DEFENSIVE DRIVING COURSE REQUEST
You may submit this form by signing and emailing to "court@leandertx.gov", or
Return by mail or fax to:
Leander Municipal Court, 201 N. Brushy St, Leander, TX 78641
Phone:(512) 259-1239 Fax: (512) 690-2214
CITATION NO:
OFFENSE:
FULL NAME: Driver’s License # and State
Date of Request (mm/dd/yyyy)
Email
Mailing Address Home Phone
City, State, Zip Code
Cell Phone
PAYMENT METHODS:
CASH OR MONEY ORDERS /NO CHECKS
PAY ONLINE:
www.leandertx.gov under “PAY MY BILLS” (with a processing fee)
I am entering a plea of GUILTY or NOLO CONTENDERE to this traffic violation and waive my right to a jury trial.
I affirm that I have a valid Texas Driver’s License that is not a CDL. (A copy must be provided to Court)
I affirm that I currently have proof of auto insurance. (A copy must be provided to Court)
I affirm that my driving record does not indicate successful completion of a Driving Safety Course within the last year
immediately preceding the date of the alleged offense in this case. (A copy of driver record type 3A must be obtained
from Texas DPS www.texas.gov and provided to Court)
(Required) Defendant's signature: ________________________________________________________
SWORN TO AND SUBSCRIBED before me, the undersigned authority, on this the ______ day of ________________, 20___.
_______________________________________________
(Notary Public, State of Texas)(Court Clerk)
I affirm that I am not currently in the process of taking a course under this provision.
Defensive driving fee is $134 ($159 if in school zone) for citations issued prior to 2020.
Defensive driving fee is $144 ($169 if in school zone) for citations issued in 2020.
**No checks are accepted**
*** Even if submitted by fax or email, this form must be notarized and the original must be mailed back to Court at the
address provided above. If requested in person at the Court's office, the court clerk can witness this form at no charge. ***
You may sign and submit this form by email to "court@leandertx.gov"
OR -
Return by mail or fax to:
Leander Municipal Court, 201 N. Brushy St, Leander, TX 78641
Phone:(512) 259-1239 Fax: (512) 690-2214
