REQUEST FOR RESET
Last Name: _________________________________ First Name: ____________________________________
Citation/Case Number: ________________________ Court Date: ____________________________________
Date of Birth (MM/DD/YYYY): ___________________ Driver’s License Number: ______________________
Defendant requests that this court reschedule the hearing calendared for the above court date. Defendant is
unable to appear for the following reason:
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
For these reasons, Defendant requests the Court reschedule the hearing.
_______________________________ _______________________________
Signature Date
_______________________________
Printed Name
NOTE: If approved, the Court will mail a reset notice with your new court date to your address on
file. You must appear at your scheduled court date if you do not receive a new reset date.
OFFICIAL MUNICIPAL COURT OF ATLANTA USE
Accepting Clerk: __________________________________ File Date: ____________________________
Request Number: ☐ 1
st
☐ 2
nd
☐3
rd
☐ other: __________________
