TR-210 Notice and Instructions to Arresting Officer

A copy of the citation is attached.
Officer name & I.D. number:
Agency:
Citation number:
Citation date:
Return date:
INSTRUCTIONS TO ARRESTING OFFICER: Complete, date, and sign an officer's declaration, attach it to this notice, and file it
with the court by the return date (see item 2 above).
NOTICE AND INSTRUCTIONS TO ARRESTING OFFICER
VEHICLE CODE INFRACTION
(Trial by Written DeclarationVehicle Code, § 40902)
TR-210
NOTICE AND INSTRUCTIONS TO ARRESTING OFFICER
(Trial by Written DeclarationTraffic)
Form Adopted by the
Judicial Council of California
TR-210 [New January 1, 1999]
Vehicle Code, § 40902
1.
b.
(1)
(3)
(4)
(2)
2.
3.
File with or mail to the Clerk of the (specify): Court at (mailing address):4.
For information, call the court clerk's office at (telephone no.):5.
Clerk, by
, Deputy
Date:
Number of pages attached: _____6.
FOR COURT USE ONLY
STREET ADDRESS:
MAILING ADDRESS:
CITY AND ZIP CODE:
BRANCH NAME:
PEOPLE OF THE STATE OF CALIFORNIA
DEFENDANT:
vs.
NAME OF COURT:
CITATION NUMBER:
CASE NUMBER:
a.
CLERK'S CERTIFICATE OF MAILING
I am not a party to this action.
I served the Notice and Instructions to Arresting Officer by enclosing a copy in an envelope addressed to (specify agency name
and address):
and caused the envelope to be deposited with the United States Postal Service with first-class postage fully prepaid
at (city): , California
on (date):
I certify that the foregoing is true and correct.
1.
2.
3.
Clerk, by
, Deputy
Date:
OR
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