be mailed to the address shown on your citation, indicating
the required deposit of money (bail) that may be forfeited instead of your appearing in court. If you do not
receive such courtesy notice, you are still required to comply with the items below by the appearance date.
WHAT TO DO
You are required to appear at court for a misdemeanor violation. For all violations, your court
date/time/place are on the front of this notice to appear. Have the citation with you when contacting the
court. In all infraction cases, you must do one or more of the following for each violation:
Pay the fine (bail).
Appear in court.
Contest the violation.
If you do not do one of the above actions, then a “failure to appear” charge will be filed against you (Veh.
Code, § 40508(a)) and your driver license may be withheld, suspended, or revoked. In some courts you
may be charged an amount in addition to the bail amount and the case may be turned over to a collection
agency. (Pen. Code, § 1214.1.)
Correct the violation (traffic cases, when applicable).
Request traffic school (traffic cases, when applicable).
Request trial by written declaration (traffic cases).
If you do NOT contest the violation:
a. (Pay the bail amount) Contact the court for bail information. 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 may be charged to your DMV record and your insurance may be adversely affected.
. (Traffic school) You may be able to avoid the point count by completing traffic school. You must
pay the bail amount, and you may have to pay other fees. Contact the court to request traffic school.
. (Correctable violations) If the “Yes” box is checked on the front of your ticket, the violation is
correctable. Upon correction of the violation, have a law enforcement officer or an authorized
inspection/installation station agent sign below. (Veh. Code, § 40616.) Registration and driver license
violations may also be certified as corrected at an office of the DMV or by any clerk or deputy clerk of a
court. The violation will be dismissed by the court after PROOF OF CORRECTION and payment of a
transaction fee are presented to the court by mail or in person by the appearance date. Violations of
Vehicle Code section 16028 (automobile liability insurance) will be dismissed only upon (1) your showing
or mailing to the court evidence of financial responsibility valid at the time this notice to appear was
issued, and (2) your payment of a transaction fee.
CERTIFICATE OF CORRECTION (MUST BE RETURNED TO COURT)
Section(s)
Violated
Signature of Person
Certifying Correction
Serial No.
Agency
Date
2. If you contest the violation (select a or b):
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 any witnesses will be present. You may be required to submit the bail amount.
Go online or call the court for information on going to court without paying bail. —OR—
. (Trial by written declaration (traffic cases)) 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 appearance date to
request a trial by written declaration. Submit the bail amount. You will be given forms to allow you to
write a statement and to submit other evidence without appearing in court. An officer will also submit a
statement. The judicial officer will consider the evidence and decide the case.
3. Make check/money order payable to Clerk of the Court. Write your citation number and driver license
number on your check or money order. You may pay in person, by mail, or by phone.
4. If “Booking Required” is checked, you must appear for booking on a weekday prior to your court date
at: ______________________________________________________ between the hours of ___ and ___
and bring the signed verification to your court appearance. Call ________________ for more information.
Booking Verification: I declare under penalty of perjury under the laws of the State of California that
____________________________ was booked on _______ ___________________ ___________
Defendant’s name Date Officer Serial No.
Shaded areas on the form indicate spaces subject
to modification for local or agency requirements.
.
1
b
c
b
_
TRAFFIC/NONTRAFFIC NOTICE TO APPEAR
(Reverse of Court’s Copy)
(Circle one)
RIGHT or LEFT
THUMB PRINT
Shaded areas on the form indicate spaces subject
to modification for local or agency requirements.
(cid:36)(cid:83)(cid:83)(cid:72)(cid:81)(cid:71)(cid:76)(cid:91)(cid:3)(cid:3)G(cid:3)(cid:3)Electronic Traffic/Nontraffic Notice to Appear(cid:3)(4-inch f(cid:82)(cid:85)(cid:80)at) , Form (cid:55)(cid:53)(cid:16)(cid:20)35(cid:3)
G
(cid:3)
(cid:3)(cid:3)
(cid:3)
(Citation No.)
Fm
To________
Vac. Dates
Fm
o________
Vac. Dates
T
_______
Serial No.
_______
Serial No.
ime: _______ AM PM
Time: _______ AM PM
T
PHOTO
State/Country
ZIP Code
Juvenile (Phone No.)
( )
State/Country
Class
Commercial
Yes No
Age
Birth Date
/ /
Hair
Eyes
Height
Weight
Race
Other Description
State/Country
Reg. Mo/Yr Exp
COMM. VEH.
(VC 15210(b))
HAZ. MAT.
(VC 353)
Same as Driver
Same as Driver
Veh. Lic. No. or VIN State/Country Reg. Mo/Yr Exp.
Yr. of Veh. Make Model Body Style Color Type
School Zone
VC 42010 Safety Zone
VC 42009 Construction Zone
Correctable Violation (VC 40610)
Yes/No
Code and Section Description
Booking Required (see below) Misdemeanor
or Infraction
Overweight
Make
Model
Body Style
Color
Evidence of Financial Responsibility CHP/DOT/PUC/ICC
10.
Registered Owner or Lessee
11.
Address City State/Country ZIP Code
12.
I
3
l
l
l
M
l
l
L
l
lbs
RIGHT / LEFT
THUMB/ FINGER
PRINT
lbs
lbs
lbs
P.F./Max Spd.
Veh. Lmt.
Safe
Radar
City/County of Occurrence
Comments (Weather, Road & Traffic Conditions, Etc.)l Accident
22.
23. Violations not committed in my presence, declared on information and belief.
24. I declare under penalty of perjury under the laws of the State of California that the foregoing is true
and correct.
itation #______________ Violation location ____________ Executed at (place) _________________
25. __/___/__ _________________________________________
Dec. Date Arresting or Citing Officer
_________________________________________
Name of Arresting Officer,
if different from Citing Officer
WITHOUT ADMITTING GUILT, I PROMISE TO APPEAR AT THE TIME AND PLACE
INDICATED BELOW.
28. WHEN:
N OR BEFORE THIS DATE: _____/_____/_____
O
Address
3.
City
4.
Driver Lic. No.
5.
Sex
6.
E-mail Address
7.
Veh. Lic. No. or VIN
8.
Yr. of Veh.
9.
13.
Veh.
2
14.
l
15.
16. (Y/N)
17. (Y/N)
18. (Y/N)
19. (Y/N)
Speed Approx.
20. >
Location of Violation(s)
21. at
_
26.__/___/__
Dec. Date
Signature
X
27.
WHAT TO DO:
29. WHERE:
C
FOLLOW THE INSTRUCTIONS BELOW.
[Name of court[s]]
[Section[s] or division[s], room no[s].]
[Street address[es]]
[Phone No.]
30. To be notified Contact the clerk to appear at a night court session.
DEFENDANT COPY
Judicial Council of California Form
New 06-26-15 (VC 40500(b),
40513(b), 40522, and 40600;
PC 853.9 and 959.1) TR-135
FPO Barcode
(USS Code 39)
Citation No.)
(
MISDEMEANOR
TRAFFIC NONTRAFFIC
Day of Week
Case No.
AM
PM
3Owner’s Responsibility (VC 40001)
NAME OF AGENCY AND JURISDICTION)
NOTICE TO APPEAR
Date of Violation
1. / /
Name (First, Middle, Last)/(Company)
2.
Time
(
ELECTRONIC TRAFFIC/NONTRAFFIC NOTICE TO APPEAR
(Defendant’s Copy)
Shaded areas indicate spaces subject to modification for local or agency requirements.
ELECTRONIC TRAFFIC/NONTRAFFIC NOTICE TO APPEAR
(Continuation of Defendant’s Copy)
Shaded areas indicate conditional fields for use when citing multiple vehicles or violations with a continuation page.
Citation No.)
(
MISDEMEANOR
TRAFFIC NONTRAFFIC
AM
PM
Day of Week
Case No.
3Owner’s Responsibility (VC 40001)
NAME OF AGENCY AND JURISDICTION)
NOTICE TO APPEAR
Date of Violation
1. / /
Name (First, Middle, Last)/(Company)
2.
Time
(
Address
3.
City
4.
Driver Lic. No.
5.
Sex
6.
E-mail Address
7.
State/Country
ZIP Code
Juvenile (Phone No.)
( )
State/Country
Class
Commercial
Yes No
Age
Birth Date
/ /
Hair
Eyes
Height
Weight
Race
Other Description
School Zone
VC 42010 Safety Zone
8.
VC 42009 Construction Zone
Correctable Violation (VC 40610)
Yes/No
Code and Section Description
Booking Required (see below) Misdemeanor
or Infraction
Overweight
I
3
l
l
l
l
l
l
l
l
l
l
l
l
L
L
L
L
L
l
l
l
l
l
M
l
lbs
lbs
lbs
lbs
lbs
lbs
lbs
lbs
lbs
lbs
lbs
Veh. Lic. No. / VIN State/Country Reg. Mo/Yr Exp.
Yr. of Veh. Make Model Body Style Color Type
Veh. Lic. No. / VIN State/Country Reg. Mo/Yr Exp.
Yr. of Veh. Make Model Body Style Color Type
Veh. Lic. No. / VIN State/Country Reg. Mo/Yr Exp.
Yr. of Veh. Make Model Body Style Color Type
Veh. Lic. No. or VIN
21.
lbs
State/Country
Reg. Mo/Yr
Expiration Date
28. Violations not committed in my presence, declared on information and belief.
29. I declare under penalty of perjury under the laws of the State of California that the foregoing is true
and correct.
itation#______________ Violation location ____________ Executed at (place) _________________
(Citation No.)
Fm
To_______
Vac. Dates
Fm
To_______
Vac. Dates
_______
Serial
No.
_______
Serial
No.
WITHOUT ADMITTING GUILT, I PROMISE TO APPEAR AT THE TIME AND PLACE
INDICATED.
0. __/___/__ _________________________________________
Dec. Date Arresting or Citing Officer
_________________________________________
Name of Arresting Officer,
if different from Citing Officer
_
31.__/___/__
Dec. Date
Signature
X
32.
Judicial Council of California Form
New 06-26-15 (VC 40500(b),
40513(b), 40522, and 40600;
PC 853.9 and 959.1) TR-135
FPO Barcode
(USS Code 39)
Location of Violation
9. (Y/N)
10. (Y/N)
11. (Y/N)
12. (Y/N)
13. (Y/N)
14. (Y/N)
15. (Y/N)
16. (Y/N)
17. (Y/N)
18. (Y/N)
19. (Y/N)
20. (Y/N)
3
22.
Veh.
23.
l
24.
Veh.
4
25.
l
26.
Veh.
5
27.
l
C
3
ELECTRONIC TRAFFIC/NONTRAFFIC NOTICE TO APPEAR (Defendant’s Instructions)
(Citation No.)
LOCAL INFORMATION FOR THE CITATION IS AVAILABLE ONLINE AT
[website address]
IMPORTANT — READ CAREFULLY
WARNING: If you fail to appear in court as you have promised, you may be
arrested and punished by 6 MONTHS IN JAIL AND/OR A $1,000 FINE
regardless of the disposition of the original charge. (Veh. Code, § 40508, or
Pen. Code, § 853.7.) In addition, any person who fails to appear as provided by
law may be deemed to have elected to have a trial by written declaration (in
absentia) pursuant to Vehicle Code section 40903(a) upon any alleged
infraction, as charged by the arresting/citing officer.
JUVENILE: If you were under age 18 at the time the citation was issued, you must
appear in court with your parent or guardian.
COURTESY NOTICE: A courtesy notice may be mailed to the address shown on
your citation, indicating the required deposit of money (bail) that may be forfeited
instead of your appearing in court. If you do not receive such courtesy notice, you
are still required to comply with the items below by the appearance date.
WHAT TO DO
You are required to appear at court for a misdemeanor violation. For all violations,
your court date/time/place are provided above in this notice to appear. Have the
citation with you when contacting the court. In all infraction cases, you must do one
or more of the following for each violation:
Pay the fine (bail). Correct the violation (traffic cases, when applicable).
Appear in court. Request traffic school (traffic cases, when applicable).
Contest the violation. Request trial by written declaration (traffic cases).
If you do not do one of the above actions, then a “failure to appear” charge will be
filed against you (Veh. Code, § 40508(a)) and your driver license may be withheld,
suspended, or revoked. In some courts you may be charged an amount in addition
to the bail amount and the case may be turned over to a collection agency. (Pen.
Code, § 1214.1.)
1. If you do NOT contest the violation:
a. (Pay the bail amount) Contact the court for bail information. 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 may be charged
to your DMV record, and your insurance may be adversely affected.
. (Traffic school) You may be able to avoid the point count by completing traffic
school. You must pay the bail amount as a fee, and you may have to pay other
fees. Contact the court to request traffic school.
. (Correctable violations) If the “Yes” box is checked above, the violation is
correctable. Upon correction of the violation, have a law enforcement officer or an
authorized inspection/installation station agent sign below. (Veh. Code, § 40616.)
Registration and driver license violations may also be certified as corrected at an
office of the DMV or by any clerk or deputy clerk of a court. The violation will be
dismissed by the court after PROOF OF CORRECTION and payment of a
transaction fee are presented to the court by mail or in person by the appearance
date. Violations of Vehicle Code section 16028 (automobile liability insurance) will
be dismissed only upon (1) your showing or mailing to the court evidence of
financial responsibility valid at the time this notice to appear was issued, and (2)
your payment of a transaction fee.
Section(s)
Violated
CERTIFICATE OF CORRECTION (MUST BE RETURNED TO COURT)
Serial / ID
No.
Signature of Person
Certifying Correction
Agency
Date
2. If you contest the violation (select a or b):
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 any witnesses will be
present. You may be required to submit the bail amount. Go online or call the
court for information on going to court without paying bail —OR—
b. (Trial by written declaration (traffic infractions)) 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 appearance date to request a trial by written
declaration. Submit the bail amount. You will be given forms to allow you to write
a statement and to submit other evidence without appearing in court. An officer will
also submit a statement. The judicial officer will consider the evidence and decide
the case.
3 Make check/money order payable to Clerk of the Court. Write your citation
number and driver license number on your check or money order. You may pay in
person, by mail, or by phone.
4. If “Booking Required” is checked, you must appear for booking on a weekday
prior to your court date at ____________________________ between the hours of
________ and _______ and bring the signed verification to your court appearance.
Call ___________________ for more information.
ooking Verification: I declare under penalty of perjury under the laws of the
State of California that _______________________ was booked on ___________
Defendant’s name Date
fficer_______________________________ Serial / ID No. _________________
B
O
b
c
Shaded areas indicate spaces subject to modification for local or agency requirements.
(cid:36)(cid:83)(cid:83)(cid:72)(cid:81)(cid:71)(cid:76)(cid:91)(cid:3)(cid:3)H(cid:3)(cid:3)Electronic Traffic/Nontraffic Notice to Appear(cid:3)(3-inch format), F(cid:82)(cid:85)(cid:80)(cid:3) (cid:55)(cid:53)(cid:16)(cid:20)45(cid:3)
H
(cid:3)
(cid:3)(cid:3)
(cid:3)
RIGHT / LEFT
THUMB / FINGER
PRINT
Violation Date: (Day of Week) / / Time: (AM/PM) Case No.:
Name:(First, Middle, Last)/(Company)
Owner’s Responsibility: (Y/N) (VC 40001)
Address:
City: State/Country: ZIP:
Juvenile (Phone #): ( ) E-mail Address:
Driver Lic.: (No.) State/Country:
Birth Date: / / Age: Juvenile: (Y/N)
Sex: Hair: Eyes: Ht: Wt: Race: Other Descr.:
Veh. Lic. or VIN: (No.)
State/Country:
Class:
Reg.: (Mo/Yr) Exp
Comm. Lic.: (Y/N)
Yr. of Veh.:
Make:
Model:
Body Style: Color:
COMMERCIAL VEH. (VC 15210(b)): (Y/N) HAZ. MAT. (VC 353): (Y/N)
Evid. of Financial Resp.: CHP/DOT/PUC/ICC
Registered Owner or Lessee: (First, Middle, Last/Company)
Address:
City: State/Country: ZIP:
Veh. 2: Veh. Lic. or VIN: (No.) State/Country: Reg.: (Mo/Yr) Exp
Yr. of Veh.: Make: Model: Body Style: Color:
Veh. 3: Veh. Lic. or VIN: (No.) State/Country: Reg.: (Mo/Yr) Exp
Yr. of Veh.: Make: Model: Body Style: Color:
Veh. 4: Veh. Lic. or VIN: (No.) State/Country: Reg.: (Mo/Yr) Exp
Yr. of Veh.: Make: Model: Body Style: Color:
Construction-VC 42009 (Y/N) Safety Zone-VC 42010 (Y/N) School Zone (Y/N)
Correctable Booking Required: (Y/N) (see reverse)
Violation (VC 40610)
(Yes/No) Code Section Description Overweight Misd./ Infrac.
(Y/N)
(Y/N)
(Y/N)
(Y/N)
(Y/N)
(Y/N)
Llbs (M/I)
lbs (M/I)
lbs (M/I)
lbs (M/I)
lbs (M/I)
lbs (M/I)
Speed Approx: P.F./Max Spd.: Veh. Lmt.: Safe: Radar: (Y/N)
Location of Violation(s) at: (City/County of Occurrence)
Conditions: (Weather, Road & Traffic Conditions, Etc.)
NOTICE TO APPEA R Citation: (No.)
Misdemeanor: (Y/N) Traffic: (Y/N) Nontraffic: (Y/N)
gency: (Name and Jurisdiction)
A
emarks:
ccident (Y/N)
WITHOUT ADMITTING GUILT, I PROMISE TO APPEAR AT THE
TIME AND PLACE INDICATED BELOW.
Signature
X
WHEN: ON OR BEFORE THIS DATE: __/___/_____ Time: (AM/PM)
WHAT TO DO: FOLLOW THE INSTRUCTIONS ON THE REVERSE.
PHOTO
WHERE: BEFORE A JUDGE OR CLERK OF THE
(Name of court[s])
(Section[s] or division[s], room no[s].)
(Street address[es])
(Phone No.)
To be notified (Y/N) Contact the clerk to appear at a night court session: (Y/N)
Violations not committed in my presence, declared on information or
belief.
declare under penalty of perjury under the laws of the State of California the
foregoing is true and correct.
Executed at: (Place) Violation Location:
____(Signature)__________ _ _ /_ / __
Arresting or Citing Officer Declaration Date
_____(Name)____ ______ _ _ /_ / __
Arresting Officer, Declaration Date
if different from Citing Officer:
erial / ID: _____________ Dates Off: / / to _/ /____
Judicial Council of California Form
New 06-26-15 (VC 40500(b), 40513(b),
40522, and 40600; PC 853.9 and
959.1) TR-145 DEFENDANT COPY
FPO Barcode
USS Code 39
R
A
I
_
S
ELECTRONIC TRAFFIC/NONTRAFFIC NOTICE TO APPEAR (Defendant’s Copy)
Shaded areas indicate spaces subject to violation details or modification for local or agency requirements.
LOCAL
AVAILABLE ONLINE AT [website address]
INFORMATION FOR THE CITATION
IS
IMPORTANT — READ CAREFULLY
WARNING: If you fail to appear in court as you have promised,
you may be arrested and punished by 6 MONTHS IN JAIL
AND/OR A $1,000 FINE regardless of the disposition of the
original charge. (Veh. Code, § 40508 or Pen. Code, § 853.7.) In
addition, any person who fails to appear as provided by law may
be deemed to have elected to have a trial by written declaration
(in absentia) pursuant to Vehicle Code section 40903(a) upon
any alleged infraction, as charged by the arresting/citing officer.
JUVENILE: If you were under age 18 at the time the citation was
issued, you must appear in court with your parent or guardian.
COURTESY NOTICE: A courtesy notice may be mailed to the
address shown on your citation, indicating the required deposit of
money (bail) that may be forfeited instead of your appearing in court.
If you do not receive such courtesy notice, you are still required to
comply with the items below by the appearance date.
WHAT TO DO
You are required to appear at court for a misdemeanor violation. For
all violations, your court date/time/place are provided above in this
notice to appear. Have the citation with you when contacting the
court. In all infraction cases, you must do one or more of the
following for each violation:
Pay the fine (bail). Correct the violation (traffic cases,
when applicable).
Appear in court. Request traffic school (traffic cases,
when applicable).
Contest the violation. Request trial by written declaration
(traffic cases).
If you do not do one of the above actions, then a “failure to appear”
charge will be filed against you (Veh. Code, § 40508(a)) and your
driver license may be withheld, suspended, or revoked. In some
courts you may be charged an amount in addition to the bail amount
and the case may be turned over to a collection agency.
(Pen. Code, § 1214.1.)
. If you do NOT contest the violation:
1
a. (Pay the bail amount) Contact the court for bail information.
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 may be charged to your DMV record
and your insurance may be adversely affected.
. (Traffic school) You may be able to avoid the point count by
completing traffic school. You must pay the bail amount as a fee,
and you may have to pay other fees. Contact the court to request
traffic school.
. (Correctable violations) If the “Yes” box is checked above, the
violation is correctable. Upon correction of the violation, have a law
enforcement officer or an authorized inspection/installation station
agent sign below. (Veh. Code, § 40616.) Registration and driver
license violations may also be certified as corrected at an office of
the DMV or by any clerk or deputy clerk of a court. The violation will
be dismissed by the court after PROOF OF CORRECTION and
payment of a transaction fee are presented to the court by mail or in
person by the appearance date. Violations of Vehicle Code section
16028 (automobile liability insurance) will be dismissed only upon (1)
your showing or mailing to the court evidence of financial
responsibility valid at the time this notice to appear was issued, and
(2) your payment of a transaction fee.
b
c
CERTIFICATE OF CORRECTION
(MUST BE RETURNED TO COURT)
Section
Violated
Signature
Certifying
Correction
Serial/
ID No.
Agency
Date
2. If you contest the violation (select a or b):
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 any witnesses will be present. You may be
required to submit the bail amount. Go online or call the court
for information on going to court without paying bail.—OR—
b. (Trial by written declaration (traffic infractions)) 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
appearance date to request a trial by written declaration. Submit the
bail amount. You will be given forms to allow you to write a
statement and to submit other evidence without appearing in court.
An officer will also submit a statement. The judicial officer will
consider the evidence and decide the case.
3 Make check/money order payable to Clerk of the Court. Write
your citation number and driver license number on your check or
money order. You may pay in person, by mail, or by phone.
4. If “Booking Required” is checked you must appear for booking
on a weekday prior to your court date at _____________________
between the hours of________ and _______ and bring the signed
verification to your court appearance.
Call _________________ for more information.
Booking Verification: I declare under penalty
of perjury under the laws of the State of
alifornia that _ (Defendant’s Name)___
was booked on ___ (Date)__________
fficer: ____________________________
erial / ID No.: ______________________
(L/ R) THUMB/
FINGER PRINT
C
O
S
ELECTRONIC TRAFFIC/NONTRAFFIC NOTICE TO APPEAR (Defendant’s Instructions)
Shaded areas indicate spaces subject to modification for local or agency requirements.
Notice to Appear and Related Forms
This info page is part of the LIT Lab's Form Explorer project. It is not associated with the California state courts. To learn more about the project, check out our about page.
Downloads: You can download both the original form (last checked 2023-03) and the machine-processed form with normalized data fields.
About This Form:
- Sourced from selfhelp.courts.ca.gov (2023-03)
- Page(s): 45
- Fields(s): 159
- Average fields per page: 3
- Reading Level: Grade 9
- LIST Grouping(s): GO-00-00-00-00.
Use our Rate My PDF tool to learn more. Go beyond the above insights and learn more about this or any pdf form at RateMyPDF.com, includes: counts of difficult words used, passive voice decetion, and suggestions for how to make the form more usable.
Identified Data Fields:
We have done our best to automaticly identify and name form fields according to our naming conventions. When possible, we've used names tied to our question library. See e.g., user1_name. If we think we've found a match to a question in our library, it is highlighted in green. Novel names are auto generated. So, you will probably need to edit some of them if you're trying to stick to the convention.
Here are the fields we could identify.
revised_effective_junewas revised_effective_june_26__2015 (0.53 conf)page_field__1was page_0_field_1 (0.31 conf)page_check__1was page_0_check_0 (0.34 conf)page_field__2was page_1_field_0 (0.31 conf)table_contentswas table_of_contents (0.37 conf)officer__1was 6_230_other_officer_10 (0.44 conf)chapter_purpose_formswas chapter_1__purpose_of_forms (0.42 conf)per_veh_code_pen_bwas 1per_veh__code_40500_a__and_pen__code_853_6_2per_veh__code_40513_b__and_pen__code_853_9 (0.37 conf)electronic_notice_appearwas 1_040_electronic_notice_to_appear (0.42 conf)per_pen_code_veh__1was 3per_pen__code_959_1_4per_veh__code_40505_5per_veh__code_40518_6per_pen__code_853_9 (0.32 conf)form_notice_appear_usedwas 3_form_tr_130__traffic_nontraffic_notice_to_appear_7_to_be_used_for_both (0.35 conf)notice_enforcement_casewas programming_notice_to_appear_forms__law_enforcement_agencies_should_contact_their__local_court_to_determine_if_there_are_any_local_requirements_for_the_court_s_case__management_system (0.42 conf)size_colorwas 4_020_size_and_color (0.40 conf)printing_expenseswas 4_060_printing_expenses (0.39 conf)agency_namewas 6_010_agency_name (0.49 conf)date_timewas 6_050_date_and_time (0.39 conf)per_veh_code_b_penwas 11per_veh__code_40500_a_40518_b__and_pen__code_853_6_12per_veh__code_40500_a_40518_b__and_pen__code_853_6 (0.38 conf)commercial_vehiclewas 6_100_commercial_vehicle (0.39 conf)defined_requirement_indicatewas 13commercial_vehicle_is_defined_in_veh__code_15210_b_the_requirement_to_indicate_if_offense_involves_a (0.34 conf)dismissed_upon_proofwas will_be_dismissed_upon_proof_of_correction_18 (0.41 conf)notice_must_chargedwas the_notice_to_appear_must_state_the_location_of_where_the_offenses_charged_occurred (0.47 conf)officer_declaration_beliefwas 6_210_officer_s_declaration_on_information_and_belief (0.31 conf)per_code_civ_proc_veh_penwas 22per_code_civ__proc_2015_5_23per_veh__code_40504_and_pen__code_853_6_24per_veh__code_40501_a (0.40 conf)obtained_must_leastwas of_motor_vehicles__with_a_certificate_of_mailing_obtained_as_evidence_of_service_25_the__time_to_appear_must_be_at_least_ten_days_after_the_notice_to_appear_is_delivered_26 (0.38 conf)forms_included_severalwas the_discretionary__shaded__areas_on_the_forms__see_appendix__depict_language_and_data__fields_that_are_frequently_included_at_the_option_of_the_court_or_law_enforcement_agency_with_the_consent_of_the_court_in_which_the_notice_to_appear_is_to_be_filed_because_of_limited_space__not_all_of_the_discretionary_language_and_data_fields_used__throughout_the_state_can_be_shown_on_the_sample_forms__the_following_are_narrative__descriptions_of_several_discretionary_data_fields (0.43 conf)bail_statementwas 7_010_bail_statement (0.38 conf)notice_issuing_warrant_arrestwas bail_the_defendant_is_to_be_admitted_to_bail_in_the_sum_of_dollars_note_the_mandatory_requirement_that_the_above_statement_appear_on_the_reverse_of_the__court_s_copy_disrupts_the_processing_of_notice_to_appear_forms_in_those_automated__courts__that_use_the_space_for_cash_register_validations__automated_traffic_system__notations__and_notes_of_court_proceedings_these_courts_use_a_separate_form_when_issuing__a_warrant_for_arrest_for_those_reasons__the_warrant_for_arrest_statement_is_now__discretionary (0.44 conf)per_pen_code_veh__2was 32per_pen__code_815_a_33per_veh__code_40500_a__and_pen__code_853_6 (0.34 conf)automated_traffic_systemwas c_the_thumbprint_item_does_not_appear_on_the_automated_traffic_enforcement_system (0.44 conf)per_public_law_usc_c_iv_codewas 34per_public_law_93_579_7_35per_42_usc_405_c__2__c__i_iv_36per_veh__code_1653_5_and_12801 (0.41 conf)af_fwas AFF030 (0.51 conf)owas o (0.44 conf)page_field__3was page_18_field_1 (0.36 conf)page_field__4was page_18_field_2 (0.36 conf)page_field__5was page_18_field_3 (0.36 conf)appearancewas appearance (0.34 conf)date_time_court_changedwas date_time_of_court_appearance_should_be_changed (0.37 conf)page_field__6was page_18_field_6 (0.36 conf)page_field__7was page_18_field_7 (0.36 conf)towas to (0.43 conf)fromwas from (0.41 conf)violation_section_changedwas violation_section_s__should_be_changed (0.32 conf)page_field__8was page_18_field_11 (0.36 conf)page_field__9was page_18_field_12 (0.36 conf)page_field__10was page_18_field_13 (0.36 conf)page_field__11was page_18_field_14 (0.36 conf)page_field__12was page_18_field_15 (0.36 conf)declare_penalty_laws_statewas i_declare_under_penalty_of_perjury_under_the_laws_of_the_state_of (0.43 conf)page_check__2was page_18_check_0 (0.33 conf)page_check__3was page_18_check_1 (0.26 conf)page_check__4was page_18_check_2 (0.26 conf)page_check__5was page_18_check_3 (0.26 conf)page_check__6was page_18_check_4 (0.26 conf)page_field__13was page_19_field_0 (0.31 conf)serial__1was serial__no (0.45 conf)unknown__1was 22 (0.38 conf)page_field__14was page_20_field_2 (0.36 conf)arresting_officer_citing__1was name_of_arresting_officer__if_different_from_citing_officer (0.45 conf)x_signaturewas x_signature (0.47 conf)obligationswas obligations (0.40 conf)page_field__15was page_23_field_0 (0.31 conf)serial__2was serial_no (0.45 conf)page_field__16was page_24_field_1 (0.36 conf)page_field__17was page_24_field_2 (0.36 conf)arresting_officer_citing__2was date_name_of_arresting_officer__if_different_from_citing_officer (0.46 conf)page_field__18was page_24_field_4 (0.36 conf)proof_except_mustwas 4_proof_of_correction__except_for_violations_that_must_be_cleared_at_a_certified_inspection_and (0.41 conf)page_field__19was page_27_field_0 (0.31 conf)follow_instructions_reversewas what_to_do__follow_the_instructions_on_the_reverse (0.34 conf)timewas time (0.45 conf)openwas is_open (0.35 conf)fpo_barcodewas fpo_barcode (0.52 conf)vehicle_front_signwas the_vehicle_identified_on_the_front_was_photographed_in_violation_of_a_traffic_signal_or_sign (0.34 conf)information_may_issuingwas for_more_information_about_the_evidence_in_this_case__you_may_contact_the_issuing_agency (0.38 conf)page_field__20was page_29_field_2 (0.36 conf)page_field__21was page_29_field_3 (0.36 conf)page_field__22was page_29_field_4 (0.36 conf)onwas on (0.33 conf)contactwas contact (0.36 conf)see_enclosed_informationwas or__see_enclosed_information (0.34 conf)number_license_check_moneywas write_the_citation_number_and_your_driver_license_number_on_your_check_or_money_order (0.39 conf)page_field__23was page_29_field_9 (0.36 conf)page_field__24was page_29_field_10 (0.36 conf)page_field__25was page_30_field_0 (0.31 conf)unknown__2was 8 (0.38 conf)page_field__26was page_31_field_1 (0.36 conf)unknown__3was 10 (0.38 conf)page_field__27was page_31_field_3 (0.36 conf)unknown__4was 11 (0.38 conf)unknown__5was 12 (0.38 conf)unknown__6was 13 (0.38 conf)unknown__7was 14 (0.38 conf)unknown__8was 15 (0.38 conf)unknown__9was 16 (0.38 conf)unknown__10was 18 (0.38 conf)page_field__28was page_31_field_11 (0.36 conf)page_field__29was page_31_field_12 (0.36 conf)page_field__30was page_31_field_13 (0.36 conf)page_field__31was page_31_field_14 (0.36 conf)page_field__32was page_31_field_15 (0.36 conf)page_field__33was page_31_field_16 (0.36 conf)atwas at (0.35 conf)hourswas between_the_hours_of (0.37 conf)defendant_name_date_officerwas defendant_s_name_date_officer_serial_no (0.36 conf)page_field__34was page_32_field_3 (0.36 conf)bookedwas was_booked_on (0.33 conf)page_field__35was page_32_field_5 (0.36 conf)page_field__36was page_34_field_0 (0.31 conf)unknown__11was 7 (0.38 conf)page_field__37was page_35_field_1 (0.36 conf)executed_place_locationwas executed_at__place_violation_location (0.42 conf)page_field__38was page_35_field_3 (0.36 conf)page_field__39was page_35_field_4 (0.36 conf)page_field__40was page_35_field_5 (0.36 conf)page_field__41was page_35_field_6 (0.36 conf)page_field__42was page_36_field_0 (0.31 conf)page_field__43was page_36_field_1 (0.36 conf)page_field__44was page_36_field_2 (0.36 conf)page_field__45was page_36_field_3 (0.36 conf)page_field__46was page_36_field_4 (0.36 conf)page_field__47was page_36_field_5 (0.36 conf)cidwas cid_3 (0.29 conf)declare_laws_statewas 24_i_declare_under_penalty_of_perjury_under_the_laws_of_the_state_of_california_that_the_foregoing_is_true (0.45 conf)executed_placewas executed_at__place (0.37 conf)page_field__48was page_39_field_2 (0.32 conf)page_field__49was page_39_field_3 (0.32 conf)page_field__50was page_39_field_4 (0.32 conf)page_field__51was page_39_field_5 (0.32 conf)page_field__52was page_39_field_6 (0.32 conf)page_field__53was page_39_field_7 (0.32 conf)name_arresting_officerwas name_of_arresting_officer (0.41 conf)page_field__54was page_39_field_9 (0.32 conf)page_field__55was page_39_field_10 (0.32 conf)fmwas fm (0.35 conf)page_field__56was page_40_field_1 (0.36 conf)page_field__57was page_40_field_2 (0.36 conf)serial__3was serial (0.46 conf)page_field__58was page_40_field_4 (0.36 conf)page_field__59was page_40_field_5 (0.36 conf)page_field__60was page_40_field_6 (0.36 conf)page_field__61was page_40_field_7 (0.36 conf)charged_arresting_officerwas infraction__as_charged_by_the_arresting_citing_officer (0.50 conf)appear_court_parent_guardianwas appear_in_court_with_your_parent_or_guardian (0.47 conf)bring_signed_courtwas and_bring_the_signed_verification_to_your_court_appearance (0.37 conf)prior_court_datewas prior_to_your_court_date_at (0.50 conf)page_field__62was page_41_field_4 (0.32 conf)callwas call (0.36 conf)defendant_name_datewas defendant_s_name_date (0.32 conf)informationwas for_more_information (0.27 conf)page_field__63was page_41_field_8 (0.32 conf)officer__2was officer (0.47 conf)page_field__64was page_42_field_0 (0.37 conf)page_field__65was page_43_field_0 (0.37 conf)different_citing_officerwas if_different_from_citing_officer (0.50 conf)bring_signedwas and_bring_the_signed (0.30 conf)andwas and (0.41 conf)page_field__66was page_44_field_2 (0.32 conf)page_field__67was page_44_field_3 (0.32 conf)california_defendant_bookedwas california_that_defendant_s_name_was_booked_on (0.43 conf)page_field__68was page_44_field_5 (0.32 conf)
We've done our best to group similar variables togther to avoid overwhelming the user.
Suggested Screen 0:
revised_effective_junepage_field__1page_check__1page_field__2table_contentsofficer__1chapter_purpose_formsper_veh_code_pen_belectronic_notice_appearper_pen_code_veh__1form_notice_appear_usednotice_enforcement_casesize_colorprinting_expensesagency_namedate_timeper_veh_code_b_pencommercial_vehicledefined_requirement_indicatedismissed_upon_proofnotice_must_chargedofficer_declaration_beliefper_code_civ_proc_veh_penobtained_must_leastforms_included_severalbail_statementnotice_issuing_warrant_arrestper_pen_code_veh__2automated_traffic_systemper_public_law_usc_c_iv_codeaf_fopage_field__3page_field__4page_field__5appearancedate_time_court_changedpage_field__6page_field__7tofromviolation_section_changedpage_field__8page_field__9page_field__10page_field__11page_field__12declare_penalty_laws_statepage_check__2page_check__3page_check__4page_check__5page_check__6page_field__13serial__1unknown__1page_field__14arresting_officer_citing__1x_signatureobligationspage_field__15serial__2page_field__16page_field__17arresting_officer_citing__2page_field__18proof_except_mustpage_field__19follow_instructions_reversetimeopenfpo_barcodevehicle_front_signinformation_may_issuingpage_field__20page_field__21page_field__22oncontactsee_enclosed_informationnumber_license_check_moneypage_field__23page_field__24page_field__25unknown__2page_field__26unknown__3page_field__27unknown__4unknown__5unknown__6unknown__7unknown__8unknown__9unknown__10page_field__28page_field__29page_field__30page_field__31page_field__32page_field__33athoursdefendant_name_date_officerpage_field__34bookedpage_field__35page_field__36unknown__11page_field__37executed_place_locationpage_field__38page_field__39page_field__40page_field__41page_field__42page_field__43page_field__44page_field__45page_field__46page_field__47ciddeclare_laws_stateexecuted_placepage_field__48page_field__49page_field__50page_field__51page_field__52page_field__53name_arresting_officerpage_field__54page_field__55fmpage_field__56page_field__57serial__3page_field__58page_field__59page_field__60page_field__61charged_arresting_officerappear_court_parent_guardianbring_signed_courtprior_court_datepage_field__62calldefendant_name_dateinformationpage_field__63officer__2page_field__64page_field__65different_citing_officerbring_signedandpage_field__66page_field__67california_defendant_bookedpage_field__68
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