Duii Diversion Form 2 - Uniform Duii Diversion Petition And Agreement printable pdf download

Circuit Court of the State of Oregon for Multnomah County

UNIFORM DUII DIVERSION PETITION AND AGREEMENT - DUII Diversion Form 1

DUII diversion forms 2, 3, and 4 must be filed with this form and served on the district attorney or city attorney who filed the charge.

Petitioner is to provide the information required in this box as follows (print or type):

For Court File

Petitioner’s Name and Residence:

Court where charge was filed and

Stamp

petition is to be submitted:

_____________________________________________________________

Multnomah Circuit Court

First

Middle

Last

Court Name

_____________________________________________________________

Street

City

State

ZIP

________________________

Court Case Number

_____________________________________________________________

Mailing Address (if different)

________________________

Date of Birth:

Phone #:

Driver License:

Date of DUII Offense

____ /____ /_____

_______________

_________________ ______

Month Day Year

Number

State

Petitioner’s Agreement and Waiver

I, the petitioner, request that this court grant a diversion under ORS 813.200 to 813.270 in this case for the charge

of driving under the influence of intoxicants (DUII). If the court allows this petition:

I agree to all of the items listed under the “Agreement with the Court” section of DUII Diversion Form 2 (located on the back of this form

unless filed electronically) and have read and understand all of the other information in Form 2;

I plead guilty or no contest to the DUII charge as shown in the plea petition (DUII Diversion Form 4) submitted with this diversion petition;

I waive (give up) the rights listed in the plea petition; and

I waive my former jeopardy rights under the federal or state constitutions and ORS 131.505 to 131.525 in any future action on the charge or

any other offenses based on the same criminal incident.

I waive the right to have diversion show cause proceedings in Gresham if the arrest for this offense occurred east of 122

Avenue.

__________________________________

__________________

Petitioner’s Signature

Petitioner’s Name (typed or printed)

Date

For Court File

COURT ORDER

Stamp

The court

(denies) the petition for diversion. The DUII charge is alleged to have occurred on _________________,

(allows)

20____. If “allowed,” this court withholds entry of a judgment of conviction pending completion or termination of the diversion,

and orders that:

The diversion period is one year beginning on ____ /____ /_____ and ending on ____ /____ /_____;

The petitioner must pay fees to the court for the diversion as required by statute unless waived or deferred; Fees: $358

The court waives the following fees:

None

INDF $25

DICO $100

OPTS $136

UNAS $97

TOTAL FEES OWING: $_________

Due immediately, or

Payment schedule: $____ per month due by the ____ day of each month beginning ____

/____ /____

The petitioner must attend a victim impact panel approved by this court.

The petitioner must pay any court-appointed attorney fees as ordered by the court.

The petitioner must file a motion at the end of the diversion requesting that the DUII charge be dismissed.

Other:__________________________________________________________________________________________________

________________________________________________________________________________________________________

__________________________________

__________________

Name of Judge

Signature of Judge

Date

08-27 (01/08)

Distribution: Original – Court

Copies – DA, DMV, Evaluator, Petitioner, Defense Attorney

(See SLR 4.075)

Supplementary Local Rules

Fourth Judicial District, Circuit Court of the State of Oregon for Multnomah County

Draft Revision to be Effective February 1, 2008

American LegalNet, Inc.

Duii Diversion Form 2 - Uniform Duii Diversion Petition And Agreement

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