Washington City Justice Court

111 North 100 East

Washington UT 84780

435-656-6350

Fax: 435-656-6372

Email: Court@washingtoncity.org

Request to appear by mail

Name:__________________________________________________

Date: __________________________________________________

Citation Number:_________________________________________

Amount:________________________________________________

Phone number:___________________________________________

Email address:___________________________________________

Check on of the following:

___I plead Guilty to the charge, and I understand that my bail will be applied to my fine and the case closed.

___I plead No Contest to the charge. The enclosed bail is to be forfeited as a fine and the case closed.

___ I contest the charge and post bail as my assurance that I will contact the Court within 14 days of this date to arrange arraignment. I understand that failure to contact the Court within the specified time will mean that my bail will be forfeited as a fine and the case closed. I waive my right to having a formal information filed.

Failure to contact the Court within 14 days of the issuance of a citation is a Class B Misdemeanor and may be punishable by a fine of not more than $1000 and/or a jail sentence of not more than 6 months. In addition if this is a traffic citation your driver license may be suspended.

Make money order payable to:

Washington City Justice Court

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