TR-205

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PEOPLE OF THE STATE OF CALIFORNIA
vs.

DEFENDANT:

REQUEST FOR TRIAL BY WRITTEN DECLARATION

(Vehicle Code, § 40902)
Short Title: Docket No.
CITATION NUMBER:

TO BE FILLED OUT BY COURT CLERK

NOTICE OF APPEARANCE
CASE NUMBER:
Appearance
A. DUE DATE (for receipt for (provide
of this form and anyname of party):
unpaid bail) (specify):
Status of Party:
( ) Appellant/Petitioner ( ) Cross-Appellee/Cross Respondent
B. Bail amount required: $( ) Appellee/Respondent ( ) Intervenor
( ) Cross-Appellant/Cross-Petitioner ( ) Amicus Curiae
( ) Other (Specify):
C. Bail amount already deposited by defendant:
( ) An attorney will argue$this appeal.
< Name of attorney who will argue appeal, if other than counsel of record:
D. Date mailed or delivered<by clerk:
Date of arguing attorney’s admission to this Court (month, day, year):
<
Other Federal/State Bar admissions: (month, day, year):
E. Mail or deliver completed form, evidence, and mail to the Clerk of the (specify): Court at (mailing address):
( ) I am a pro se litigant who is not an attorney.
( ) I am an incarcerated pro se litigant.
TIME REQUEST
( ) Oral argument is not desired.
( ) Oral argument is desired. Party requests minutes or multi-co-parties
request a total of minutes to be apportioned as follows:
REQUEST FOR TRIAL
If more than 20 minutes per side is requested, set forth reasons:

1. I have reviewed the Instructions to Defendant (Trial by Written Declaration) (form TR-200).
AVAILABILITY OF COUNSEL/PRO SE LITIGANT

2. I request to have a trial Iby written declaration.

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.

3. The facts contained in the

( )Declaration
I know of of
noFacts on thewould
dates which reverse are personally known to me and are true and correct.
be inconvenient.
( ) I request that the argument of this appeal not be calendared for the following dates, which are inconvenient. I have
included religious holidays.
4. I know that I have the right not to be compelled to be a witness against myself. I understand and agree that by making any
statement, I am giving up and waiving that right and privilege.
COUNSEL OR PRO SE LITIGANT MUST ADVISE THE COURT IN WRITING OF ANY CHANGE IN AVAILABILITY. FAILURE
TO evidence
5. EVIDENCE The following DO SO MAY BE CONSIDERED
supports my case andBY THE COURT
includes IN IDECIDING
everything MOTIONS
want the court FOR ADJOURNMENT
to consider in deciding myBASED
ON case:
UNAVAILABILITY.
a. photographs (specify total number): e. diagram
b. medical record f. car repair CASES
RELATED receipt
c. registration documents g. insurance documents
( ) This case has not been before this Court previously.
d. inspection certificate
( ) h. other (specify):
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 numbers and citations are:

Signature of counsel of record or pro se litigant: Signature of counsel who will argue
the appeal, if different:

Type or Print Name Type or Print Name

Name of Firm:
Address:

Telephone:
(Declaration continued
Date:
on reverse) Telephone: Date:
Form Adopted by the
Judicial Council of California
REQUEST FOR TRIAL BY WRITTEN DECLARATION Vehicle Code, § 40902

TR-205 [New January 1, 1999]

July 2000 (Trial by Written Declaration—Traffic) American LegalNet, Inc. www.USCourtForms.com
 PEOPLE v. DEFENDANT (Name): CASE NUMBER:

6. DECLARATION OF FACTS (Type or print only. State what happened and explain all the items of evidence you checked in item 5
on the reverse and tell how they support your case. You may add additional pages.)
(Name):
(Current mailing address):

STATEMENT OF FACTS (begin here):

7. Number of pages attached: _____

I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct.

Date:

.............................................
(TYPE OR PRINT NAME) (SIGNATURE)

TR-205 [New January 1, 1999] REQUEST FOR TRIAL BY WRITTEN DECLARATION Page two

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protection Declaration
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