Form Tr-115 - Traffic Notice To Appear - Judicial Council Of California Form
ADVERTISEMENT
1
2Change Document Font | Size
Check Spelling Email Form Save Form
TRAFFIC NOTICE TO APPEAR
Automated Traffic Enforcement System
+
(NAME OF AGENCY AND JURISDICTION)
NOTICE TO APPEAR
Automated Traffic Enforcement
(Citation No.)
Date of Violation
Time
AM
Day of Week
Case No.
PM
S M T W T F S
/
/
1.
Name (First, Middle, Last)
2.
Address
3.
City
State
ZIP Code
4.
Driver Lic. No.
State
Class
Commercial
Age
Birth Date
5.
/
/
Yes
No
Sex
Hair
Eyes
Height
Weight
Race
6.
Veh. Lic. No. or VIN
State
7.
COMMERCIAL VEHICLE
(Veh. Code, § 15210(b))
Yr. of Veh.
Make
Model
Body Style
Color
+
8.
HAZARDOUS MATERIAL
(Veh. Code, § 353)
Registered Owner or Lessee
9.
Address
10.
City
State
ZIP Code
11.
Code and Section
Description
12.
Location of Violation at
City/County of Occurrence
13.
Violation was not committed in my presence. The above is declared on information and belief and is
based on photographic evidence.
I declare under penalty of perjury under the laws of the State of California the foregoing is true and
correct.
ID No.
Date Issued
Declarant
14.
+
YOU MUST RESPOND TO THE COURT ON OR BEFORE:
WHEN: DATE:_____________________________________
15.
Time: _______
AM
PM
WHAT TO DO: FOLLOW THE INSTRUCTIONS ON THE REVERSE.
Clerk’s Office Hours
WHERE: [Name of court[s]]
16.
[Insert hours clerk’s office
[Section[s] or division[s], room no[s].]
is open.]
[Street address[es]]
[Phone no.
FPO Barcode
DEFENDANT COPY
SEE REVERSE
Judicial Council of California Form
TR-115
Rev. 06-26-15 (Veh. Code, § 40518)
Shaded areas on the form indicate spaces subject
to modification for local or agency requirements.
+
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Legal