TR-210
NAME OF COURT: STREET ADDRESS: MAILING ADDRESS: CITY AND ZIP CODE: BRANCH NAME: FOR COURT USE ONLY
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PEOPLE OF THE STATE OF CALIFORNIA vs.
DEFENDANT:
NOTICE AND INSTRUCTIONS TO ARRESTING OFFICER VEHICLE CODE INFRACTION (Trial by Short Title: Written Declaration—Vehicle Code, § 40902)
The defendant has elected a trial by written declaration. 1. a. b.
Appearance for (provide A copy of the citation is attached. name of party): OR Status of Party: (1) Agency: ( ) Appellant/Petitioner ( Appellee/Respondent (2) Officer name )& I.D. number: ( ) Cross-Appellant/Cross-Petitioner (3) Citation number: (Specify): ( ) Other (4) Citation date:) An attorney will argue this appeal. (
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Docket No.
CITATION NUMBER:
NOTICE OF APPEARANCE
CASE NUMBER:
( ( (
) Cross-Appellee/Cross Respondent ) Intervenor ) Amicus Curiae
Name of attorney who will argue appeal, if other than counsel of record: Date of arguing attorney’s admission to this Court (month, day, year): Other Federal/State Bar admissions: (month, day, year): ) I am a pro se litigant who is not an attorney.
2. Return date:
3. INSTRUCTIONS TO ARRESTING OFFICER: Complete, date, and sign an officer's declaration, attach it to this notice, and file it ( ) I am an incarcerated pro se litigant. with the court by the return date (see item 2 above). 4. File with or mail to the
( ) ( ) Clerk TIME REQUEST Oral argument is not desired. ofOral argument is desired. Party requests Court minutes or multi-co-parties the (specify): at (mailing address): request a total of minutes to be apportioned as follows: If more than 20 minutes per side is requested, set forth reasons: AVAILABILITY OF COUNSEL/PRO SE LITIGANT
(
5. For information, call the court clerk's office at (telephone no.): 6. Number of pages attached: _____ Date:
( ( ) ) I understand that the person who will argue the appeal must be ready at any time during or after the week of argument which appears on the scheduling order. I know of no dates which would be inconvenient. I request that the argument of thisClerk, by be calendared for the following dates, which are inconvenient.Deputy appeal not , I have included religious holidays.
1. I am not a party to this action.
COUNSEL OR PRO SE LITIGANT MUST ADVISE THE OF MAILING CLERK'S CERTIFICATE COURT IN WRITING OF ANY CHANGE IN AVAILABILITY. FAILURE TO DO SO MAY BE CONSIDERED BY THE COURT IN DECIDING MOTIONS FOR ADJOURNMENT BASED ON UNAVAILABILITY. RELATED CASES
2. I served the Notice and Instructions to Arresting Officer by enclosing a copy in an envelope addressed to (specify agency name ( ) This case has not been before this Court previously. and address): ( ) This case has been before this Court previously. The short title, docket number and citation are:
( ) Matters related to this appeal or involving the same issue have been or presently are before this Court. The short
titles, docket with the United States and caused the envelope to be deposited numbers and citations are:Postal Service with first-class postage fully prepaid at (city): , California on (date): Signature of counsel of record or pro se litigant: Signature of counsel who will argue the appeal, if different:
3. I certify that the foregoing is true and correct.
Type or Print Name Name of Firm: Type or Print Name
Date:
Address: Telephone:
Clerk, by
Date: Telephone: Date:
, Deputy
Form Adopted by the Judicial Council of California TR-210 [New January 1, 1999]
NOTICE AND INSTRUCTIONS TO ARRESTING OFFICER July 2000 (Trial by Written Declaration—Traffic)
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Vehicle Code, § 40902
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