Get MD DR-490 2011-2023

DISTRICT COURT OF MARYLAND COMPLAINT AND CITATION OPTION FORM NAME Return to Traffic Processing Center COUNTY IN WHICH CITATION WAS WRITTEN Check if address on citation was different ADDRESS CITY STATE ZIP TELEPHONE NO. LOST OR MISSING CITATION OPTION FORM If you lost or misplaced your citation you will need to complete this blank form print and mail WITHIN 30 DAYS after receipt of the citation to District Court Traffic Processing Center PO Box 6676 Annapolis MD 21401 If you have more than one citation you must send a separate form for each citation. You will need to access your citation information citation number fine amount date of the violation etc. online using our public access site Case Search to complete the necessary information on the form so your payment or request can be applied correctly. WRITE IN YOUR CITATION NUMBER BELOW CHECK THE APPROPRIATE BOX BELOW* IF MAILING IN FINE FILL IN AMOUNT OF FINE* REQUEST WAIVER HEARING PAY FINE AMOUNT OR REQUEST TRIAL Check the appropriate box and sign below to request a Waiver Hearing or Trial for any citations listed above. Request Waiver Hearing - I admit that I committed the violation s charged in this citation* I am requesting a waiver hearing at which I may explain the circumstances to a judge. I know this is not a trial the officer and witnesses will not be present and that my appearance in court is for sentencing only. Request Trial - I request a trial date for the violation s charged* DATE DEFENDANT S SIGNATURE DR-49O Rev* 1/2011 RESET. WRITE IN YOUR CITATION NUMBER BELOW CHECK THE APPROPRIATE BOX BELOW* IF MAILING IN FINE FILL IN AMOUNT OF FINE* REQUEST WAIVER HEARING PAY FINE AMOUNT OR REQUEST TRIAL Check the appropriate box and sign below to request a Waiver Hearing or Trial for any citations listed above. Request Waiver Hearing - I admit that I committed the violation s charged in this citation* I am requesting a waiver hearing at which I may explain the circumstances to a judge. Request Waiver Hearing - I admit that I committed the violation s charged in this citation* I am requesting a waiver hearing at which I may explain the circumstances to a judge. I know this is not a trial the officer and witnesses will not be present and that my appearance in court is for sentencing only. I know this is not a trial the officer and witnesses will not be present and that my appearance in court is for sentencing only. Request Trial - I request a trial date for the violation s charged* DATE DEFENDANT S SIGNATURE DR-49O Rev* 1/2011 RESET. WRITE IN YOUR CITATION NUMBER BELOW CHECK THE APPROPRIATE BOX BELOW* IF MAILING IN FINE FILL IN AMOUNT OF FINE* REQUEST WAIVER HEARING PAY FINE AMOUNT OR REQUEST TRIAL Check the appropriate box and sign below to request a Waiver Hearing or Trial for any citations listed above. Request Waiver Hearing - I admit that I committed the violation s charged in this citation* I am requesting a waiver hearing at which I may explain the circumstances to a judge. I know this is not a trial the officer and witnesses will not be present and that my appearance in court is for sentencing only. .