Sunnyside Police Department

Sunnyside Municipal Court

Traffic School

Please fill in the following:

Name of applicant:                 ________________________________________________

Date of Birth:                         ________________________________________________

Mailing address:                    Street/PO Box ____________________________________

                                                City ________________ State _______ Zip ____________

Phone Number:                      (_______) ____________ - _________________________

Work or Cell #                       (_______) ____________ - _________________________

Ticket Information:

Ticket Number:                                              ____________________________________

Law Enforcement Agency Issuing Ticket: ____________________________________

Name of Court Allowing Attendance:           ____________________________________

I admit to committing the infraction(s), but as an alternative to a hearing I am requesting to attend traffic school.  I would like to attend traffic school and upon completion have this traffic ticket dismissed.  I understand that qualifying is based upon the seriousness of the offence and past driving record.  I also understand that there is a cost involved.

Print Name: __________________________________________ Date: _____________

Signature: ____________________________________________ Date: ____________

OFFICE USE ONLY:               Date Submitted____________________________

Court Ordered   

Infraction

Approved - Denied