Deferred Disposition Request Bicycle Violation

City of Austin Municipal Court

Deferred Disposition Request - Bicycle Violation

Case or Citation Number (only enter one case or citation number)*

Charge Description*

Date of Request

Name as Shown on Citation*

First Name

Middle Name (optional)

Last Name

Mailing Address*

Address Line 1

Address Line 2

City

State

ZIP Code

Email*

I hereby enter a plea of “no contest” to the violation described above and waive my right to trial. I request the Court allow me to complete a deferred disposition for this case. I understand if I successfully complete the terms of the deferred disposition by the due date established by the court, my case will be dismissed. If I do not complete the terms of the deferred disposition, I will be sent a notice to appear in court to show cause why I did not complete the terms of this deferral. If cause is not sufficient, I understand that the deferred disposition will be revoked and I will be found guilty of the offense, and the conviction will be reported to the Department of Public Safety to be placed on my driving record.

I understand that the deferral period is 90 days from the date this form is submitted and agree to the terms of this deferred disposition which are:

1. The payment must be made immediately:

a. For your first request for deferred disposition for a bicycle violation in Austin, pay $144.00 plus collection and/or warrant fees, if applicable. If the violation date is on or before 31 December 2019, submit $133.00 plus collection and/or warrant fees, if applicable.

or b) For a second or subsequent request, an amount equal to the current balance of the case which is:

2. Complete the three (3) hour online defensive cycling course through the Center for Cycling Education. For this course, the certification is emailed directly to the court once complete. You may also complete a six (6) hour Driving Safety Course approved by the Texas Department of Licensing and Regulation, but must submit to the Court a copy of the certification of completion by the end of the deferral period which is 90 days from the date this request is postmarked. The copy may be submitted in person, by fax, by mail or via email; and

3. Notify the Court in writing of any change of name or address; and

4. Commit no like offenses within the city limits of the City of Austin, Texas.

Defendant signed this date:

Defendant will sign by*

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Signature*

First Name

Initial (optional)

Last Name

Send payment to Austin Municipal Court, P.O. Box 2135, Austin, TX 78768;

visit one of our two Austin locations: Main Courthouse, 6800 Burleson Rd., Bldg 310, Ste 175 or Jaime Padron Substation, 12425 Lamplight Village Avenue

call 512-974-4800 to make payment arrangements.

Case information is available atwww.austintexas.gov/public