Free TR-235* - California

COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : NAME OF COURT:
STREET ADDRESS: MAILING ADDRESS: CITY AND ZIP CODE: BRANCH NAME: TELEPHONE:

TR-235

Index No. Calendar No.

FOR COURT USE ONLY

: Plaintiff(s)
PEOPLE OF THE STATE OF CALIFORNIA -againstvs.

: : :

JUDICIAL SUBPOENA

DEFENDANT:

OFFICER'S DECLARATION
(Trial by Written Declaration--Vehicle Code, § 40902)
RETURN DATE:

:
CITATION NUMBER/DATE ISSUED:

Defendant(s) : . . . . . . . . . . . . . . . . . . . . . . ARRESTING/CITING. OFFICER. NAME/ID.NO.: . . . . . . . . . .......... .... .... ..
OFFICE [IF ANY]:

AGENCY NAME:

CASE NUMBER:

THE PEOPLE OF THE STATE OF NEW YORK
INSTRUCTIONS: The defendant in the case listed above has opted for trial by written declaration pursuant to Vehicle Code section 40902. The officer named above shall check all statements that apply, date, sign, and complete and return TO this form to the court named above by the return date. 1. OFFICER'S DECLARATION: Except as expressly stated below, I have personal knowledge of the facts stated herein. The events occurred in the County of (specify): at about the date, time, and GREETINGS: location stated in the citation. a. for the exclusive or main purpose of traffic enforcement At the time of the citation I was a peace officer on-duty WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before not for the exclusive or main purpose of traffic enforcement, and I was was not wearing a uniform , the Honorable at the Court as required by the Vehicle Code section 40800. Any vehicle used by me complied with Vehicle Code section 40800. located at County of The offense(s) were not committed in my presence. b. , made day of , 20 , at o'clock in the noon, and at any recessed c. in room statement(s) on theby the defendant were voluntary, recorded Any verbatim not verbatim or adjourned date, to testify and give evidencein substance. in this action on the part of the and is/are reasonably complete and accurate as a witness d. Safety is an element of the violation alleged. In my opinion, the defendant's operation of the vehicle was unsafe. e. Any equipment used by me to gather evidence in support of this violation was properly maintained, in good working order, and I have been trained in its use. Your failure to or device mentioned was official and properly located, maintained, in good will make you liable to f. Any traffic sign, signal, comply with this subpoena is punishable as a contempt of court and working order, and the party on whoseabehalf of a vehicle controlled, governed, a maximum penalty of signal, or device. clearly visible to driver this subpoena was issued for or affected by such sign, $50 and all damages sustained as a g. result of diagram(s) submitted is/are not exact or to scale, but is/are reasonably complete, accurate, and fairly depict(s) the Any your failure to comply. location, situation, and events described. h. SpeedWitness, Honorable vehicle's speedometer was a significant factor. Pursuant to department of the the patrol supported by the patrol , one of the Justices policy, vehicle used in connection with this citation was officially calibrated on (date): Court in County, day of , 20 The result was (specify): The calibration was considered by me in determining defendant's speed. i. Defendant was identified by Driver's License or other (specify): (Attorney must sign above and type name below) 2. THE METHOD(S) USED TO DETERMINE THE SPEED OF THE INVOLVED VEHICLE WAS/WERE: a. Odometer e. Laser b. Visual estimation f. Aircraft Attorney(s) for c. Pacing g. Other (specify): d. Radar (see items 4, 5, 6, below) 3. 4. Engineering and traffic survey (ETS) not required per Vehicle Code section 40802, subdivision (b). ETS completed within five (5) years prior to date of alleged violation. a. ETS attached. b. ETS on file with the court.

Office and P.O. Address

Telephone No.:
5. ETS completed within five (5) and seven (7) years prior to date of alleged violation. Facsimile No.: a. ETS attached.
(Continued on reverse)
Form Adopted for Mandatory Use Judicial Council of California TR-235 [New January 1, 2000]

OFFICER'S DECLARATION

E-Mail Address: Mobile Tel. No.:

Vehicle Code, § 40902

(Trial by Written Declaration--Traffic)

American LegalNet, Inc. www.USCourtForms.com

PEOPLE v. DEFENDANT (Name):

CASE NUMBER:

5. b. c. d. e.

f.

ETS on file with the court. Arresting/citing officer has successfully completed a radar operator course of not less than 24 hours approved and certified by the Commission on Peace Officer Standards and Training (POST). Laser or other electronic device was used to measure speed. Arresting/citing officer successfully completed an additional training course of not less than two hours approved and certified by POST. The speed measuring device used to measure the speed of defendant (Serial No: ) meets or exceeds the minimum operational standards of the National Highway Traffic Safety Administration (NHTSA) and was last calibrated on (date): by an independent certified laser/radar repair and testing/calibration facility. Equipment accuracy check conducted on (date): at (time): and again on (date): at (time): ETS completed within seven (7) and ten (10) years prior to the date of the alleged violation. a. A registered engineer has evaluated the section of the highway in question and has determined that no significant changes in roadway or traffic conditions have occurred. b. All of the elements marked under item 5, above, which are applicable.

6.

7. FACTS AND CIRCUMSTANCES (Type or print only. State what happened):

Continued on attachment. 8. OTHER EVIDENCE AND STATEMENTS (Explain any other evidence and statements):

Continued on attachment. 9. DIAGRAM(S) (specify): Attached. 10. Number of pages attached: _____ I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Date:

.............................................
(TYPE OR PRINT NAME) (SIGNATURE OF OFFICER)

ID Number: Agency NCIC Number:
TR-235 [New January 1, 2000]

OFFICER'S DECLARATION
(Trial by Written Declaration--Traffic)

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