COURT
COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
......... .. TR-210
NAME OF COURT: : Index No. FOR COURT USE ONLY
STREET ADDRESS:
MAILING ADDRESS: : Calendar No.
CITY AND ZIP CODE:
BRANCH NAME:
:
Plaintiff(s) JUDICIAL SUBPOENA
PEOPLE OF THE STATE OF CALIFORNIA
-against- :
vs.
:
DEFENDANT:
NOTICE AND INSTRUCTIONS TO ARRESTING OFFICER :
VEHICLE CODE INFRACTION
(Trial by Written Declaration—Vehicle Code, § 40902)
Defendant(s) :
...................................................... CITATION NUMBER:
The defendant has elected a trial by written declaration.
CASE NUMBER:
1. a. A copy of the citation is attached.
THEOR
PEOPLE OF THE STATE OF NEW YORK
b. (1) Agency:
TO (2) Officer name & I.D. number:
(3) Citation number:
(4) Citation date:
2. Return date:
GREETINGS:
WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before
3. INSTRUCTIONS TO ARRESTING OFFICER: Complete, date, and sign an officer's declaration, attach it to this notice, and file it
with the Honorable return date (see item 2 above).
the court by the at the Court ,
County of located at
, on the day
4. File in room to the Clerk of the (specify): of
with or mail , at o'clock in the
, 20 Court at (mailing address): noon, and at any recessed
or adjourned date, to testify and give evidence as a witness in this action on the part of the
Your failure clerk's office at this subpoena
is punishable as a contempt of court and will make you liable to
5. For information, call the courtto comply with(telephone no.):
the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a
result pages attached: _____
6. Number of of your failure to comply.
Date: Clerk, by , Deputy
Witness, Honorable , one of the Justices of the
Court in County, day of , 20
CLERK'S CERTIFICATE OF MAILING
1. I am not a party to this action. (Attorney must sign above and type name below)
2. I served the Notice and Instructions to Arresting Officer by enclosing a copy in an envelope addressed to (specify agency name
and address):
Attorney(s) for
and caused the envelope to be deposited with the United States Postal Service with first-class postage fully prepaid
at (city): , California
on (date):
Office and P.O. Address
3. I certify that the foregoing is true and correct.
Telephone No.:
Date: Clerk, by
Facsimile No.: , Deputy
E-Mail Address:
Form Adopted by the Mobile Tel. No.:
NOTICE AND INSTRUCTIONS TO ARRESTING OFFICER Vehicle Code, § 40902
Judicial Council of California
TR-210 [New January 1, 1999] (Trial by Written Declaration—Traffic) American LegalNet, Inc.
www.USCourtForms.com