Document JA19_UTTC1. Attachment One. Alabama Uniform Traffic Ticket and Complaint

A t t a c h m e n t O n e . A l a b a m a U n i f o r m T r a f f i c T i c k e t a n d C o m p l a i n t

FORM UTTC-1

REV 11/18

ALABAMA UNIFORM TRAFFIC

TICKET AND COMPLAINT

COURT CASE NO

______________________

YEAR NUMBER

ALABAMA, COUNTY OF

CO

CITY

TICKET

NUMBER

P

The undersigned, being duly sworn, deposes and says that he/she has probable cause to believe

and does believe that the person herein named did, within the previous 12 months, commit the

TYPE VEHICLE

□Commercial □Private

□Haz-Mat Involved

□Passenger (requiring

passenger endorsement)

offense set forth contrary

to law in that on or about

Month

Day

Year

At

Time

□ AM

Approx.

□ PM

:

□ MT

First Name

Middle/Maiden

Last

Address

Street

City

State

Zip Code

CDL Required □Yes □No

State

Driver’s License Number

Class of License

Sex

Race

DOB

M

D

Y

Social Security Number

Driver’s License □Yes □No

in Possession

Hgt.

Wgt.

Eyes

Hair

Vehicle Tag Number

State

Year

Vehicle Description

Owner of Vehicle □ Driver □ Employer □ Other

Employer/Owner of Vehicle (Address)

□ Did unlawfully operate a motor vehicle, other vehicle, or □ otherwise unlawfully use a public street, road, highway or other place,

at or near ____________________________________________________, within the □ city limits or □ police jurisdiction

of________________________________________, or □ within _____________________ County, at or near the following location

__________________________________ in violation of □ Section _________________________ Code of Alabama 1975,  or

Rule/Regulation number (or) □ Municipal Ordinance No. _____________________ duly adopted and in force at the time the offense

was committed, (if applicable) □ adopting Section ___________________________ Code 1975, more particularly described below:

CHECK THE APPROPRIATE BLOCK:

UCR Code

ML Mkr

Street/Road Code

1. □ Speeding __________MPH _______ Speed Limit

2

Alabama 1975,  or

Rule/Regulation number (or) □ Municipal Ordinance No. _____________________ duly adopted and in force at the time the offense

was committed, (if applicable) □ adopting Section ___________________________ Code 1975, more particularly described below:

CHECK THE APPROPRIATE BLOCK:

UCR Code

ML Mkr

Street/Road Code

1. □ Speeding __________MPH _______ Speed Limit

2. □ Reckless Driving (Specify facts below)

7. □ Driving While Revoked

3. □ Driving without First Obtaining a Driver’s License

8. □ Driving While Suspended

DID DRIVE OR BE IN ACTUAL PHYSICAL CONTROL OF A VEHICLE WHILE:

10.□ Running Red Light

4. □ There was .08% or More By Weight of Alcohol in His/Her Blood

13.□ Improper Equipment (Specify)____

4. □ Under the Influence of Alcohol

14.□ Improper Passing

5. □ Under the Influence of Controlled Substance

28.□ Improper Tag (Specify)__________

71. □ Under the Combined Influence of Alcohol and Controlled Substance

29.□ Improper Turn

72. □ Under the Influence of any Substance which impairs the Mental or

42.□ Overweight Vehicle

Physical Faculties

61.□ Child Restraint Violation

6. □ Failure to Yield Right of Way

77.□ Seat Belt Violation

□ Other Violation (Specify) ____________________________________________________________________

FACTS RELATING TO THE OFFENSE □ Companion Case (Traffic, Non-Traffic, Felony, Other)

(Witnesses, etc)

□ Accident involved

TICKET-P

NAME

CASE

Complainant’s Signature

Officer ID

s

61.□ Child Restraint Violation

6. □ Failure to Yield Right of Way

77.□ Seat Belt Violation

□ Other Violation (Specify) ____________________________________________________________________

FACTS RELATING TO THE OFFENSE □ Companion Case (Traffic, Non-Traffic, Felony, Other)

(Witnesses, etc)

□ Accident involved

TICKET-P

NAME

CASE

Complainant’s Signature

Officer ID.

Agency ORI

AL

Verified and Acknowledged before me this date

(Circle Title) Judge/Magistrate

M

D

Y

□ Municipal COURT APPEARANCE INFORMATION

□ District Court

Phone ( )

Court Appearance

Date 

Time

□ AM

□ PM

Court Address

M

D

Y

:

I promise to appear in court at said time and place or otherwise comply with the provisions of this

complaint and instructions of the notice part of this ticket

Defendant’s Signature:

Phone ( )

□ Released on Own Recognizance □ Driver’s License Posted in Lieu of Bond

COMPLAINT AND AFFIDAVIT

INSTRUCTION

PRESS FIRMLY

TO OFFICER:

ASK IF MOTORIST’S ADDRESS IS CORRECT ON DRIVER’S LICENSE

[FRONT]

Court O.R.I.

AL ____________

COURT RECORD

COURT CASE NUMBER

______________________

YEAR NUMBER

 MUNICIPAL COURT

OR

 DISTRICT COURT OF COUNTY

TICKET

NUMBER

P

DEFENDANT’S NAME

CHARGE

CONTINUED TO

M

D

Y

REASON

2ND

CONTINUANCE

M

D

Y

REASON

UTTC-6A MAILED

NEW COURT DATE

UTTC-6B ISSUED

UTTC-6B CLEARANCE

M

D

Y

M

D

Y

M

D

Y

M

D

Y

WARRANT ISSUED

BOND SET $

WARRANT SERVED

WARRANT RECALLED

M

D

Y

CASH

M

D

Y

M

D

Y

CONDITIONAL BOND FORFEITURE

M

D

Y

BOND FORFEITURE

M

D

Y

ORDER ISSUED

ORDER FINAL

ATTORNEY FOR

DEFENDANT

CHECK IF  Defendant informed of right to counsel  Voluntarily waived counsel

APPLICABLE  Defendant found indigent, counsel appointed

PLEA OF DEFENDANT (CHECK ONE)

1  Guilty as charged 2  Guilty

M

D

Y

M

D

Y

CONDITIONAL BOND FORFEITURE

M

D

Y

BOND FORFEITURE

M

D

Y

ORDER ISSUED

ORDER FINAL

ATTORNEY FOR

DEFENDANT

CHECK IF  Defendant informed of right to counsel  Voluntarily waived counsel

APPLICABLE  Defendant found indigent, counsel appointed

PLEA OF DEFENDANT (CHECK ONE)

1  Guilty as charged 2  Guilty of

3  Not guilty

ADJUDICATION (CHECK ONE) 1  Guilty as charged

2  Not guilty

3  Guilty of

4  Nol prossed

5  Dismissed

ORDERS OF THE COURT

FINE $

COURT COSTS $

TOTAL FINE AND COURT COSTS $

ADDITIONAL PENALTIES/FEES/COSTS

HEAD INJURY DUI

$

CRIMINAL HISTORY DUI

$ 10.00

CRIME VICTIMS (DUI/RECKLESS DRIVING) MISDEMEANOR

(MINIMUM $25.00)

HOUSING & MAINTENANCE

MEDICAL

ATTORNEY RECOUPMENT

RESTITUTION

PARTIAL PAYMENTS AUTHORIZED FOR

$

$

$

$

$

 JAILED

M

D

Y

DAYS________ RELEASED 

M

D

Y

LOCATION

 SENTENCE SUSPENDED

 PROBATION

 COMMUNITY SERVICE

________Days ____________ Months _______ Days _______ Months __________ Days __________Months

 TRAFFIC SAFETY

PROGRAM

M

D

Y

 SUBSTANCE ABUSE

EVALUATION

 COURT REFERRAL PROGRAM

COMPLETED

M

D

Y

COURT ORDERED LICENSE SUSPENSION

__________ DAYS ___________ MOS.

 CONSECUTIVE

 CONCURRENT

LICENSE SURRENDERED TO COURT

M

D

Y

RECEIVED BY

CONFIDENTIAL:  NO -  IF YES:  Juvenile  Youthful Offender

DISPOSITION DATE

SIGNATURE OF JUDGE/MAGISTRATE

M

D

Y

CASE APPEALED

APPEAL BOND

$

CIRCUIT COURT CASE NUMBER

M

D

Y

ARRESTING AGENCY (TYPE OF ARREST)  STATE  COUNTY  MUNICPAL

CASH RECEIVED FROM

NAME AND TITLE

RECEIPT $

AMOUNT

$

DATE M

D

Y

LICENSE ATTACHED:  YES  NO

ALEA RECEIVED LICENSE  YES  NO

COURT ACTION AND DISPOSITION

[BACK]

URE OF JUDGE/MAGISTRATE

M

D

Y

CASE APPEALED

APPEAL BOND

$

CIRCUIT COURT CASE NUMBER

M

D

Y

ARRESTING AGENCY (TYPE OF ARREST)  STATE  COUNTY  MUNICPAL

CASH RECEIVED FROM

NAME AND TITLE

RECEIPT $

AMOUNT

$

DATE M

D

Y

LICENSE ATTACHED:  YES  NO

ALEA RECEIVED LICENSE  YES  NO

COURT ACTION AND DISPOSITION

[BACK]

FORM UTTC-1

REV 11/18

ALABAMA UNIFORM TRAFFIC

TICKET AND COMPLAINT

COURT CASE NO

______________________

YEAR NUMBER

ALABAMA, COUNTY OF

CO

CITY

TICKET

NUMBER P

The undersigned, being duly sworn, deposes and says that he/she has probable cause to believe

and does believe that the person herein named did, within the previous 12 months, commit the

TYPE VEHICLE

□Commercial □Private

□Haz-Mat Involved

□Passenger (requiring

passenger endorsement)

offense set forth contrary

to law in that on or about

Month

Day

Year

At

Time

□ AM

Approx.

□ PM

:

□ MT

First Name

Middle/Maiden

Last

Address

Street

City

State

Zip Code

CDL Required □Yes □No

State

Driver’s License Number

Class of License

Sex

Race

DOB

M

D

Y

Social Security Number

Driver’s License □Yes □No

in Possession

Hgt.

Wgt.

Eyes

Hair

Vehicle Tag Number

State

Year

Vehicle Description

Owner of Vehicle □ Driver □ Employer □ Other

Employer/Owner of Vehicle (Address)

□ Did unlawfully operate a motor vehicle, other vehicle, or □ otherwise unlawfully use a public street, road, highway or other place,

at or near ____________________________________________________, within the □ city limits or □ police jurisdiction

of________________________________________, or □ within _____________________ County, at or near the following location

__________________________________ in violation of □ Section _________________________ Code of Alabama 1975,  or

Rule/Regulation number (or) □ Municipal Ordinance No

r near ____________________________________________________, within the □ city limits or □ police jurisdiction

of________________________________________, or □ within _____________________ County, at or near the following location

__________________________________ in violation of □ Section _________________________ Code of Alabama 1975,  or

Rule/Regulation number (or) □ Municipal Ordinance No. _____________________ duly adopted and in force at the time the offense

was committed, (if applicable) □ adopting Section ___________________________ Code 1975, more particularly described below:

CHECK THE APPROPRIATE BLOCK:

UCR Code

ML Mkr

Street/Road Code

1. □ Speeding __________MPH _______ Speed Limit

2. □ Reckless Driving (Specify facts below)

7. □ Driving While Revoked

3. □ Driving without First Obtaining a Driver’s License

8. □ Driving While Suspended

DID DRIVE OR BE IN ACTUAL PHYSICAL CONTROL OF A VEHICLE WHILE:

10.□ Running Red Light

4. □ There was .08% or More By Weight of Alcohol in His/Her Blood

13.□ Improper Equipment (Specify)____

4. □ Under the Influence of Alcohol

14.□ Improper Passing

5. □ Under the Influence of Controlled Substance

28.□ Improper Tag (Specify)__________

71. □ Under the Combined Influence of Alcohol and Controlled Substance

29.□ Improper Turn

72. □ Under the Influence of any Substance which impairs the Mental or

42.□ Overweight Vehicle

Physical Faculties

61.□ Child Restraint Violation

6. □ Failure to Yield Right of Way

77.□ Seat Belt Violation

□ Other Violation (Specify) _____________________________________________________________________

FACTS RELATING TO THE OFFENSE □ Companion Case (Traffic, Non-Traffic, Felony, Other)

(Witnesses, etc)

□ Accident involved

TICKET-P

NAME

CASE

Complainant’s Signature

Officer ID

es

61.□ Child Restraint Violation

6. □ Failure to Yield Right of Way

77.□ Seat Belt Violation

□ Other Violation (Specify) _____________________________________________________________________

FACTS RELATING TO THE OFFENSE □ Companion Case (Traffic, Non-Traffic, Felony, Other)

(Witnesses, etc)

□ Accident involved

TICKET-P

NAME

CASE

Complainant’s Signature

Officer ID.

Agency ORI

AL

Verified and Acknowledged before me this date

(Circle Title) Judge/Magistrate

M

D

Y

□ Municipal COURT APPEARANCE INFORMATION

□ District Court

Phone ( )

Court Appearance

Date 

Time

□ AM

□ PM

Court Address

M

D

Y

:

I promise to appear in court at said time and place or otherwise comply with the provisions of this

complaint and instructions of the notice part of this ticket

Defendant’s Signature:

Phone ( )

□ Released on Own Recognizance □ Driver’s License Posted in Lieu of Bond

ABSTRACT OF COURT RECORD – ALEA DATA INPUT

INSTRUCTION

PRESS FIRMLY

TO OFFICER:

ASK IF MOTORIST’S ADDRESS IS CORRECT ON DRIVER’S LICENSE

[FRONT]

Court O.R.I.

AL ____________

ABSTRACT OF COURT RECORD

COURT CASE NUMBER

______________________

YEAR NUMBER

 MUNICIPAL COURT

OR

 DISTRICT COURT OF COUNTY

TICKET

NUMBER

P

DEFENDANT’S NAME

CHARGE

CONTINUED TO

M

D

Y

REASON

2ND

CONTINUANCE

M

D

Y

REASON

UTTC-6A MAILED

NEW COURT DATE

UTTC-6B ISSUED

UTTC-6B CLEARANCE

M

D

Y

M

D

Y

M

D

Y

M

D

Y

WARRANT ISSUED

BOND SET $

WARRANT SERVED

WARRANT RECALLED

M

D

Y

CASH

M

D

Y

M

D

Y

CONDITIONAL BOND FORFEITURE

M

D

Y

BOND FORFEITURE

M

D

Y

ORDER ISSUED

ORDER FINAL

ATTORNEY FOR

DEFENDANT

CHECK IF  Defendant informed of right to counsel  Voluntarily waived counsel

APPLICABLE  Defendant found indigent, counsel appointed

PLEA OF DEFENDANT (CHECK ONE)

WARRANT RECALLED

M

D

Y

CASH

M

D

Y

M

D

Y

CONDITIONAL BOND FORFEITURE

M

D

Y

BOND FORFEITURE

M

D

Y

ORDER ISSUED

ORDER FINAL

ATTORNEY FOR

DEFENDANT

CHECK IF  Defendant informed of right to counsel  Voluntarily waived counsel

APPLICABLE  Defendant found indigent, counsel appointed

PLEA OF DEFENDANT (CHECK ONE)

1  Guilty as charged 2  Guilty of

3  Not guilty

ADJUDICATION (CHECK ONE) 1  Guilty as charged

2  Not guilty

3  Guilty of

4  Nol prossed

5  Dismissed

ORDERS OF THE COURT

FINE $

COURT COSTS $

TOTAL FINE AND COURT COSTS $

ADDITIONAL PENALTIES/FEES/COSTS

HEAD INJURY DUI

$

CRIMINAL HISTORY DUI

$ 10.00

CRIME VICTIMS (DUI/RECKLESS DRIVING) MISDEMEANOR

(MINIMUM $25.00)

HOUSING & MAINTENANCE

MEDICAL

ATTORNEY RECOUPMENT

RESTITUTION

PARTIAL PAYMENTS AUTHORIZED FOR

$

$

$

$

$

 JAILED

M

D

Y

DAYS________ RELEASED 

M

D

Y

LOCATION

 SENTENCE SUSPENDED

 PROBATION

 COMMUNITY SERVICE

________Days ____________ Months _______ Days _______ Months __________ Days __________Months

 TRAFFIC SAFETY

PROGRAM

M

D

Y

 SUBSTANCE ABUSE

EVALUATION

 COURT REFERRAL PROGRAM

COMPLETED

M

D

Y

COURT ORDERED LICENSE SUSPENSION

__________ DAYS ___________ MOS.

 CONSECUTIVE

 CONCURRENT

LICENSE SURRENDERED TO COURT

M

D

Y

RECEIVED BY

CONFIDENTIAL:  NO -  IF YES:  Juvenile  Youthful Offender

DISPOSITION DATE

SIGNATURE OF JUDGE/MAGISTRATE

M

D

Y

CASE APPEALED

APPEAL BOND

$

CIRCUIT COURT CASE NUMBER

M

D

Y

ARRESTING AGENCY (TYPE OF ARREST)  STATE  COUNTY  MUNICPAL

CASH RECEIVED FROM

NAME AND TITLE

RECEIPT $

AMOUNT

$

DATE M

D

Y

LICENSE ATTACHED:  YES  NO

ALEA RECEIVED LICENSE  YES  NO

COURT ACTION AND DISPOSITION – ALEA DATA INPUT

[BACK]

ATE

M

D

Y

CASE APPEALED

APPEAL BOND

$

CIRCUIT COURT CASE NUMBER

M

D

Y

ARRESTING AGENCY (TYPE OF ARREST)  STATE  COUNTY  MUNICPAL

CASH RECEIVED FROM

NAME AND TITLE

RECEIPT $

AMOUNT

$

DATE M

D

Y

LICENSE ATTACHED:  YES  NO

ALEA RECEIVED LICENSE  YES  NO

COURT ACTION AND DISPOSITION – ALEA DATA INPUT

[BACK]

FORM UTTC-1

REV 11/18

ALABAMA UNIFORM TRAFFIC

TICKET AND COMPLAINT

COURT CASE NO

______________________

YEAR NUMBER

ALABAMA, COUNTY OF

CO

CITY

TICKET

NUMBER

P

The undersigned, being duly sworn, deposes and says that he/she has probable cause to believe

and does believe that the person herein named did, within the previous 12 months, commit the

TYPE VEHICLE

□Commercial □Private

□Haz-Mat Involved

□Passenger (requiring passenger

endorsement)

offense set forth contrary

to law in that on or about

Month

Day

Year

At

Time

□ AM

Approx.

□ PM

:

□ MT

First Name

Middle/Maiden

Last

Address

Street

City

State

Zip Code

CDL Required □Yes □No

State

Driver’s License Number

Class of License

Sex

Race DOB

M

D

Y

Social Security Number

Driver’s License □Yes □No

in Possession

Hgt.

Wgt.

Eyes

Hair

Vehicle Tag Number

State

Year

Vehicle Description

Owner of Vehicle □ Driver □ Employer □ Other

Employer/Owner of Vehicle (Address)

□ Did unlawfully operate a motor vehicle, other vehicle, or □ otherwise unlawfully use a public street, road, highway or other place, at

or near ____________________________________________________, within the □ city limits or □ police jurisdiction

of________________________________________, or □ within _____________________ County, at or near the following location

__________________________________ in violation of □ Section _________________________ Code of Alabama 1975,  or

Rule/Regulation number (or) □ Municipal Ordinance No

r near ____________________________________________________, within the □ city limits or □ police jurisdiction

of________________________________________, or □ within _____________________ County, at or near the following location

__________________________________ in violation of □ Section _________________________ Code of Alabama 1975,  or

Rule/Regulation number (or) □ Municipal Ordinance No. _____________________ duly adopted and in force at the time the offense

was committed, (if applicable) □ adopting Section ___________________________ Code 1975, more particularly described below:

CHECK THE APPROPRIATE BLOCK:

UCR Code

ML Mkr

Street/Road Code

1. □ Speeding __________MPH _______ Speed Limit

2. □ Reckless Driving (Specify facts below)

7. □ Driving While Revoked

3. □ Driving without First Obtaining a Driver’s License

8. □ Driving While Suspended

DID DRIVE OR BE IN ACTUAL PHYSICAL CONTROL OF A VEHICLE WHILE:

10. □ Running Red Light

4. □ There was .08% or More By Weight of Alcohol in His/Her Blood

13. □ Improper Equipment (Specify)_____

4. □ Under the Influence of Alcohol

14. □ Improper Passing

5. □ Under the Influence of Controlled Substance

28. □ Improper Tag (Specify)__________

71. □ Under the Combined Influence of Alcohol and Controlled Substance

29. □ Improper Turn

72. □ Under the Influence of any Substance which impairs the Mental or

42. □ Overweight Vehicle

Physical Faculties

61. □ Child Restraint Violation

6. □ Failure to Yield Right of Way

77. □ Seat Belt Violation

□Other Violation (Specify) ______________________________________________________________________

FACTS RELATING TO THE OFFENSE □ Companion Case (Traffic, Non-Traffic, Felony, Other)

(Witnesses, etc)

□ Accident involved

TICKET-P

NAME CASE

Complainant’s Signature

Officer ID

61. □ Child Restraint Violation

6. □ Failure to Yield Right of Way

77. □ Seat Belt Violation

□Other Violation (Specify) ______________________________________________________________________

FACTS RELATING TO THE OFFENSE □ Companion Case (Traffic, Non-Traffic, Felony, Other)

(Witnesses, etc)

□ Accident involved

TICKET-P

NAME CASE

Complainant’s Signature

Officer ID.

Agency ORI

AL

Verified and Acknowledged before me this date

(Circle Title) Judge/Magistrate

M

D

Y

□ Municipal COURT APPEARANCE INFORMATION

□ District Court

Phone ( )

Court Appearance

Date 

Time

□ AM

□ PM

Court Address

M

D

Y

:

I promise to appear in court at said time and place or otherwise comply with the provisions of this complaint

and instructions of the notice part of this ticket

Defendant’s Signature:

Phone ( )

□ Released on Own Recognizance □ Driver’s License Posted in Lieu of Bond

POLICE RECORD

INSTRUCTION

PRESS FIRMLY

TO OFFICER:

ASK IF MOTORIST’S ADDRESS IS CORRECT ON DRIVER’S LICENSE

[FRONT]

POLICE NOTES

[BACK]

FORM UTTC-1

REV 11/18

ALABAMA UNIFORM TRAFFIC

TICKET AND COMPLAINT

COURT CASE NO

______________________

YEAR NUMBER

ALABAMA, COUNTY OF

CO

CITY

TICKET

NUMBER

P

The undersigned, being duly sworn, deposes and says that he/she has probable cause to believe

and does believe that the person herein named did, within the previous 12 months, commit the

TYPE VEHICLE

□Commercial □Private

□Haz-Mat Involved

□Passenger (requiring

passenger endorsement)

offense set forth contrary

to law in that on or about

Month

Day

Year

At

Time

□ AM

Approx

undersigned, being duly sworn, deposes and says that he/she has probable cause to believe

and does believe that the person herein named did, within the previous 12 months, commit the

TYPE VEHICLE

□Commercial □Private

□Haz-Mat Involved

□Passenger (requiring

passenger endorsement)

offense set forth contrary

to law in that on or about

Month

Day

Year

At

Time

□ AM

Approx.

□ PM

:

□ MT

First Name

Middle/Maiden

Last

Address

Street

City State Zip Code

CDL Required □Yes □No

State

Driver’s License Number

Class of License

Sex

Race

DOB

M

D

Y

Social Security Number

Driver’s License □Yes □No

in Possession

Hgt.

Wgt.

Eyes

Hair

Vehicle Tag Number

State

Year

Vehicle Description

Owner of Vehicle □Driver □ Employer □ Other

Employer/Owner of Vehicle (Address)

□ Did unlawfully operate a motor vehicle, other vehicle, or □ otherwise unlawfully use a public street, road, highway or other place,

at or near ____________________________________________________, within the □ city limits or □ police jurisdiction

of________________________________________, or □ within _____________________ County, at or near the following location

__________________________________ in violation of □ Section _________________________ Code of Alabama 1975, □ or

Rule/Regulation number (or) □ Municipal Ordinance No. _____________________ duly adopted and in force at the time the offense

was committed, (if applicable) □ adopting Section ___________________________ Code 1975, more particularly described below:

CHECK THE APPROPRIATE BLOCK:

UCR Code

ML Mkr

Street/Road Code

1. □ Speeding __________MPH _______ Speed Limit

2. □ Reckless Driving (Specify facts below)

7. □ Driving While Revoked

3. □ Driving without First Obtaining a Driver’s License

8. □ Driving While Suspended

DID DRIVE OR BE IN ACTUAL PHYSICAL CONTROL OF A VEHICLE WHILE:

10. □ Running Red Light

4

described below:

CHECK THE APPROPRIATE BLOCK:

UCR Code

ML Mkr

Street/Road Code

1. □ Speeding __________MPH _______ Speed Limit

2. □ Reckless Driving (Specify facts below)

7. □ Driving While Revoked

3. □ Driving without First Obtaining a Driver’s License

8. □ Driving While Suspended

DID DRIVE OR BE IN ACTUAL PHYSICAL CONTROL OF A VEHICLE WHILE:

10. □ Running Red Light

4. □ There was .08% or More By Weight of Alcohol in His/Her Blood

13. □ Improper Equipment (Specify)_____

4. □ Under the Influence of Alcohol

14. □ Improper Passing

5. □ Under the Influence of Controlled Substance

28. □ Improper Tag (Specify)___________

71. □ Under the Combined Influence of Alcohol and Controlled Substance

29. □ Improper Turn

72. □ Under the Influence of any Substance which impairs the Mental or

42.□ Overweight Vehicle

Physical Faculties

61. □ Child Restraint Violation

6. □ Failure to Yield Right of Way

77. □ Seat Belt Violation

□ Other Violation (Specify) ______________________________________________________________________

FACTS RELATING TO THE OFFENSE □ Companion Case (Traffic, Non-Traffic, Felony, Other)

(Witnesses, etc)

□ Accident involved

TICKET-P

NAME

CASE

Complainant’s Signature

Officer ID.

Agency ORI

AL

Verified and Acknowledged before me this date

(Circle Title) Judge/Magistrate

M

D

Y

□ Municipal COURT APPEARANCE INFORMATION

□ District Court

Phone ( )

Court Appearance

Date 

Time

□ AM

□ PM

Court Address

M

D

Y

:

I promise to appear in court at said time and place or otherwise comply with the provisions of this complaint

and instructions of the notice part of this ticket

Defendant’s Signature:

Phone ( )

□ Released on Own Recognizance □ Driver’s License Posted in Lieu of Bond

DEFENDANT’S COPY

INSTRUCTION

PRESS FIRMLY

TO OFFICER:

ASK IF MOTORIST’S ADDRESS IS CORRECT ON DRIVER’S LICENSE

[FRONT]

in court at said time and place or otherwise comply with the provisions of this complaint

and instructions of the notice part of this ticket

Defendant’s Signature:

Phone ( )

□ Released on Own Recognizance □ Driver’s License Posted in Lieu of Bond

DEFENDANT’S COPY

INSTRUCTION

PRESS FIRMLY

TO OFFICER:

ASK IF MOTORIST’S ADDRESS IS CORRECT ON DRIVER’S LICENSE

[FRONT]

NOTICE

INSTRUCTIONS TO THE DEFENDANT

1. You must appear in court on the appearance date shown on the front of this ticket except as provided below.

2. If you have not settled this case prior to the appearance date and you do not appear in court on that date, a warrant will

be issued for your arrest and the Alabama Law Enforcement Agency will be notified to suspend your driver’s license.

3. You do not have to appear in court for the following offenses unless you have been convicted of, or plead guilty to, two or

more traffic violations during the preceding 12 months (parking tickets excluded):

Speeding

No red or orange flag or red light or

IMPROPER:

Allowing child under the age of 16 to

amber strobe

Backing

operate motor vehicle

Obstructing driver's view

Brakes

Blocking highway

Operating a motor vehicle without a

Lights

Casting a light from a public road

driver's license

Muffler

Coasting

Overweight/overheight/overlength truck

Or no rearview mirror

Crossing a fire hose

Parking more than 18 inches from curb

Passing

Driving on wrong side of road Refusal to weigh

Signal

Driving upon sidewalk

Running red light

Stopping or parking on or

Failure to dim headlights Running stop sign

in highway

Failure to stop at railroad crossing Shifting load

Stopping, standing, or park-

Failure to use child restraint Spilling load

ing in specified places

Failure to wear safety belt Stopping on highway

Stopping, standing, or park-

Failure to yield right-of-way Switched personalized license plates

ing outside business or

Failure to yield to emergency vehicle Unattended motor vehicle

r

highway

Failure to stop at railroad crossing Shifting load

Stopping, standing, or park-

Failure to use child restraint Spilling load

ing in specified places

Failure to wear safety belt Stopping on highway

Stopping, standing, or park-

Failure to yield right-of-way Switched personalized license plates

ing outside business or

Failure to yield to emergency vehicle Unattended motor vehicle

residence

Following emergency vehicle

Violating driver's license restriction or

Tag

Following too closely

endorsement

Tag classification

Hitchhiking

Tires

Littering highway

Turn

No helmet (motorcycle rider)

Use of clearly indicated div-

No permit (oversized width, height,

ided highway

length)

Window tinting

Other minor traffic offenses may be added to this list which will allow you to plead guilty before a magistrate. You may contact the court shown on

the reverse side of the ticket to determine if the offense with which you are charged is included. If you are charged with one of the above offenses

and have not been convicted of two or more traffic violations during the preceding 12 months, you may enter a plea of guilty either in person or by

mail to the court clerk or magistrate not later than 24 hours before the court date shown on the ticket. To do so, you must sign the “Plea of

Guilty/Waiver of Rights” set forth below and present this copy of the ticket and pay all fines and court costs.

4. You must contact the court for the amount of the fine and court costs. Upon a plea of guilty or a conviction for the offense

charged within this complaint, you have 60 days to satisfy any monetary judgment against you. If you cannot pay any

monetary judgment against you in 60 days, you may apply to the court to request payment of a monetary judgment in

installments

ll fines and court costs.

4. You must contact the court for the amount of the fine and court costs. Upon a plea of guilty or a conviction for the offense

charged within this complaint, you have 60 days to satisfy any monetary judgment against you. If you cannot pay any

monetary judgment against you in 60 days, you may apply to the court to request payment of a monetary judgment in

installments. You must obtain a court order approving an installment plan and provide proof of financial responsibility and

such an order to the Secretary of the Alabama Law Enforcement Agency within 60 days of the entry of any monetary

judgment against you OR YOUR LICENSE WILL BE SUBJECT TO AUTOMATIC SUSPENSION.

5. Penalty points are assessed upon conviction under the provisions of Alabama statutes and the Alabama Law Enforcement

Agency’s Point System and may result in the suspension or revocation of your driver’s license by the Alabama Law

Enforcement Agency.

PAYMENT MUST BE BY CERTIFIED CHECK OR MONEY ORDER IF MADE BY MAIL

PLEA OF GUILTY/WAIVER OF RIGHTS

YOU ARE HEREBY ADVISED OF YOUR RIGHTS AS A DEFENDANT IN THIS TRAFFIC CASE

(Please Read Carefully)

I, the undersigned, do hereby enter my appearance on the offense charged within this complaint. I understand that I

have certain constitutional rights which I will waive if I plead guilty, namely: the right to a trial before this court; the right to an

attorney of my choice, or if I cannot afford one, one appointed by the court; the right at trial to subpoena witnesses on my

behalf, to confront and cross-examine witnesses against me and to argue and make objections; and the right to testify in my

own behalf. I also understand that I cannot be forced to testify against myself and that I am presumed innocent and that this

presumption can be overcome only if the prosecution convinces the judge or jury of my guilt beyond a reasonable doubt

l to subpoena witnesses on my

behalf, to confront and cross-examine witnesses against me and to argue and make objections; and the right to testify in my

own behalf. I also understand that I cannot be forced to testify against myself and that I am presumed innocent and that this

presumption can be overcome only if the prosecution convinces the judge or jury of my guilt beyond a reasonable doubt.

I understand my constitutional rights set out above and the punishment that will be imposed if I elect to plead guilty

before a magistrate. I also understand that my plea of guilty will have the same force and effect as a judgment of conviction

by the court and that a record of this conviction will be sent to the driver’s license division of the Alabama Law Enforcement

Agency (or of the state where I received my license to drive). This may result in the suspension or revocation of my driver’s

license and may adversely affect my ability to maintain or secure automobile insurance. I further understand that this

conviction may result in enhanced penalties on subsequent convictions. I understand my rights and the matters set out above

and hereby voluntarily and knowingly waive such rights by pleading guilty as evidenced by my signature below. I further

state under penalty of law (Section 13A-10-109, Code of Alabama 1975), that I have not been convicted of two or more traffic

violations during the preceding 12 months.

____________________________________________

Defendant’s Signature Date

____________________________________________

Defendant’s Name (print or type)

6. For Minor Equipment Violations: Local municipal ordinances may allow you to have the equipment repaired within 72 hours,

excluding Sundays and legal holidays, and present your ticket to any law enforcement officer within the jurisdiction of the

offense charged. This officer after inspection of your vehicle may, by signing below, recommend that the charge be

dismissed

Name (print or type)

6. For Minor Equipment Violations: Local municipal ordinances may allow you to have the equipment repaired within 72 hours,

excluding Sundays and legal holidays, and present your ticket to any law enforcement officer within the jurisdiction of the

offense charged. This officer after inspection of your vehicle may, by signing below, recommend that the charge be

dismissed. You must then deliver or forward the ticket to the court clerk at the address on the front of this ticket.

DEFECTIVE EQUIPMENT REPAIRED (OFFICER’S RECOMMENDATION TO DISMISS CHARGE)

Equipment Inspected

Inspecting Officer’s Name, PRINTED AND SIGNED:

Date of Inspection

Time

Officer ID

Agency ORI Number

AL

Mo

Day

Year

:

 AM

 PM

[BACK]

BOOK

P

ALABAMA UNIFORM TRAFFIC TICKET AND COMPLAINT

INSTRUCTION TO OFFICERS

PRINT EVERYTHING BUT SIGNATURES,

USE A MEDIUM BALL POINT PEN AND PRESS FIRMLY.

PRINTING ON TICKET MUST BE LEGIBLE ON ALL COPIES.

(CHECK VIOLATOR’S COPY BEFORE ISSUING).

1.

This Uniform Traffic Ticket and Complaint (UTTC) MAY NOT be issued to charge

municipal parking offenses, Rule 19(B) Ala.R.Jud.Admin.

2.

Use a separate UTTC for each violation.

3.

Complete and sign the UTTC, have the motorist sign the promise to appear in court,

and give him/her the defendant’s copy.

4.

Advise the motorist to follow the instructions on the back of the UTTC. Inform him/her

of the consequences of failing to appear in court.

5.

All copies of a voided ticket must be returned to the local issuing office.

6.

This ticket, including the statement of charges, is valid until specifically recalled

pursuant to Rule 19(D) Ala.R.Jud.Admin.

7.

A commercial motor vehicle is a motor vehicle designed or used to transport

passengers or property and: (a.) having gross weight of 26,001 lbs or more; or (b.)

designed to transport 16 or more passengers; or (c.) transporting hazardous material

pursuant to Title 32-6-49.3

cket, including the statement of charges, is valid until specifically recalled

pursuant to Rule 19(D) Ala.R.Jud.Admin.

7.

A commercial motor vehicle is a motor vehicle designed or used to transport

passengers or property and: (a.) having gross weight of 26,001 lbs or more; or (b.)

designed to transport 16 or more passengers; or (c.) transporting hazardous material

pursuant to Title 32-6-49.3.

STATE CODES

AL

Alabama

LA

Louisiana

OR

Oregon

AK

Alaska

ME

Maine

PA

Pennsylvania

AZ

Arizona

MD

Maryland

RI

Rhode Island

AR

Arkansas

MA

Massachusetts

SC

South Carolina

CA

California

MI

Michigan

SD

South Dakota

CO

Colorado

MN

Minnesota

TN

Tennessee

CT

Connecticut

MS

Mississippi

TX

Texas

DE

Delaware

MO

Missouri

UT

Utah

DC

District of

MT

Montana

VT

Vermont

Columbia

NE

Nebraska

VA

Virginia

FL

Florida

NV

Nevada

WA

Washington

GA

Georgia

NH

New Hampshire

WV

West Virginia

HI

Hawaii

NJ

New Jersey

WI

Wisconsin

ID

Idaho

NM

New Mexico

WY

Wyoming

IL

Illinois

NY

New York

AS

American Samoa

IN

Indiana

NC

North Carolina

CZ

Panama Canal Zone

IA

Iowa

ND

North Dakota

GU

Guam

KS

Kansas

OH

Ohio

PR

Puerto Rico

KY

Kentucky

OK

Oklahoma

VI

Virgin Islands

A Certified copy of the Uniform Traffic Ticket and Complaint Form (UTTC-1) may be

used in lieu of the Uniform Crime Report (UCR) for reporting to the ACJIC for DUI cause

ONLY. The UCR Code for reporting DUI/Liquor arrests is 5404: for DUI/Drugs is 5403.

This code should be included in the space provided on all DUI tickets.

ALABAMA UNIFORM TRAFFIC TICKET & COMPLAINT

BOOK

P

Beginning Ticket P

Ending Ticket

P

Date Issued ____________________

Issuing Officer ________________________

Received By: _________________________________________________________________

Name

ID NO:

AGENCY COPY

[FRONT]

5403.

This code should be included in the space provided on all DUI tickets.

ALABAMA UNIFORM TRAFFIC TICKET & COMPLAINT

BOOK

P

Beginning Ticket P

Ending Ticket

P

Date Issued ____________________

Issuing Officer ________________________

Received By: _________________________________________________________________

Name

ID NO:

AGENCY COPY

[FRONT]

CODE

CHARGE

STATUTE

01

Speeding

-Posted

32-5A-171

-Reasonable/Prudent

32-5A-170

02

Reckless Driving

32-5A-190

03

Driving W/O License

32-6-18

04

DUI

-BAC

32-5A-191(a)(1)

-Under the Influence

32-5A-191(a)(2)

05

-Controlled Substance

32-5A191(a)(3)

71

-Combined Alcohol &

Controlled Substance

32-5A-191(a)(4)

72

-Any Substance

32-5A-191(a)(5)

-Under 21, BAC .02-.08

32-5A-191(b)

06

Failing to Yield R.O.W.

-Intersection

32-5A-110

-Left Turn

32-5A-111

-Stop or Yield Intersection

32-5A-112

-Private or Other Roadway

32-5A114

-Emergency Vehicle

32-5A-115

-Construction

32-5A-116

Driving While License

07

-Revoked

32-6-19

08

-Suspended

32-6-19

09

-Canceled

32-6-19

10

Running Red Light

32-5A-31

11

Driving on Wrong Side of Road

32-5A-80

12

Running Stop Sign

32-5A-31

13

Improper

-Muffler

32-5-216

-Lights

32-5-240

-Tires

32-5-210

-Mirror

32-5-214

-Brakes

32-5-212

14

Improper Passing

-Opposite Direction

32-5A-81

-Same Direction (left)

32-5A-82

-Same Direction (right)

32-5A-83

-No Passing

32-5A-86

28

Improper Tag – Classification

32-6-52

Wrongful Use of Classification Tag

32-6-131

Wrongful Use of Personalized Tag

32-6-155

29

Improper Turn

-Left

32-5A-111

-Intersection

32-5A-130

-Curve or Crest of Grade

32-5A-131

-Turning

me Direction (left)

32-5A-82

-Same Direction (right)

32-5A-83

-No Passing

32-5A-86

28

Improper Tag – Classification

32-6-52

Wrongful Use of Classification Tag

32-6-131

Wrongful Use of Personalized Tag

32-6-155

29

Improper Turn

-Left

32-5A-111

-Intersection

32-5A-130

-Curve or Crest of Grade

32-5A-131

-Turning Movement

32-5A-133

42

Overweight Vehicle

32-9-20

[BACK]