Fillable NOTICE-FAILURE TO APPEAR IN COURT (Unified Judicial System - State of Alabama)

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NOTICE-FAILURE TO APPEAR IN COURT (Unified Judicial System - State of Alabama)

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State of Alabama
Unified Judicial System
Form UTC-6A Rev.1/96
NOTICE-FAILURE TO APPEAR IN COURT
Case Number
___ ____ _____________
ID YR Number
Our court records indicate that you did not appear on (DATE) ____________________ to answer the charge of _________________________
____________________________________________. THIS COURT HAS RESENT YOUR CASE TO (NEW COURT DATE)__________________.
Unless you contact this court and settle this case, a warrant will be issued for your arrest and the Department of Public safety or your home state’s
licensing authority will be notified to suspend your drivers license. If suspended, you may not legally operate a motor vehicle and will not be permitted to
renew your license after expiration until this case is settled. Driving while suspended or failure to submit license upon request of the department of
Public safety is punishable by fine or jail sentence.
THIS CASE CAN BE SETTLED BY □ COURT APPEARANCE □ MAILING PAYMENT. If the Court Appearance Block is checked, YOU MUST
APPEAR IN COURT. If the Payment block is checked, the court costs and fine is .You may pay in person or send a Money
Order or Certified Check made payable to this Court. Personal Checks cannot be accepted. Please return this Notice with your payment. If you wish to
contest this charge, you must appear in court on the new court date shown above. - COURT –
Mail
Notice
Name -
To:
Address -
Telephone No. -
State of Alabama
Unified Judicial System
Form UTC-6B Rev.10/92
COURT REPORT TO THE DEPARTMENT OF PUBLIC SAFETY, STATE OF ALABAMA,
THAT THE FOLLOWING PERSON FAILED TO APPEAR IN COURT TO ANSWER
CHARGE OF A TRAFFIC OFFENSE.
CASE NUMBER UTC NUMBER ALABAMA, COUNTY OF OFFENSE DATE
MONTH DAY YEAR
NAME AND ADDRESS DRIVERS LICENSE NUMBER
First Middle/Maiden Last
State
Street Address
SEX RACE DATE OF BIRTH
MONTH DAY YEAR
City State Zip
VEHICLE TAG NUMBER STATE YEAR VEHICLE DESCRIPTION – YEAR, MAKE , TYPE
OFFENSE DESCRIPTION ADDRESS PHONE
□ DISTRICT □ MUNICIPAL
COURT OF
(205)
COURT ORI NUMBER FAILED TO APPEAR
Street Address
MONTH DAY YEAR
City State Zip
Mail Total Amount of Fine and cost due Directly to the Court Named Above. Total Amount Due: $ ________________________.
DISTRIBUTION: Part 1- DPS suspension Copy
Part 2- DPS Clearance Copy
Part 3 – Court Record Copy Judge/Clerk Signature Date
State of Alabama
Unified Judicial System
Form UTC-6B Rev.10/92
COURT REPORT TO THE DEPARTMENT OF PUBLIC SAFETY, STATE OF ALABAMA,
THAT THE FOLLOWING PERSON SETTLED CASE
INVOLVING CHARGE OF A TRAFFIC OFFENSE.
CASE NUMBER UTC NUMBER ALABAMA, COUNTY OF OFFENSE DATE
MONTH DAY YEAR
NAME AND ADDRESS DRIVERS LICENSE NUMBER
First Middle/Maiden Last
State
Street Address
SEX RACE DATE OF BIRTH
MONTH DAY YEAR
City State Zip
VEHICLE TAG NUMBER STATE YEAR VEHICLE DESCRIPTION – YEAR, MAKE , TYPE
OFFENSE DESCRIPTION ADDRESS PHONE
□ DISTRICT □ MUNICIPAL
COURT OF
(205)
COURT ORI NUMBER FAILED TO APPEAR
Street Address
MONTH DAY YEAR
City State Zip
FINAL – CONVICTION OF COST FINE DATE SETTLED
DISTRIBUTION: Part 2- DPS Clearance Copy
Judge/Clerk Signature Date
State of Alabama
Unified Judicial System
Form UTC-6B Rev.10/92
COURT REPORT TO THE DEPARTMENT OF PUBLIC SAFETY, STATE OF ALABAMA,
THAT THE FOLLOWING PERSON SETTLED CASE
INVOLVING CHARGE OF A TRAFFIC OFFENSE.
CASE NUMBER UTC NUMBER ALABAMA, COUNTY OF OFFENSE DATE
MONTH DAY YEAR
NAME AND ADDRESS DRIVERS LICENSE NUMBER
First Middle/Maiden Last
State
Street Address
SEX RACE DATE OF BIRTH
MONTH DAY YEAR
City State Zip
VEHICLE TAG NUMBER STATE YEAR VEHICLE DESCRIPTION – YEAR, MAKE , TYPE
OFFENSE DESCRIPTION ADDRESS PHONE
□ DISTRICT □ MUNICIPAL
COURT OF
(205)
COURT ORI NUMBER FAILED TO APPEAR
Street Address
MONTH DAY YEAR
City State Zip
FINAL – CONVICTION OF COST FINE DATE SETTLED
DISTRIBUTION: Part 3- Court Record Copy
Judge/Clerk Signature Date
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NOTICE-FAILURE TO APPEAR IN COURT (Unified Judicial System - State of Alabama)

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Completed 16 April 2021

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