Bikram Ticket Form Sample – Fill Out and Use This PDF

The Bikram Ticket Sample form serves as an official document utilized in Oregon for recording a wide range of offenses, including traffic violations, wildlife infractions, and more, when no separate complaint will be filed. This comprehensive form ensures that all relevant details of the infraction are documented accurately, facilitating a smoother legal process. For assistance in filling out the Bikram Ticket Sample form correctly, consider clicking the button below for guidance.

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Bikram Ticket Form Sample PDF Details

At the heart of ensuring legal protocols and procedures are upheld, the Bikram Ticket Sample form represents a critical tool utilized within the state of Oregon's judicial system. Created to streamline the processing of various violations or crimes, this comprehensive document caters to a wide array of offenses including traffic, wildlife, boating, and commercial fishing violations, among others. Adopting a uniform format, it simplifies the process for both issuing officers and defendants, ensuring clarity and consistency across the board. The form meticulously records the defendant's personal information, details of the alleged offense, and instructions for the defendant's court appearance. Its structured layout, divided into sections that cover everything from the nature of the violation or crime to specifics about the offense location, vehicle or vessel involved, and the presumptive fines, is designed to leave no stone unturned. Additionally, it emphasizes the accountability of the issuing officer through certification and affirmation under applicable laws, underscoring the seriousness and formality of the citation process. Tailored to meet legal requirements as per ORS 153.045, 133.068, and 133.069, among others, the form serves as a crucial component in Oregon's efforts to maintain public order and safety, providing a standardized approach to handling citations that necessitates a court appearance.

Question	Answer
Form Name	Bikram Ticket Form Sample
Form Length	10 pages
Fillable?	No
Fillable fields	0
Avg. time to fill out	2 min 30 sec
Other names	police ticket sample, uniform citation form, uc citation form 1, fill out oregon uniform citation and complaint

Form Preview Example

2012 Oregon Uniform Citation (UC) Form 1 (Ticket size needed 8" by 5)

OREGON UNIFORM CITATION AND COMPLAINT

Use for All Violations or Crimes Where Separate Complaint Will Not Be Filed/ ORS 153.045 or 133.069

 CRIME(S)	OR	 VIOLATION(S)		 Traffic  Other	 Wildlife

(See A on Back)	(Not Both)	(See B on Back)		 Boating  Commercial Fishing
STATE OF OREGON			)	Docket No. _________________________
CITY/OTHER PUBLIC BODY _______________________________			)	Court:  Municipal	 Justice
COUNTY OF ______________________________			)	 Juvenile	 Circuit

COMPLAINT

DEFENDANT		THE UNDERSIGNED CERTIFIES AND SAYS THAT THE FOLLOWING PERSON:									Reserved
	ID Type:			ID No:				State:	License
	 CDL	 Non-CDL		ID No:				State:	Class:
	 CDL	 Non-CDL							Class:
	Name: Last					First			MI
										forDAuse:
	Address:							Tel
								No:
	City:				State:	Zip Code:		Def. is: Passenger		 Employed to
								drive ____________________
	Sex:		Race:	DOB:		Height:	Weight:	Hair:		Eyes:
TIME/PLACE	AT THE FOLLOWING TIME AND PLACE IN THE ABOVE-MENTIONED STATE AND COUNTY:
	Offense Date		Month	Day	Year	Time	 AM  PM	 Highway __________
	on or about:							 Premises open to public
	At or near Location:									Courtuse:	Reservedfor
										Courtuse:	Reservedfor
REL.					INVOLVING THE FOLLOWING:
REL.	Type:		Regis/VIN/ID No.				State:	 Accident	 Injury
INFO	Type:		Regis/VIN/ID No.				State:	 Accident	 Injury
								 Property damage	 Endanger others
	Vehicle year, make, model, style, color, OR Other, describe:

	Other:	 Driver not Reg. Owner  Haz Material
	Other:	 Commercial Veh.
		 Commercial Veh.

OFFENSE(S)

DID THEN AND THERE COMMIT THE FOLLOWING OFFENSE(S):

 Intentional

 Knowing

 Reckless

 Criminal negligence

 Safety Corridor

1. Presumptive fine:

1. Violated

Describe Alleged Spd

Designated Spd

Posted Limit

 Radar

(cite ORS/

 VBR

 Pace

ORD/rule)

 Laser

___________

 No culpable mental state

 Pstd Sch Zn  Hwy Wk Zn

2. Violated

Describe

(cite ORS/

ORD/rule)

 Intentional

 Knowing

 Reckless

 Criminal negligence  No culpable mental state

2. Presumptive fine:

3. Violated

Describe

(cite ORS/

ORD/rule)

 Intentional

 Knowing

 Reckless

 Criminal negligence  No culpable mental state

3. Presumptive fine:

OTH.

Expl.

I certify under ORS 153.045 and 153.990 and under other applicable law and under penalties for false swearing, do swear/affirm that I			Officer(s) Agency ID:
have sufficient grounds to and do believe that the above-mentioned defendant/person committed the above offense(s) and I have served
the defendant/person with this complaint:			1st Officer ID No:
			1st Officer ID No:
_________________________________	_______________________________________________________________________
Date Issued	1st Officer Signature		2nd Officer ID No.
Print 1st Officer Name:			2nd Officer ID No.
Print 1st Officer Name:

2nd Officer or arresting person (if not officer):	Signature:	Print name:

YOUR COURT APPEARANCE DATE, TIME AND LOCATION ARE:

Mo/Day/Year

Time:

Location:

 AM  PM

2012 Oregon Uniform Citation (UC) Form 2 (Ticket size needed 8" by 5)

OREGON UNIFORM MOTOR CARRIER CITATION AND COMPLAINT

Use for All Violations or Crimes Where Separate Complaint Will Not Be Filed/ ORS 153.045 or 133.069

 CRIME(S)

 VIOLATION(S)

 Traffic  Other

 Wildlife

(See A on Back)

(Not Both)

(See B on Back)

 Boating  Commercial Fishing

STATE OF OREGON

)

Docket No. _________________________

CITY/OTHER PUBLIC BODY _______________________________

)

Court:  Municipal

 Justice

COUNTY OF ______________________________

)

 Juvenile

 Circuit

DEFENDANT

THE UNDERSIGNED CERTIFIES AND SAYS THAT THE FOLLOWING PERSON:

ID Type:

ID No:

State:

License

 CDL  Non-CDL

Class:

Name: Last

First

Address:

Tel

No:

City:

State:

Zip Code:

Def. is: Passenger

 Employed to drive

____________________

Sex:

Race:

DOB:

Height:

Weight:

Hair:

Eyes:

TIME/PLACE

AT THE FOLLOWING TIME AND PLACE IN THE ABOVE-MENTIONED STATE AND COUNTY:

Offense Date

Month

Day

Year

Time

 AM  PM

 Highway __________

on or about:

 Premises open to public

At or near Location:

REL.

INVOLVING THE FOLLOWING:

INFO

Vehicle Registration No.

State

Veh. Yr.

Make

Model

 Accident  Injury

 Property damage

ODOT NO:

 Haz. Mat.

 CDL Related

Commodity

 Endanger others

 Hwy work zone

Owner

Address

City

State

Zip Code

OFFENSE(S)

DID THEN AND THERE COMMIT THE FOLLOWING OFFENSE(S):

1. Violated

Describe

(cite ORS/

ORD/rule)

 Overload

 Axle  Tandem  Group

Alleged Wt: _________________________

1. Presumptive fine:

 Permit Violation  Vehicle  Combination

Wt. Limit:

2. Violated

Describe

(cite ORS/

ORD/rule)

 Oversize

 Width  Height  Length

Alleged Size: ________________________

2. Presumptive fine:

 Permit Violation  No ODOT Permit

Size Limit:

3. Violated

Describe

(cite ORS/

ORD/rule)

3. Presumptive fine:

OTH.

Expl.

Reserved

COMPLAINT for DA use:

Reserved for Court use:

I certify under ORS 153.045 and 153.990 and under other applicable law and under penalties for false swearing, do swear/affirm that I			Officer(s) Agency ID:
			Officer(s) Agency ID:
have sufficient grounds to and do believe that the above-mentioned defendant/person committed the above offense(s) and I have served
the defendant/person with this complaint:
			1st Officer ID No:
_________________________________	_______________________________________________________________________
Date Issued	1st Officer Signature
Print 1st Officer Name:			2nd Officer ID No.
Print 1st Officer Name:

2nd Officer or arresting person (if not officer):	Signature:	Print name:

YOUR COURT APPEARANCE DATE, TIME AND LOCATION ARE:

Mo/Day/Year

Time: Location:

 AM  PM

2012 Oregon Uniform Citation (UC) Form 3 (Ticket size needed 8" by 5)

OREGON UNIFORM BOATING CITATION AND COMPLAINT

Use for All Violations or Crimes Where Separate Complaint Will Not Be Filed/ ORS 153.045 or 133.069

 CRIME(S)

 VIOLATION(S)

 Traffic  Other

 Wildlife

(See A on Back)

(Not Both)

(See B on Back)

 Boating  Commercial Fishing

STATE OF OREGON

)

Docket No. _________________________

CITY/OTHER PUBLIC BODY _______________________________

)

Court:  Municipal

 Justice

COUNTY OF ______________________________

)

 Juvenile

 Circuit

DEFENDANT

THE UNDERSIGNED CERTIFIES AND SAYS THAT THE FOLLOWING PERSON:

ID Type:

ID No:

State:

License

 CDL  Non-CDL

Class:

Name: Last

First

Address:

Tel

No:

City:

State:

Zip Code:

Def. is: Passenger

 Employed to drive

____________________

Sex:

Race:

DOB:

Height:

Weight:

Hair:

Eyes:

TIME/PLACE

AT THE FOLLOWING TIME AND PLACE IN THE ABOVE-MENTIONED STATE AND COUNTY:

Offense Date

Month

Day

Year

Time

 AM

 PM

 Highway __________

on or about:

 Premises open to public

At or near Location:

REL.

INVOLVING THE FOLLOWING:

INFO

Vessel Registration No:

Regis Expires: Mo

Day

Year

 Defendant not registered owner

Make

Length

Hull ID No.:

 Accident

 Injury

 Property damage

 Endanger others


OPERATION		 Towing without an observer  Water skiing or similar activity, 830.365		 Skier down flag
	DID THEN AND THERE COMMIT THE FOLLOWING OFFENSE(S) (UP TO 3 OFFENSES):
	Off#_______	 Speed/wake/motor  830.180  830.185		Designated:	Alleged:
		 Radar	 250._____________ - ___________________________________

EQUIPMENT	Off#_______	 Personal flotation device, 830.215			 Insufficient number			 Not approved	Persons:	PFDs:
	Off#_______	 Personal flotation device, 830.215			 Insufficient number			 Not approved	Persons:	PFDs:
		 Not accessible  Defective  No thowable
		 Not accessible  Defective  No thowable
		 Navigation lights, 830.225		 Operating without			 Improper
		 Navigation lights, 830.225		 Operating without			 Improper

		 Mufflers/excessive noise, 830.260			 Measured level  None/inadequate				Noise
									Noise	OAR 250-10-121
									Level:	OAR 250-10-121
									Level:
		 Fire extinguisher, 830.220		 Insufficient no.		 Discharged  Not approved			 Not accessible

RETIS.	Off#_______	 Certificate of Number 830.770:			 Not aboard	 Expired				1. Presumptive Fine
		 Identifying Number 830.780:		 Incorrect display			 Not displayed  Not applied for 830.785			1st off: $
										2. Presumptive Fine
		 Validation stickers, 830.795:		 Incorrect or not displayed				 Expired		2. Presumptive Fine
		 Validation stickers, 830.795:		 Incorrect or not displayed				 Expired		2nd off: $
Off#_________  Other			Describe							3. Presumptive Fine
(cite ORS/			Describe							3rd off: $
ORD/rule)

Reserved

COMPLAINT for DA use:

Reserved for Court use:

OTH.		Expl.

I certify under ORS 153.045 and 153.990 and under other applicable law and under penalties for false swearing, do swear/affirm that I have sufficient grounds to and do believe that the above-mentioned defendant/person committed the above offense(s) and I have served the defendant/person with this complaint:

_________________________________	_______________________________________________________________________
Date Issued	1st Officer Signature
Print 1st Officer Name:

Officer(s) Agency ID:

1st Officer ID No:

2nd Officer ID No.

2nd Officer or arresting person (if not officer): Signature:

Print name:

YOUR COURT APPEARANCE DATE, TIME AND LOCATION ARE:

Mo/Day/Year

Time:

Location:

 AM  PM

2012 Oregon Uniform Citation (UC) Form 4 (Ticket size needed 8" by 5)

OREGON UNIFORM FISH/WILDLIFE CITATION AND COMPLAINT

Use for All Violations or Crimes Where Separate Complaint Will Not Be Filed/ ORS 153.045 or 133.069

 CRIME(S)	OR	 VIOLATION(S)		 Traffic  Other	 Wildlife
(See A on Back)	(Not Both)	(See B on Back)		 Boating  Commercial Fishing
	(Not Both)

STATE OF OREGON			)	Docket No. _________________________
CITY/OTHER PUBLIC BODY _______________________________			)	Court:  Municipal	 Justice
COUNTY OF ______________________________			)	 Juvenile	 Circuit

COMPLAINT

DEFENDANT

for DAuse:

Reserved

THE UNDERSIGNED CERTIFIES AND SAYS THAT THE FOLLOWING PERSON:

ID Type:

ID No:

State:

License

 CDL  Non-CDL

Class:

Name: Last

First

Address:

Tel

No:

City:

State:

Zip Code:

Def. is: Passenger

 Employed to drive

____________________

Sex:

Race:

DOB:

Height:

Weight:

Hair:

Eyes:

TIME/PLACE

Courtuse:

Reservedfor

AT THE FOLLOWING TIME AND PLACE IN THE ABOVE-MENTIONED STATE AND COUNTY:

Offense Date

Month

Day

Year

Time

 AM  PM

 Highway __________

on or about:

 Premises open to public

At or near Location:

REL.

INVOLVING THE FOLLOWING:

INFO

Boat/Vehicle Regis or License No:

State:

 Accident

 Injury

 Property damage

 Endanger others

Describe (year, make, model, length, color, other)

Hunting/Angling License No:

Unit No.

Stream No.

OFFENSE(S)

DID THEN AND THERE COMMIT THE FOLLOWING OFFENSE(S):

Describe

1. Violated

(cite ORS/

ORD/rule)

 Intentional

 Knowing

 Reckless

 Criminal negligence  No culpable mental state

1. Presumptive fine:

Describe

2.Violated (cite ORS/ ORD/rule)

	 Intentional  Knowing  Reckless  Criminal negligence  No culpable mental state	2. Presumptive fine:

OTH.		Expl.
		Expl.

I certify under ORS 153.045 and 153.990 and under other applicable law and under penalties for false swearing, do swear/affirm that I			Officer(s) Agency ID:
have sufficient grounds to and do believe that the above-mentioned defendant/person committed the above offense(s) and I have served
the defendant/person with this complaint:
			1st Officer ID No:
_________________________________	_______________________________________________________________________
Date Issued	1st Officer Signature		2nd Officer ID No.
Print 1st Officer Name:

2nd Officer or arresting person (if not officer):	Signature:	Print name:

YOUR COURT APPEARANCE DATE, TIME AND LOCATION ARE:

Mo/Day/Year

Time: Location:

 AM  PM

2012 Oregon Uniform Citation (UC) Form 5 (Ticket size needed 8" by 5)

OREGON UNIFORM CRIMINAL CITATION

Use for All Citable Crimes Where Separate Complaint Will Be/Has Been Filed/ ORS 133.068

See Back of Summons	 Traffic  Other  Wildlife	 Boating  Commercial Fishing

STATE OF OREGON		)	Docket No. _________________________
CITY/OTHER PUBLIC BODY _______________________________		)	Court:  Municipal	 Justice
COUNTY OF ______________________________		)	 Juvenile	 Circuit

CITATION

DEFENDANT		THE UNDERSIGNED CERTIFIES AND SAYS THAT THE FOLLOWING PERSON:								for DA use:	Reserved
	ID Type:			ID No:				State:	License
	 CDL	 Non-CDL		ID No:				State:	Class:
	 CDL	 Non-CDL							Class:
	Name: Last					First			MI

	Address:								Tel
									No:
	City:				State:	Zip Code:			Def. is: Passenger
	City:				State:	Zip Code:			 Employed to drive
									 Employed to drive
									____________________
	Sex:		Race:	DOB:		Height:	Weight:	Hair:	Eyes:
TIME/PLACE	AT THE FOLLOWING TIME AND PLACE IN THE ABOVE-MENTIONED STATE AND COUNTY:
	Offense Date		Month	Day	Year	Time	 AM  PM	 Highway ___________________		Court use:	Reserved for
	on or about:							 Premises open to public
	At or near Location:

OFFENSE(S)			DID THEN AND THERE COMMIT THE FOLLOWING OFFENSE(S):
	1. Violated					Describe
	(cite ORS/
	ORD/rule)

	 Intentional	 Knowing	 Reckless	 Criminal negligence  No culpable mental state

	2. Violated				Describe
	(cite ORS/
	ORD/rule)

	 Intentional	 Knowing	 Reckless	 Criminal negligence  No culpable mental state

	3. Violated				Describe
	3. Violated				Describe
	(cite ORS/
	ORD/rule)

	 Intentional	 Knowing	 Reckless	 Criminal negligence  No culpable mental state

OTH.						Expl.

I certify and swear/affirm under applicable law that I have sufficient grounds to and do believe that the above-mentioned defendant/person committed the above offense(s) and I have served the defendant/person with this citation:

_________________________________	_______________________________________________________________________
Date Issued	1st Officer Signature
Print 1st Officer Name:

Officer(s) Agency ID:

1st Officer ID No:

2nd Officer ID No.

2nd Officer or arresting person (if not officer): Signature:	Print name:

Complaint or information filed at time of citation:  Yes  No	BY:

YOUR COURT APPEARANCE DATE, TIME AND LOCATION ARE:

Mo/Day/Year

Time:

Location:

 AM  PM

2012 Oregon Uniform Citation (UC) Form 6 Back of complaint/abstract pages of ALL citations. (Ticket size needed 8" by 5”)

RECORD AND:  Circuit Court Register		 Justice Court Docket  Municipal Court Docket
HANDLED BY:	 VIOLATIONS BUREAU	BASED ON:  WRITTEN SUBMISSION
	 COURT		 APPEARANCE

DATE	EVENT/NOTES			INITIAL

	COMPLAINT FILED

	WRITTEN RESPONSE RECEIVED

	ARRAIGNED	 MISD.  VIOL	 161.566 OR
			 161.568 (reduction)
	SECURITY RELEASE AT: $	RECEIPT NO:

	COURT/JURY TRIAL		( WAIVED)

	CRIMINAL RIGHTS GIVEN

	ATTORNEY:	OSB #	( WAIVED)

	WARRANT ORDERED:	ISSUED:

	DIVERSION AGREEMENT:

	CONTINUED TO:	REASON:

ORS 135.355 CONDITIONAL PLEA

The attached additions to this record/register are incorporated by reference, see page(s):  1 (by ________);						 2 (by ________)
JUDGMENT OF THE COURT (SUBMIT ABSTRACT COPY UNDER ORS 153.111)
OFF	RESPONSE/PLEA	CHANGE	FINDING	DETERMINATION	OFFENSE SITE	TYPE	CLASS
#		PLEA

G NG

FTA

Dism

A B C D Oth

G NG

FTA

Dism

Oth

G NG

FTA

Dism

Oth

DISPOSITION:  137.533 Deferred Sentence  Sent.Imp.Sus.  Dr. Priv. Susp. ___________________ (Time) Conv. Spd. ___________

JAIL: ________________________________________________________________________________________________________________

Probation/Other: _______________________________________________________________________________________________________

_____________________________________________________________________________________________________________________

The attached additions to this judgment are incorporated by reference, see page(s):  1 (by ________);  2 (by ________);  3 (by ________).

MONEY JUDGMENT

OFFENSE 1

OFFENSE 2

OFFENSE 3

MONEY OBLIGATION

IMPOSE

SUSPEND

IMPOSE

SUSPEND

IMPOSE

SUSPEND

FINE

COSTS

RESTITUTION

TOTALS

TOTAL AMOUNT TO PAY THAT IS NOT SUSPENDED (FROM OFFENSES, 1, 2, AND 3) $__________________________

TERMS OF PAYMENT: ________________________________________________________________________________________________

_____________________________________________________________________________________________________________________

All moneys, including suspended moneys, become due immediately under ORS 153.090(4) if nonsuspended moneys not paid in accordance with terms of payment.

The attached additions to this MONEY judgment are incorporated by reference, see page(s):  1 (by _______);  2 (by _______).

Judgment Creditor:  State of Oregon	 Other ______________________________________
Judgment Debtor:  Defendant	 Other ______________________________________

______________________________	_______________________________________________________
Date	Signature of:  Judge ( Violations Clerk, where allowed)

2012 Oregon Uniform Citation (UC) Form 7 (Ticket size needed 8" by 5”)

ISSUING OFFICER’S AFFIDAVIT

I hereby depose and state the following:

Defendant Finger Print:

 R  L  T  2  3  4  5

				Defendant Finger Print:
				 R  L
				 T  2
				 3  4
				 5

RELEVANT CONDITIONS:			Traffic:
RELEVANT CONDITIONS:			 Light  Medium		 Heavy
			 Light  Medium		 Heavy

Bad Road Surface:			At Intersection:
 Wet	 Snow	 Ice	 Controlled	 Uncontrolled  Drwy./Alley

Limited Visibility:			Area:
 Night	 Rain	 Snow  Fog	 Business	 School	 Residential

Other:

I swear/affirm to the above-stated facts.

__________________	_____________________________________	_______________
Date	Officer Signature	ID No.

Subscribed and sworn to before me this __________ day of ________________________, 2______

_______________________________________________

Clerk/Notary Public for Oregon

My Commission expires: __________________________

Date

2012 Oregon Uniform Citation (UC) Form 8 (Ticket size needed 8" by 5”)

ISSUING OFFICER’S AFFIDAVIT

I hereby depose and state the following:

WATER TRAFFIC

Light

Medium

Heavy

Defendant Finger Print:

 R  L  T  2  3  4  5

Defendant Finger Print:

 R  L  T  2  3  4  5

GENERAL CONDITIONS				SITUATIONS
				SITUATIONS
			 Person	 Struck
LOCALE	VISIBILITY		 Person	 Struck
LOCALE	VISIBILITY		 Boat	 Nearly struck
 Open	 Clear	 Fog	 Boat	 Nearly struck
 Open	 Clear	 Fog	 Other	 _________________
 Restricted	 Dark	 Rain

I swear/affirm to the above-stated facts.

__________________	_____________________________________	_______________
Date	Officer Signature	ID No.

Subscribed and sworn to before me this __________ day of ________________________, 2______

_______________________________________________

Clerk/Notary Public for Oregon

My Commission expires: __________________________

Date

2012 Oregon Uniform Citation (UC) Form 9, Back of summons copy of all uniform citation

forms except Form 5, Ticket size needed 8" by 5”

A COMPLAINT WILL BE FILED AGAINST YOU IN THE COURT SHOWN ON THE FRONT OF THIS CITATION.

READ CAREFULLY

If the front of this citation shows you are charged with a:

A. CRIME, YOU MUST APPEAR at the court on the day and time written on the front.

B. VIOLATION, you must do one option listed below:

OPTION 1

Enter a plea of no contest and pay the court the amount of the presumptive fine written on the front of this citation. If the court accepts your plea, the court may not impose a fine that is more than the amount of the presumptive fine.

OPTION 2

Enter a plea of no contest and send a letter of explanation. the day and time this citation requires you to appear in court. arrive at the court before you are required to appear.

You must do all of the following before If you respond by mail, the mail must

1.Sign/date here: _________________________________________ (signature), __________________ (date); AND

2.Send or take to the court this citation and the full amount of the presumptive fine; AND

3.Attach a written statement explaining the circumstances of the violation(s) charged.

IMPORTANT: If you choose this option, you will make a written appearance and waive your right to a trial. The court may consider your written statement when establishing the amount of the fine. The court cannot impose a fine that is less than the minimum fine amount. If the court finds you guilty, the court may keep all or part of the money you pay. The court will not fine you more without giving you notice to come to the court for a hearing.

OPTION 3

Enter a plea of not guilty and request a trial by doing one of the following:

A. Go to the court on or before the day and time written on the front of this citation to plead not guilty and request a trial.

B. Submit a written request for a trial by doing all of the following before the day and time this citation requires you to appear in court. If you respond by mail, the mail must arrive at the court before you are required to appear.

1.Sign/date here: _________________________________________ (signature), __________________ (date); AND

2.Send or take to the court this citation by itself or with a written request for a trial.

IMPORTANT: You have a right to a trial. The court will give you notice of the time and place when you MUST appear in person and may impose penalties if you do not appear. The court may require you to deposit money to assure your appearance if you failed to appear on any offense charges in the past. If the court finds at trial that you are guilty, the court cannot impose a fine that is less than the minimum fine amount. The court will not impose a fine if it finds you not guilty.

	OPTION 4	Contact the court before the day and time this summons requires you to appear to determine if you
	OPTION 4	qualify for a trial by affidavit. If so, the trial will be based upon sworn, written statements. Future

		court appearances may not be necessary. If you do not qualify or the court does not offer this option,
		you must comply with one of the other options listed above.

NOTICE

1.IF YOU FAIL TO FOLLOW THESE INSTRUCTIONS, THE COURT MAY ISSUE A WARRANT FOR YOUR ARREST and/or may suspend your license if you fail to appear on a citation for a traffic offense.

2.THE COURT MAY SEND YOU A NOTICE AND REQUIRE YOU TO APPEAR AT THE COURT FOR A HEARING.

3.For traffic offenses, this record will be sent to the licensing authority of the state where you are licensed to drive to

decide if a license suspension is appropriate.

4.For violations, you must notify the court and the prosecuting attorney’s office before you are required to appear in court if you are going to have an attorney represent you.

5.For violations, if you do not pay the full presumptive fine amount in advance and do not appear, the court may enter a conviction and a judgment against you for more than the presumptive fine and up to the maximum penalty allowed by law for the charged offense(s) including the maximum fines, restitution, and other costs.

MAIL CORRESPONDENCE OR WRITTEN APPEARANCE AND MAKE CHECKS PAYABLE TO:

2012 Oregon Uniform Citation (UC) Form 10, Back of summons copy of Form 5

Ticket size needed 8" by 5”

You have been issued a citation for a crime as indicated on the front of this summons.

READ CAREFULLY

This citation is not a complaint or an information. A complaint or an information may be filed and you will be provided a copy thereof at the time of your first appearance. You MUST appear in court at the time set in the citation. IF YOU FAIL TO APPEAR AND A COMPLAINT OR INFORMATION HAS BEEN FILED, THE COURT WILL IMMEDIATELY ISSUE A WARRANT FOR YOUR ARREST.

The date and time when and location where you must appear are shown on the front of this summons.

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As for the blank fields of this particular PDF, here is what you should know:

1. To begin with, while completing the uniform citation form, start with the area that contains the next fields:

Step no. 1 in submitting oregon uniform complaint

2. Soon after finishing this part, head on to the subsequent step and enter the necessary particulars in all these fields - O F F E N S E S , Violated cite ORS ORDrule, DID THEN AND THERE COMMIT THE, Describe Alleged Spd Designated Spd, Posted Limit VBR, Radar Pace Laser , Intentional Knowing Reckless , Safety Corridor Pstd Sch Zn Hwy, Presumptive fine, Violated cite ORS ORDrule, Describe, Intentional Knowing Reckless , Violated cite ORS ORDrule, Describe, and Intentional Knowing Reckless .

Stage no. 2 in completing oregon uniform complaint

3. In this specific part, examine R E L, I N F O, O F F E N S E S , INVOLVING THE FOLLOWING, Vehicle Registration No, State, Veh Yr, Make, Model, ODOT NO Haz Mat CDL Related, Commodity, Accident Injury Property damage, Owner Address City State Zip Code, DID THEN AND THERE COMMIT THE, and Violated cite ORS ORDrule. All these are required to be filled out with highest precision.

Writing segment 3 in oregon uniform complaint

4. Filling out R E L, I N F O, O P E R A T I O N, E Q U I P M E N T, R E T I S, INVOLVING THE FOLLOWING, Vessel Registration No, Regis Expires Mo Day Year, Defendant not registered owner, Make, Length, Hull ID No, Accident Injury Property damage, DID THEN AND THERE COMMIT THE, and Off Speedwakemotor is key in the fourth form section - ensure that you spend some time and take a close look at every single blank area!

Writing section 4 in oregon uniform complaint

5. While you get close to the end of the file, there are actually a few more points to complete. Specifically, R E L, I N F O, O F F E N S E S , INVOLVING THE FOLLOWING, BoatVehicle Regis or License No, Describe year make model length, State, Accident Property damage , Injury, HuntingAngling License No, Unit No, Stream No, DID THEN AND THERE COMMIT THE, Violated cite ORS ORDrule, and Describe must be filled in.

R E L, State, and HuntingAngling License No inside oregon uniform complaint

When it comes to R E L and State, ensure you do everything right here. Those two are surely the most important ones in the form.

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