REQUEST FORM FOR DRIVER'S SAFETY COURSE
Complete the form and click on the button below to print it.
I hereby plead
NOLO CONTENDERE or
GUILTY
I DO possess a valid Texas Driver's License or Permit.
I have NOT taken a Driver's Safety Course in lieu of paying a fine during the past 12 months.
I am not in the process of taking a Driver's Safety Course to dismiss another offense.
I have not completed a Driver's Safety Course that is not yet reflected on my driving record.
I am NOT accused of an offense of traveling 25MPH or more over the posted speed limit.
I am not accused of traveling in a Construction Zone with Workers Present.
I have ENCLOSED a Copy of my Financial Responsibility (Insurance).
I have ENCLOSED a Copy of my Driver's License.
I have ENCLOSED a cashier's Check or Money Order, payable to the Justice Court in the amount of $108.00.
I understand this form must be NOTARIZED
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I have requested a copy of my Driving Record (#3A) from www.texasonline.com.
I DO NOT possess a Commercial Driver's License.
IF YOU HAVE COMPLIED WITH THE ABOVE REQUIREMENTS, YOU ARE ELIGIBLE FOR THE COURSE AND WILL NOT RECEIVE ANY FURTHER CORRESPONDENCE FROM THE COURT. YOU WILL HAVE 90 DAYS FROM THE DATE YOU WERE CITED TO APPEAR, TO COMPLETE THE COURSE.
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SWORN TO AND SUBSCRIBED TO BEFORE ME THIS THE ________ DAY OF ___________________________ , 20 _______ |
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| NOTARY PUBLIC | |
| Name ( Print or type as it appears on driver's license) | |
| Citation Number | |
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HONORABLE JOHN K. MILBURN
JUSTICE OF THE PEACE
Precinct 2
P.O. BOX 316
HILLSBORO, TX. 76645
(254) 582-4025
Notice:Texas Law prohibits Judges or their Clerks from discussing the merits of cases that are or may be filed in this court. Should you need legal advice you should contact an Attorney of your own choosing. Do Not attempt to obtain legal advice from this court.