Form Center

2. REQUEST FOR TRIAL
4. NAME:*
6. STREET ADDRESS:*
8. CITY, STATE AND ZIP:*
10. PHONE #:*
12. EMAIL:*
14. CITATION #:*
16. OFFENSE(S):*
18. I am entering a plea of NOT GUILTY and I request the following:*

    1. A trial by JURY
    2. I waive my right to a trial by jury and request a trial by JUDGE
20. I understand I must submit this request with a copy of my driver’s license or ID before my court date.
22. SUBMIT COPY OF DRIVER'S LICENSE OR ID:*
24. ELECTRONIC SIGNATURE:*
    Please type full name and date in lieu of signature
26. I WISH TO RECEIVE MY PAPERWORK IN THE FOLLOWING MANNER:*

    1. By mail to the home address provided above

    1. By email to the email address provided above
28. Please contact the court office at 281-338-6702 if you have any questions.
Leave This Blank:


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

    This field is not part of the form submission.

32. Submit

* indicates a required field