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2. Instructions
   You may use this form to request a dismissal of an eligible case. Remember to attach the required proof to ensure proper processing of your request.
4. I hereby request the court to dismiss my citation for:

   1. Defective equipment
   2. Expired motor vehicle registration
   3. Expired driver's license

   1. Failure to change name or address on driver's license
   2. No motor vehicle insurance
   3. No or only one valid license plate
6. Proof of Correction/Insurance
   I am providing the required documents as proof that the issue I was cited for was corrected or of valid insurance coverage at the time of the stop. If eligible, I will receive notification by email or text message of any fee assessed along with payment instructions to complete the dismissal process. I further understand that submission of a request does not guarantee the dismissal of my request.
8. Attach File 1*
9. Attach File 2
11. Citation Number*
13. Defendant's First Name*
14. Defendant's Last Name*
16. Address1*
18. Address2
20. City*
21. State*
22. Zip*
24. Primary Phone Number*
25. Alternate Phone Number
27. Defendent's Email Address*
Leave This Blank:


29. 1. Receive an email copy of this form.
30. Email address

    This field is not part of the form submission.

31. Submit

* indicates a required field