WAIVER, STIPULATION AND ORDER OF CONTINUANCE | 2 City of Sumner
1104 Maple Street
White - Court Sumner WA 98390
Yellow - Defendant Phone: (253) 299-5610
Pink - City Attorney Fax: (253) 299-5509
The Defendant shall comply with the conditions of and complete the following assessment(s) and/or program(s). Defendant shall pay for any and
all treatment and file proof of compliance with the court:
Obtain ___ Alcohol/Drug ___ Mental ____ DV Evaluation within ___ days; fully follow all recommended treatments.
File proof of enrollment in treatment/counseling recommended in evaluation by ______________.
Alcohol/Drug Information School by . Perform hours of community service by .
Attend DV DUI Impact Panel by . Anger management class by .
Consumer awareness program by . Defensive driving school by .
No contact with ____________________________ No Hostile contact with _________________________.
Notify court of changes of address within 5 days. Firearms .
Maintain law-abiding behavior. A judicial finding of probable cause for a criminal offense occurring after entry of this Stipulation
violates this condition.
Submit monthly reports to the court until completed or otherwise ordered by the court.
The Defendant shall pay $ and/or $______ restitution to be paid to the court in full by or
monthly at $______________ a month beginning ___________________________, 20_____.
Pursuant to CrRLJ 6.1.2, the Defendant knowingly, intelligently, and voluntarily agrees that in the event of a violation of any of the
conditions listed in Paragraph II above, this Stipulated Order shall be revoked and the Court will enter a verdict on the above-listed
crimes based strictly upon its review of the police reports and other materials submitted by the City. The City makes a standing motion for
the court to summons the defendant for any violation of the above listed conditions except for failure to notify the court of changes of
address within 5 days and failure to make payments, except for restitution, prior to the final review of this agreement. Upon reaching its verdict,
the Court will then proceed to sentencing.
The Defendant stipulates to the admissibility and sufficiency of the facts contained in the police reports and other materials associated
with this case and submitted to the Court by the City. The Defendant understands and agrees that s/he has given up the right to present
facts and to raise any and all legal objections and/or defenses regarding this case.
No one has made any threats or promises to get the Defendant to enter this Stipulation, other than the City's promise to dismiss the case
upon Defendant's full compliance with the terms contained in Paragraph II of this Stipulation.
DATED this _______ day of _______________________ , 20____.
Prosecuting Attorney, WSBA# Defendant
Attorney for Defendant, WSBA#
I am fluent in the language. I have translated this entire document, including any and all exhibits and attachments, for the Defendant from
English into that language. I certify under penalty of perjury under the laws of the State of Washington that the foregoing is true and correct.
Location: ______________________ Date: Interpreter:
The Defendant shall comply with the conditions contained herein and shall appear at all scheduled hearings. Failure to appear
shall constitute a basis for revocation. The Defendant shall appear for an interim review hearing on _________________________ at
Unless otherwise agreed to by the parties, the Defendant shall appear for a final review /dismissal hearing on _____________________ at
Probable cause was found on ____________________ . If applicable, bail is hereby released or exonerated _______ yes no.
Date Judge/Pro Tem