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2. Online Hearing Request Form

   Upon submission of this form, please do not call the Court to schedule a hearing or send in your copy of the signed ticket. You will receive notice of your court date by email and U.S. mail within 1 week of your request.

   Complete this request for informal hearings or civil infraction conferences only. For complete information regarding all civil infraction ticket options, please visit the Traffic Department page.

4. Last Name*
5. First Name*
7. Address*
9. City*
10. State*
11. Zip Code*
13. Daytime Phone Number*
14. Email Address*
16. Hearing Type Requested*
    -- Select One --Informal HearingCivil Infraction Conference
18. Hearing Venue Preference*
    -- Select One --Zoom/VirtualIn Person
20. I am requesting an informal hearing or civil infraction conference to discuss my ticket options with a representative from the issuing police agency or the township prosecutor, respectively. I understand that I may request a different type of hearing at a later date if necessary.*

    1. Yes

    1. No
22. Ticket Number*
23. Ticket Issue Date*
    Ticket Issue Date
Leave This Blank:


24. 1. Receive an email copy of this form.
25. Email address

    This field is not part of the form submission.

26. Submit

* indicates a required field