TR-510
Form Adopted for Mandatory Use
Judicial Council of California
TR-510 [Rev. Sept. 1, 2015]
NOTICE AND WAIVER OF RIGHTS AND REQUEST
FOR REMOTE VIDEO PROCEEDING
Cal. Rules of Court, rule 4.220
Vehicle Code, § 40901
www.courts.ca.gov
NAME OF COURT:
STREET ADDRESS:
MAILING ADDRESS:
CITY AND ZIP CODE:
BRANCH NAME:
FOR COURT USE ONLY
PEOPLE OF THE STATE OF CALIFORNI
v.
DEFENDANT (Name):
NOTICE AND WAIVER OF RIGHTS AND REQUEST FOR
REMOTE VIDEO PROCEEDING
(Veh. Code, § 40901)
CITATION NUMBER/CASE NUMBER:
Is Bail Required By Court?
Yes No
DUE DATE (For Form):
1. Notice to Defendant of Rights
You have the right to appear in person in court before a judicial officer without deposit of bail for an arraignment to be informed of
the charges against you, be advised of your rights, enter a plea, and request that a trial be scheduled without deposit of bail.
You have the right to request with deposit of bail that a trial be scheduled for the same date as your arraignment.
You have the right to a speedy trial within 45 days of submitting your request for a trial.
You have the right to be physically present in court for trial and sentencing and all other stages of the proceedings including, but
not limited to, presentation of testimony and evidence and arguments on questions of law.
You have the right to have witnesses testify under oath in court and to confront and cross-examine them in court.
2. Waiver of Rights and Request for Remote Video Arraignment or Trial Under Rule: _________
a. I, (print name): ______________________________, am the defendant in this traffic infraction case and understand that my rights
include those listed above and also the right to hire an attorney and subpoena witnesses. I understand that a remote video
proceeding (RVP) uses two-way electronic audiovisual communication between the court and me at the remote location instead of
having me physically appear in the courtroom. By requesting RVP I agree to appear at the designated off-site location and agree
that the court may order me to appear in my case by RVP for any related proceedings. By requesting that the court allow me to
proceed without being physically present in court and appear for all proceedings by RVP, I voluntarily elect to waive (give up) the
following rights for (check one)
arraignment trial: INITIALS
My right to appear for arraignment in person in court before a judicial officer and have a trial on the same day;
My trial right to a speedy trial within 45 days; and
My trial right after arraignment to be physically present in the court for trial and sentencing and all other stages
of the proceedings, including, but not limited to, presentation of testimony and evidence and arguments on
questions of law, and confrontation and cross-examination of witnesses in court.
I have read the Instructions to Defendant for Remote Video Proceedings (form TR-500-INFO) and request to appear by RVP in this
case. I understand that the court may permit the officer who issued the ticket and any other witnesses to appear in court to testify
and be cross-examined while I appear at the remote location and may deny my request at any time and order me to be present in
the courtroom for any proceedings conducted in this case.
b. If bail is required for trial: $______ is enclosed. Reason for bail: ________________________________________________
c. I need an interpreter: Yes No (language): _______________
d. I have an attorney to represent me: Yes No (name of attorney): _____________________________________
e. I declare under penalty of perjury under the laws of the State of California that the information I have provided on this form and all
attachments is true and correct. I promise to appear for all proceedings ordered by the court in this case. I understand that if I do
not appear as promised the court may forfeit any bail that I posted; hold the trial in my absence; impose a civil assessment of up to
$300 under Penal Code 1214.1 or issue a warrant for my arrest; and report the failure to appear to the Department of Motor
Vehicles for a hold on my license.
Date:
►
DEFENDANT’S SIGNATURE
_________________________________
(Defendant’s Phone Number)
_____________________________________________________ _______________________
(Defendant’s Street Address/City/State/ZIP) (Defendant’s E-mail Address)
Please return this form to the court clerk in person or mail to:
[Court location]
TO BE COMPLETED BY CLERK
Date:
Approved by:
DEPUTY CLERK
Hearing set for (type of hearing): ______________________ on (date): _______________ at (time): ___________________
Location: [off-site location] [off-site location] Page 1 of 1
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