Option One Option Two Option Three Option One DEFENSIVE CLASS ES ARE OFFERED INSTRUCTIONS FOR PAYING THE BY MAIL TO DENY THE OFFENSE OR PLEAD NOT STATE-WIDE 1. If you want to pay the fine(s) by mail and the violation GUILTY AND REQUEST A HEARING/TRIAL you were cited with is listed on page 5 or 6, complete The following statement must be read, signed and You are eligible for the Defensive Driving Class if: this information. received before the court date shown on the bottom of A. You have not attended within the last 12 months By signing below, I hereby waive my right to a your ticket. If your violation is marked criminal on your (violation date to violation date); and trial/hearing; enter a plea of guilty or responsible for the citation, you have the right to a trial vs. a hearing. B. You do not contest your ticket; and violation and consent to judgment imposing the prescribed fine or civil sanction. To obtain a copy of C. You were cited for a moving civil violation not involving I hereby request a Hearing, and give up the right to your Constitutional Rights (criminal), please contact the serious injury or death; and Attend a Defensive Driving Class. court. D. If an asterisk (*) is listed next to the violation on page 5. Print Name: ______E. You do not have a commercial driver’s license. Print Name: ______Signature: X ______Signature: X ______DO NOT CALL THE COURT REGARDING Mail address: ______Mail address: ______REGISTRATION OR ATTENDANCE FOR ______DEFENSIVE DRIVING CLASS (DDC). SEE BELOW: Daytime Phone: ______Daytime Phone: ______

1. If you choose to attend this course, you must 2. Write the Complaint number that is on the top left-hand 1. Write the Complaint Number that is on the upper complete the course at least seven days prior to the corner of your ticket on your money order and the left-hand corner of your ticket. court arraignment date. Your court date is located on space here: ______your ticket. If you fail to attend a DDC before the court 3. Look at the ticket and find the violation(s). Complaint Number: ______date, you are no longer eligible for defensive driving 4. Write the amount for each violation from page 5 & 6, class. then add any other charges: We must receive your request for a hearing on or before 2. You may only register for an Supreme Court VIOLATION FINE AMOUNT the arraignment date. You will then be notified by mail of certified school for an in-person course or an online A= $______your hearing date. Setting a hearing will result in the course, even if you live out of state. To register call B= $______loss of the privilege to attend defens ive driving class 1-888-334-5565 or visit the website: C= $______for violation dismissal. Civil violations will be www.azdrive.com D= $______set for a civil traffic hearing and criminal violations will 3. Have your ticket with you when you schedule a class. E= $______be set for a pretrial. 4. Please locate the following information on your ticket SUB-TOTAL $______Additional Fees (see 6 and 7 below) $______before you call. NOTICE TO JUVENILES+++

✓ Driver’s license number 1) Juveniles charged with civil traffic violation(s) only, may TOTAL $______✓ Court Date choose any option on page one. 2) Juveniles charged with 5. Mail your payment by cashier’s check or money order, criminal traffic violation or offenses must ✓ Complaint Number (located in the upper left hand made payable to the Holbrook Justice or Magistrate corner of your ticket) appear in court in person with a parent/guardian; 3) Court with this form, to the court. DO NOT SEND Juveniles who admit to, or are found responsible for, a ✓ The section your violation appears in (A, B, C, CASH, PERSONAL CHECK, BUSINESS CHECK OR moving traffic violation are subject to separate D,E). FOREIGN CURRENCY. Payments for the “Holbrook administrative action by the Motor Vehicle Division which ✓ Violation Code Justice Court” ONLY may also be made by calling may include attendance at traffic survival school (TSS) or ✓ Violation Date (877) 755-6252 or visiting www.holbrooktix.com. suspension of driving privileges 5. Take your driver’s license, traffic ticket and money Payment in full must be received or postmarked on order with you on the day of the class if you are or before your court date, otherwise, extra fees must attending in- person. Cash and personal checks are be added. HOLBROOK JUSTICE & MAGISTRATE COURT not accepted at the class. **Classes online are 6. If you are past due for payment of your violation(s), a PO BOX 366 available and classes in-person are limited. $50 late fee will be added for a Holbrook Justice Court 121 WEST BUFFALO STREET citation (0901) or a $75 late fee will be added for a HOLBROOK, AZ 86025 Holbrook Magistrate Court citation (0941). PHONE NUMBER (928) 524-4720 7. If you are unable to pay the amount in full, you may FAX NUMBER (928) 524-4725 contact Court Collections at (928) 524-4771 for eligibility regarding a payment plan. Email: [email protected]

Page 2 Page 3 Page 4

** 28-2532A VEHICLE REGISTRATION: (a) No fine if your registration was Fine Schedule valid at the time of the ticket, show proof to the court; or (b) $249.00 if renewed Information Card registration shown to court; or (c) $720.00 if registration not renewed. Violations marked with a single asterisk (*) are eligible for the Defensive Driving Class. You are NOT eligible if you have a **** 28-4135A-C VEHICLE INSURANCE: (a) No fine with proof shown to court commercial driver’s license. that your insurance was valid ON DATE AND TIME COMPLAINT WAS READ ISSUED; (b) $227.00 with proof of six-months insurance with paid-in-full receipt For violations not listed here, appear in court in person. and proof of no prior violations of 28-4135 within the past 24 months or no more If you are charged with a traffic offense TRAFFIC VIOLATIONS than one violation within the past 36 months as evidence by the persons driving 28-448 See >>>…...………………………………………….....$228.00 record shown to court on or before your court date. To obtain evidence of listed on pages 5 or 6, you have the following 28-645A3A See +++ ...... $266.00* driving record from Arizona MVD, call (602) 255-0072. (c) $1,085.00 and a options: three-month suspension of driving privileges & vehicle registration if no No Collision 28-702.04B, 28-702.01C insurance shown. 28-701A, 28-710A 28-710B OPTION ONE 01-10 miles per hour over the limit . $231.00* $292.00* >>> 28-448 FAILURE TO CHANGE ADDRESS: Fine may be reduced to Attend a defensive driving class. If you qualify, the following 11-15 ...... $245.00* $315.00* $140.00 with proof that the address has been changed with MVD. information applies to only one eligible charge. When you 16-20 ...... $260.00* $337.00* complete the class, you do not have a fine to pay, you do not have 21-25 ...... $296.00* $392.00* *** 28-3473 If your license is suspended for a reason other than failure to pay a to appear in Court and no points will be placed on your driving 26-30 ...... $346.00* $470.00* civil traffic fine, you must appear and see the Judge on your court date. If it is record. See instructions for attending defensive driving class on 28-701A Failure to Control/Distracted Driver (no injuries)...…$260.00* suspended for failure to pay civil traffic violations only, you may pay the fine of page 2. 28-644A1&A2 ……..……………………………………….…….$279.00* $137.00. 28-701E ...... $227.00* 28-701.02A1, 28-701.02A2 ...... $320.00* ***** 28-4139A SUSPENDED REGISTRATION PLATE: (a) $392.00 if OPTION TWO 28-701.02A3 (95 and under) ...... $448.00* reinstated vehicle registration and MVD receipt shown to court; or (b) $641.00 Admit the offense(s) on the ticket in two different ways. 28-701.02A3 (96 and above) ...... $565.00 if registration not reinstated; or (c) show proof from MVD to court if suspension (a) Follow the instructions for paying the fine on page 3; or (b) pay 28-702.01A ……………………………………………………. . $134.00 is an MVD error. the fine in person at the court between 8:00am and 4:30pm 28-704A...... $227.00* Monday through Friday (excluding holidays). WE DO NOT 28-721 to 28-731 ...... $254.00* ^^^ 28-924 to 28-931 AND 28-957 to 28-959.01 EQUIPMENT REPAIR: ACCEPT PERSONAL CHECKS. 28-751 to 28-755 ...... $244.00* Fines may be waived if proof of repair(s) is shown to the court. 28-771 to 28-775A-G…..……………...... …………………...$239.00* OPTION THREE 28-792A to 28-797F ...... $229.00 ### 28-2153 FAILURE TO REGISTER VEHICLE: Fine may be reduced to To deny the offense or plead not guilty and request a hearing/trial, 28-813B to 28-817C ...... $242.00 $140.00 if proof of reinstated registration is provided to the court. 28-851A...... $210.00 follow the instructions on page 4. 28-855 to 28-856.3...... $253.00* # 28-3151 NO VALID DRIVERS LICENSE: Fine may be waived if proof of 28-857A1 ...... $579.00 reinstated license is provided to the court. NOTICE 28-871A to 28-874C ...... $180.00 If you fail to complete one of the three options above on or before 28-884A ...... $252.00 + 28-3169A, 28-2158 DRIVERS LICENSE OR VEHICLE REGISTRATION the arraignment date listed on your citation, the court will enter a 28-885...... $250.00 NOT IN POSSESSION: (a) Charge will be dismissed with proof of driver default judgment against you. A fine will be imposed, and your 28-891A ...... $240.00* license or registration valid ON DATE AND TIME COMPLAINT WAS ISSUED, 28-892 to 28-903D ...... $240.00 driver’s license may be suspended until the original fine and late (b) $233.00 if no proof. fees are paid to the court. 28-904A ...... $235.00*

28-907A & B See ++ ...... $227.00 ++ 28-907A CHILD RESTRAINT SEAT ; $227.00 fine or if this is your First 28-909 ...... $136.00 Offense, a diversion program may be available on this charge. Contact the 28-911 to 28-923...... $240.00 court for details. JUVENILES 28-924 to 28-931 See ^^^...... $240.00 See “NOTICE TO JUVENILES” on page 4 and “TRAFFIC 28-932 to 28-956...... $240.00 +++TRAFFIC SURVIVAL SCHOOL NOTICE: If you have been cited for 28- SURVIVAL SCHOOL NOTICE” on page 5. 28-957 to 28-959.01 See ^^^...... $240.00 645A3A or are under 18 (First Offense) and are found responsible for a moving 28-965 ...... $240.00 violation by the court, you will be required to attend a traffic survival school “Proof” mentioned on page 6 must be provided to the 28-981 ...... $252.00 (TSS) class by the Motor Vehicle Division (MVD) pursuant to the requirements 28-983 ...... $247.00 of the Arizona Revised Statutes. If you are eligible for Defensive Driving Class court on or before the arraignment date listed on 28-1091A to 28-1098B ...... $247.00 and complete the class, the violation will be dismissed and you will not be your citation. 28-1104C...... $352.00 required to attend TSS by MVD. 28-1595B...... $215.00 28-2060A to 28-2152 ...... $240.00 COMMERCIAL VEHICLE VIOLATIONS 28-2153 See ###...... $240.00 VIOLATION FINE 28-2158C See + ...... $233.00 DO NOT CALL THE COURT unless R17-392.16 ...... $224.00 28-2322 ...... $667.00 R17-391.41 & 45 ...... $311.00 the information you require is not listed herein. 28-2354A1 to B3 ...... $241.00 R17-392.2, 7, 8, 60 & 71 ...... $311.00 28-2531B1 to 28-2531B2 ...... $725.00 Please read page 1 and choose your option. R17-395.8-8F12 ...... $493.00 28-2532A See ** ...... $720.00 R17-396.3 ...... $311.00 28-2533A ...... $720.00 R17-392.9 ...... $493.00 28-3151A See #...... $242.00 FOR VIOLATIONS NOT LISTED, YOU MUST R17-395.3A1 or 2 & B1 or 2...... $493.00 28-3152 to 28-3225...... $242.00 R17-395.8A & 8K2…...... $493.00 APPEAR IN PERSON FOR COURT. 28-3169A See + ...... $233.00 R17-391.11B5 ...... $713.00 28-3474 to 28-3475...... $277.00 R17-391.15 ...... $713.00 28-3473 See *** ...... $137.00 28-3480 ...... $396.00 R17-396.7...... $713.00 (REVISED 01/2019) 28-4135A-C See ****…… ...... $1,085.00 R17-396.17C……...... $713.00 R17-393.100-106………………………………………………...…...... $311.00 28-4139A See ***** ...... $641.00 28-7056A ...... $368.00 R17-393.11-95...... $311.00 R17-393.132...... $311.00 Page 5 Page 6 Page 1