Form Adopted by the
Judicial Council of California
TR-205 [New January 1, 1999]
Vehicle Code, § 40902
REQUEST FOR TRIAL BY WRITTEN DECLARATION
(Trial by Written DeclarationTraffic)
Court at (mailing address):
REQUEST FOR TRIAL
NAME OF COURT:
STREET ADDRESS:
MAILING ADDRESS:
BRANCH NAME:
CITY AND ZIP CODE:
PEOPLE OF THE STATE OF CALIFORNIA
vs.
DEFENDANT:
REQUEST FOR TRIAL BY WRITTEN DECLARATION
(Vehicle Code, § 40902)
FOR COURT USE ONLY
CASE NUMBER:
CITATION NUMBER:
TR-205
TO BE FILLED OUT BY COURT CLERK
DUE DATE (for receipt of this form and any unpaid bail) (specify):
A.
Bail amount required: $
B.
Bail amount already deposited by defendant: $
C.
Date mailed or delivered by clerk:
D.
E.
Mail or deliver completed form, evidence, and mail to the Clerk of the
(specify):
1.
I have reviewed the Instructions to Defendant (Trial by Written Declaration) (form TR-200).
I request to have a trial by written declaration.2.
The facts contained in the Declaration of Facts on the reverse are personally known to me and are true and correct.3.
I know that I have the right not to be compelled to be a witness against myself. I understand and agree that by making any
statement, I am giving up and waiving that right and privilege.
4.
EVIDENCE The following evidence supports my case and includes everything I want the court to consider in deciding my case:5.
photographs
diagram
e.a.
medical record
car repair receipt
f.b.
registration documents
c.
inspection certificate
d.
(specify total number):
insurance documents
e.
other
f.
(specify):
(Declaration continued on reverse)
I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct.
(SIGNATURE)
TR-205 [New January 1, 1999]
REQUEST FOR TRIAL BY WRITTEN DECLARATION
(Trial by Written DeclarationTraffic)
Page two
Date:
TR-205
PEOPLE v. DEFENDANT (Name):
CASE NUMBER:
(TYPE OR PRINT NAME)
DECLARATION OF FACTS (Type or print only. State what happened and explain all the items of evidence you checked in item 5
on the reverse and tell how they support your case. You may add additional pages.)
6.
(Name):
(Current mailing address):
STATEMENT OF FACTS (begin here):
7.
Number of pages attached:
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