Notice Of Correction And Proof Of Service Template printable pdf download

Notice Of Correction And Proof Of Service Template

NAME OF COURT:

STREET ADDRESS:

MAILING ADDRESS:

CITY AND ZIP CODE:

BRANCH NAME:

TELEPHONE:

PEOPLE OF THE STATE OF CALIFORNIA

vs.

DEFENDANT:

NOTICE OF CORRECTION AND PROOF OF SERVICE

(Vehicle Code, § 40505)

AMENDING OFFICER NAME/ID NO.:

DEPARTMENT/AGENCY:

CITATION NUMBER:

CASE NUMBER:

1. A Notice to Appear/Notice to Correct Violation was issued to

you by an officer of this department on (date):

2. The citation issued to you contained an error as indicated by

the items checked below. This notice of correction does not

affect the validity of the citation or the required court

appearance.

Date/time of violation should be ________________

Date/time of court appearance should be changed

from ____________________ to __________________

Violation section(s) should be changed

from ____________________ to __________________

Location of violation should be changed

from ____________________ to __________________

Other (specify):

I declare under penalty of perjury under the laws of the State of

California that the foregoing is true and correct.

Date:

(Signature of officer)

Form Adopted for Mandatory Use

Judicial Council of California

TR-100 [Rev. January 1, 2004]

Notice Of Correction And Proof Of Service Template