Request For And Deferred Order For Traffic Infraction Form printable pdf download

Infraction Number: IB______________________________

$_________________________

REQUEST FOR AND DEFERRED ORDER FOR TRAFFIC INFRACTION(S)

Pursuant to RCW 46.63.070, I hereby request that the Bellingham Municipal Court accept my admission to

committing the above-listed infraction(s) and enter a deferred finding. I understand that if this request is granted and I

comply with ALL of the following CONDITIONS, the infraction(s) will be DISMISSED WITHOUT FURTHER FINES OR

COSTS after one year. In order to apply for this deferral, I hereby agree to ALL of the following conditions:

(INITIAL ALL FOUR CONDITIONS AND SIGN BELOW TO INDICATE AGREEMENT)

I AGREE TO PAY to the court a non-refundable administrative fee EQUAL TO THE FACE VALUE OF THE

X______

TICKET, to be PAID TODAY. This fee will not be reduced or waived.

I hereby ADMIT having committed the above-listed infraction(s). I understand that the Court will find the infraction

X______

committed based upon this admission if the deferred finding is revoked.

I hereby AGREE that if, in the State of Washington, I have been found to have committed any further traffic

X______

infraction(s) within one year from the date the Judge signed the Order, or have any pending traffic infraction(s)

one year from the date the Order was signed,* this Deferred Finding will be revoked without further hearing

and the present violation will be reported as “committed” to the Department of Licensing.

X______ I hereby CERTIFY that I have not received any prior deferred findings or deferred orders under RCW 46.63.070

within the last 7 years, that I do not have a commercial driver’s license (CDL), and that I am at least 18 years

old. I understand that if this information is found to be incorrect, the deferral will be revoked, and the above-

referenced infraction(s) will be reported to the Department of Licensing.

_____________________________

_______________________________________________________

Date

Requesting Party (Signature)

_______________________________________________________

Print Your Name

ORDER

The Court, having reviewed the request as set forth above, hereby makes the following FINDINGS AND ORDERS:

1. The above-referenced infraction(s) is found COMMITTED based upon the above admission.

2. A deferred order pursuant to RCW 46.63.070(5)(a) shall be ENTERED upon payment of costs.

3. Upon satisfaction of the above conditions by the requesting party, the clerk shall DISMISS the above-entitled

infraction(s) in one year.

4. If the requesting party FAILS to satisfy any of the above conditions, the clerk shall enter an order finding the violation

“committed,” and report that finding to the Department of Licensing.

_______________________________

_________________________________________________________

Date

Judge/Commissioner

*A Defendant who has a pending traffic infraction(s) in any court in the State of Washington one year from the date the

Order is signed by the Judge may request, in writing, that the deferred finding be continued briefly to allow a contested

hearing on the new infraction(s) to occur. Failure to request such a continuance in writing, no later than 15 days after the

one year anniversary of this Order, will result in revocation due to the new violation(s).

Revised 6/10

Request For And Deferred Order For Traffic Infraction Form

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