Get In Infraction Deferral Intake Form - Elkhart County 2013

Completing the IN Infraction Deferral Intake Form for Elkhart County is an important step for anyone seeking to participate in the Infraction Deferral Program. This guide provides clear, step-by-step instructions to help users navigate the form efficiently and effectively.

Follow the steps to successfully complete the intake form.

1. Press the ‘Get Form’ button to acquire the form in your preferred format for editing.
2. Fill in the date at the top of the form. Make sure to use the current date when you are completing the form.
3. Enter your last, first, and middle name clearly in the designated fields. It is important that this information matches your identification.
4. Provide your address including city, state, and ZIP code in the appropriate sections. Ensure that all information is accurate and legible.
5. Input your home and work phone numbers. If you have an employer, write down their name in the space provided.
6. Complete your date of birth and Social Security Number in the specified format. Follow this by indicating your license type.
7. Fill in your driver’s license number and the state that issued it. This information is crucial for processing your application.
8. Answer the questions about traffic tickets and violations by circling 'Yes' or 'No' as appropriate. If 'Yes', provide details as requested.
9. For out-of-state drivers, include a copy of your current driving record with your application. Ensure that this document is up-to-date.
10. Affirm the truthfulness of the information by signing the form. Make sure to do this clearly and legibly.
11. Return the completed paperwork before your scheduled court date using mail, delivery, or fax options provided in the instructions.
12. Once submitted, wait for notification regarding your acceptance into the program, and ensure to follow all requirements outlined.

Complete your IN Infraction Deferral Intake Form online today and take the first step towards resolving your traffic ticket.