IN THE TRIBAL COURT OF THE
QUECHAN INDIAN TRIBE
450 Quechan Drive, Winterhaven, CA 92283
Plaintiff’s Name and Address Defendant’s Name and Address ___________________________
QUECHAN INDIAN TRIBE __________________________ Case Number
P O Box 1899 __________________________
WAIVER OF EXTRADITION
Yuma, AZ 85366 __________________________
Instructions: The purpose of this form is to advise you of your rights to extradition proceedings and to
allow you to give up that right if you choose. Read the entire form carefully before signing it.
RIGHT TO EXTRADITION PROCEEDINGS
I, _____________________________________, understand that I am charged with the offense(s) of
in ___________________________________ which is/are a crime within the jurisdiction. I understand that
if I am found guilty, I can be given a punishment, including imprisonment as ordered by ________________
or other such penalty as the law allows.
I understand that I am entitled to extradition proceedings prior to my official return to the jurisdiction
demanding my return. I also understand that extradition proceedings include the right to the issuance or
service of a warrant of extradition, the right to contest extradition by habeas corpus and the right to bail.
I understand that I have the right to legal counsel at my own expense to represent my interests in these
CERTIFICATION AND WAIVER
After reading and understanding all of the above, I hereby give up my rights to extradition proceedings as
well as legal counsel in this matter pending before the Quechan Indian Tribal Court and voluntary consent to
my official return to the demanding jurisdiction.
DO NOT SIGN THIS FORM UNLESS YOU HAVE READ IT COMPLETELY OR HAVE HAD IT
READ TO YOU.
DO NOT SIGN THIS FORM IF YOU WANT TO CONTEST EXTRADITION.
Entered before me the ________ day of ______________________.
Chief Judge of the Quechan Tribal Court
Revised: 8/27/2009 Page 1 of 1