Application To Reduce Traffic Infraction(S) Page 2
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1
2OFFICE OF THE
CLINTON COUNTY
DISTRICT ATTORNEY
Clinton County Government Center
ANDREW J. WYLIE
137 Margaret Street, Suite 201
Tel. (518) 565-4770
District Attorney
Plattsburgh, New York 12901
Fax. (518) 565-4777
APPLICATION TO REDUCE TRAFFIC INFRACTION(S)
The purpose of this application is to provide the public with a means to have their traffic infractions reviewed by the District Attorney.
The Court has the final decision as to the outcome of the reduction and sets all fines/fees.
PLEASE PRINT CLEARLY
Name:___________________________________________ Date of Birth: ___/___/_____ Age:_____
Driver’s License: State:_____ ID#:________________ Email Address: ________________________
Mailing Address:____________________________________________________________________
City:_____________________ State:______ Zip Code:________ Telephone #:__________________
Town Court:__________________________ Charge(s):_____________________________________
Ticket Number(s):____________________________ Date Ticket(s) Issued:_____________________
Issuing Agency:______________________________ Issuing Officer:__________________________
No
Yes
Was There Property Damage? No
Yes
Was There An Accident?
Name(s) of Owner(s) of Damaged Property:_______________________________________________
Was There Personal Injury? No
Yes
Name of Injured Person(s)______________________
No
Yes
If Yes, Lawyer’s Name:________________________
Do You Have a Lawyer?
Lawyer’s Mailing Address:_______________________ City:_____________ State:____ Zip_______
No
Yes
Unknown
Was a Roadside Reduction Given by the Issuing Officer?
Have You Applied for a Traffic Ticket Reduction in N.Y.S. Over the last 24 Months. No
Yes
I understand that in making this request for a reduction, I waive all rights to a speedy trial.
A reduction should be granted for the following reason(s): (Attach Additional Sheet if Necessary)
___________________________________________________________________________________________________
___________________________________________________________________________________________________
___________________________________________________________________________________________________
NOTICE PURSUANT TO PENAL LAW § 210.45
IN A WRITTEN INSTRUMENT, ANY PERSON WHO KNOWINGLY MAKES A FALSE STATEMENT THAT SUCH
PERSON DOES NOT BELIEVE TO BE TRUE HAS COMMITTED A CRIME UNDER THE LAWS OF THE STATE OF
NEW YORK PUNISHABLE AS A CLASS “A” MISDEMEANOR.
Applicant’s Signature:_______________________________
Date:____/_____/_____
(UTT Form 7/13)
Side 2 of 2
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