Uniform Traffic Ticket Plea Form - Batavia Town Court
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2BATAVIA TOWN COURT
Phone: 585-343-1729 Ext 216
3833 WEST MAIN ST. ROAD
Fax: 585-343-8998
BATAVIA, NY 14020
Email:
UNIFORM TRAFFIC TICKET PLEA FORM
(NOT TO BE USED FOR MISDEMEANORS OR FELONIES)
NAME: ____________________________________________ _
DOB: ______________________________
ADDRESS: _________________________________________
_________________________________________
COURT USE ONLY
DOCKET #: ____________________
CHARGE(S): ________________________________________
RECEIVED: ____________________
FIRST APPEARANCE DATE: ____________________
________________________________________
________________________________________
PLEASE READ THIS STATEMENT BELOW AND INITIAL ON THE LINE BEFORE CONTINUING WITH YOU PLEA.
A PLEA OF GUILTY TO THIS CHARGE IS EQUIVALENT TO A CONVICTION AFTER TRIAL. IF YOU ARE
CONVICTED, NOT ONLY WILL YOU BE LIABLE TO A PENALTY, BUT IN ADDITION, YOUR LICENSE TO
DRIVE A MOTOR VEHICLE OR MOTORCYCLE, AND YOUR CERTIFICATE OF REGISTRATION, IF ANY, ARE
SUBJECT TO SUSPENSION AND REVOCATION AS PRESCRIBED BY LAW.
Please initial line __________
PLEASE COMPLETE ONE SECTION BELOW
SECTION A: PLEA OF GUILTY
I, ______________________________, have been charged with the violation(s) above. I also
acknowledge receipt of the warning printed in bold type above and I waive arraignment in open court and the aid
of an Attorney. I therefore plead GUILTY to the offense(s) as charged.
Additionally, I make the following statement of explanation (option):
___________________________________________________________________________________________
___________________________________________________________________________________________
Date: ____________________
Signature: _____________________________________________
SECTION B: PLEA OF NOT GUILTY
The following notice applies to you if the officer did not issue you a supporting deposition with your ticket –
NOTICE: YOU ARE ENTITLED TO RECEIVE A SUPPORTING DEPOSITION FURTHER EXPLAINING THE
CHARGE(S) PROVIDED YOU REQUEST SUCH SUPPORTING DEPOSITIONS WITHIN THIRTY (30) DAYS
FROM THE DATE YOU ARE DIRECTED TO RESPOND TO THE COURT NOTED ABOVE.
DO YOU REQUEST A SUPPORTING DEPOSITION?
YES
NO
I, ______________________________, hereby am pleading not guilty to the charge(s) listed above.
Date: ____________________
Signature: _____________________________________________
Conviction may subject you to a mandatory surcharge and/or Driver Responsibility Assessment as prescribed by law.
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