Here is the text we could read:
CONTINUATIONOFCITATION
(Face of Violator’s Copy)
(Name of Agency and Jurisdiction)
CONTINUATION
OF CITATION
(cid:2) NOTICE TO APPEAR
(cid:2) NOTICE TO CORRECT VIOLATION
(cid:2) Traffic
(cid:2) MISDEMEANOR
(cid:2) Nontraffic
(Citation No.)
Time
AM
PM
Day of Week
S M T W T F S
Case No.
Date of Violation
/
/
Name (First, Middle, Last)
Veh. Lic. No. or VIN
Correctable Violation (Veh. Code, § 40610)
Yes
No
Code and Section
Description
State
Misdemeanor or
Infraction (Circle)
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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.
/
/
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
Judicial Council of California Form
Rev.01-01-04 (Veh.Code, §§ 40500(b), 40513(b), 40522, 40600, 40610(d), 40618;Pen.Code, § 853.9)
SEE REVERSE
TR-108
Shaded areas on the form indicate spaces subject
to modification for local or agency requirements.
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CONTINUATIONOFCITATION
(Reverse of Violator’s Copy)
IMPORTANT—READ CAREFULLY
This form is used when multiple offenses are charged and the original Notice to Appear / Notice to Correct
Violation form does not provide sufficient space for the listing of all the charges. PLEASE REFER TO THE
REVERSE OF THE 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 court by mail or in person on
or before the appearance date. Proof of correction should be obtained for driver license, registration, and
equipment violations. CORRECT EQUIPMENT VIOLATIONS IMMEDIATELY.
Violations of Vehicle Code section 16028 (automobile 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.
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 CORRECTION must be provided 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 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 at 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: (cid:2)
(cid:2) COURT, (cid:2)
(cid:2) CITING AGENCY)
Section(s)
Violated
Signature of Person
Certifying Correction
Serial No.
Agency
Date
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to modification for local or agency requirements.
CONTINUATIONOFCITATION
(Reverse of Court’s Copy)
(Circle one)
RIGHT or LEFT
THUMBPRINT
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to modification for local or agency requirements.
Continuation of Citation
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): 3
- Fields(s): 10
- Average fields per page: 3
- Reading Level: Grade 10
- LIST Grouping(s):
GO-00-00-00-00.
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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.
citation
was of_citation (0.62 conf)veh_lic_vin
was veh__lic__no__or_vin (0.47 conf)correctable_violation_code
was correctable_violation__veh__code_40610 (0.39 conf)continuation_enforcement_document
was a_continuation_of_the_enforcement_document_noted (0.36 conf)serial
was serial_no (0.45 conf)page_field
was page_0_field_5 (0.31 conf)name_arresting_different_citing
was name_of_arresting_officer__if_different_from_citing_officer (0.46 conf)x_signature
was x_signature (0.47 conf)location
was fill_in_location (0.38 conf)reverse_violator_copy
was reverse_of_violator_s_copy (0.35 conf)continuationofcitation
was continuationofcitation (0.35 conf)
We've done our best to group similar variables togther to avoid overwhelming the user.
Suggested Screen 0:
Suggested Screen 1:
Suggested Screen 2:
Suggested Screen 3:
veh_lic_vin
correctable_violation_code
continuation_enforcement_document
page_field
name_arresting_different_citing
x_signature
reverse_violator_copy
continuationofcitation
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