COUNTY COURT, PINELLAS COUNTY, FLORIDA
TRAFFIC COURT RECORDS
Citation No.(s)
STATE OF FLORIDA
vs.
Infraction(s) - Charge(s)
PLEA OF NOT GUILTY AND REQUEST FOR HEARING
I, the above alleged offender, acknowledge service upon me of citation(s) charging me with the above stated infraction(s)
and desire to enter my plea of NOT GUILTY, and request a hearing as indicated in the checked space(s) below.
I understand that I have the following rights:
1. Right to a public hearing upon the evidence.
2. Right to be represented by a lawyer of my own choosing at my own cost.
3. Right to have witnesses subpoenaed to testify on my behalf.
I understand that if I plead not guilty I forfeit my right to pay the civil penalty and may be subject to a fine of up to $500.00
plus costs if I am found guilty. I also understand that a not guilty plea forfeits any right that I may have to elect attendance
at a defensive driving course to avoid receiving points against my driver's license and that, if found guilty, I may be
assessed points.
I do hereby: (Check appropriate box or boxes)
Certify that there were no injuries as a result of an
accident and consent to a hearing before a traffic
infraction hearing officer.
Agree to furnish my own lawyer at my cost.
Certify that injuries did result from an accident and
request a hearing before a County Court Judge.
Waive my right to a lawyer.
Waive my right to a speedy trial.
Desire issuance of witness subpoenas.
I HEREBY, CERTIFY my address below is correct and will advise the Court in writing of any change in such address within
three (3) days of such change.
I have retained a copy of this form for my records
Alleged Offender's Signature
Alleged Offender's Phone Number
Alleged Offender's Current Address (Number, Street, City, State, Zip Code)
Attorney for Alleged Offender Attorney 's Phone Number
Attorney's Address (Number, Street, City, State, Zip Code)
Upon receipt of your plea, the Clerk's Office will notify you of your court
date, time and location.
Please attach a copy of your citation(s) to this request.
