Request for Trial

2. Request for Trial *

   1. NOT GUILTY

   Check to Acknowledge: I hereby enter a plea of NOT GUILTY and request a TRIAL. I understand that I will be required to appear on a PRE-TRIAL date and again on TRIAL date.

4. First Name*

5. Last Name*

7. Address1*

9. City*

10. State*

11. Zip*

13. Date of Birth *
    Date of Birth

14. Phone Number *

15. Email Address*

17. Citation Number *

    Enter additional violations/citations below.

18. Date of Citations*
    Date of Citations

19. Violations *

    Please enter the type of citation that was issued, ex: ran stop sign.

21. Citation Number

22. Date of Citation
    Date of Citation

23. Additional Violations

25. Citation Number

26. Date of Citation
    Date of Citation

27. Additional Violations

29. ACKNOWLEDGEMENT TO SUBMIT ADDITIONAL REQUIRED INFORMATION *

    1. I ACCEPT

    By checking the "I ACCEPT" box above, I am acknowledging that it is my responsibility to email the court a copy of my proof of driver’s license or identification to court@cedarhilltx.com which I will do so immediately upon submitting this form.

31. Thank You ~ Cedar Hill Municipal Court
    Thank you for your submission. For additional information, questions or comments, please contact us by: Tel: 469-272-2930 ext. 1041 or Email: court@cedarhilltx.com

    Thank you for your submission. For additional information, questions or comments, please contact us by: Tel: 469-272-2930 ext. 1041 or Email: court@cedarhilltx.com

Leave This Blank:


33. 1. Receive an email copy of this form.
34. Email address

    This field is not part of the form submission.

35. Submit

* indicates a required field