(Declaration continued on reverse)
REQUEST FOR TRIAL BY WRITTEN DECLARATION
(Vehicle Code, § 40902)
I have reviewed the Instructions to Defendant (Trial by Written Declaration) (form TR-200).
I request to have a trial by written declaration.
The facts contained in the Declaration of Facts on the reverse are personally known to me and are true and correct.
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.
EVIDENCE The following evidence supports my case and includes everything I want the court to consider in deciding my case:
photographs (specify total number): diagram
medical record car repair receipt
registration documents insurance documents
inspection certificate other (specify):
REQUEST FOR TRIAL BY WRITTEN DECLARATION
(Trial by Written Declaration—Traffic)
FOR COURT USE ONLY
STREET ADDRESS:
MAILING ADDRESS:
CITY AND ZIP CODE:
BRANCH NAME:
PEOPLE OF THE STATE OF CALIFORNIA
NAME OF COURT:
TR-205
CITATION NUMBER:
1.
2.
3.
4.
5.
a.
b.
c.
d.
f.
g.
h.
Form Adopted by the
Judicial Council of California
TR-205 [New January 1, 1999]
Vehicle Code, § 40902
CASE NUMBER:
TO BE FILLED OUT BY COURT CLERK
Bail amount required: $
Bail amount already deposited by defendant: $
DUE DATE (for receipt of this form and any unpaid bail) (specify):
Date mailed or delivered by clerk:
Mail or deliver completed form, evidence, and mail to the Clerk of the (specify): Court at (mailing address):
B.
C.
A.
D.
E.
REQUEST FOR TRIAL
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