SUPERIOR COURT OF CALIFORNIA COUNTY: Reserved for Clerk's File Stamp COUNTY OF EL DORADO PLAINTIFF: PEOPLE OF THE STATE OF CALIFORNIA DEFENDANT: ADDENDUM TO ADVISEMENT, WAIVER, AND PLEA FORM Driver's License Suspensions (Vehicle Code §§ 13201.5, 13202.5, 13202.6) CASE NUMBER: DEPARTMENT Please complete the applicable parts of this form and sign and date the form on page 2. 1. DEFENDANT AT LEAST 13 YEARS OF AGE AND UNDER 21 YEARS OF AGE (VC § 13202.5) I understand that it is alleged that I was at least 13 years of age, but under 21 years of age, at the time of my arrest for one of the following offenses. Please check the applicable box. a. VIOLATIONS INVOLVING ALCOHOL OR DRUG(S) Vehicle Code § 23103 under § 23103.5, § 23140, or Article 2 of Chapter 12 of Division 11 of the Vehicle Code (sections 23152-23229.1) b. PUBLIC INTOXICATION Penal Code § 647(f) c. VEHICULAR MANSLAUGHTER Penal Code §§ 191.5, 192.5(a) or (b), 647(f) d. VIOLATIONS INVOLVING CONTROLLED SUBSTANCE(S) Division 10 of the Health and Safety Code (commencing with section 11000) e. PURCHASE, OFFER FALSE I.D. TO PURCHASE, OR POSSESSION OF ALCOHOL BY MINOR Business and Professions Code §§ 25658, 25658.5, 25661, or 25662 I understand that in addition to the consequences of my guilty plea set forth in the Advisement, Waiver, and Plea form I completed, my driver's license will be suspended for one y ear as a result of my conviction, and that I must surrender my driver's license to the Court. I understand that for each successive offense specified above, the Court will suspend my driver's license, or delay my eligibility to receive a driver's license, for an additional year. I understand that the Court may also order me to install a certified ignition interlock device in my vehicle. I understand that if I do not have a valid driver's license at the time of my conviction, the Court will order the Department of Motor Vehicles to delay issuing a license to me for one y ear after I become eligible to drive. If I have no other conviction for any of the offenses specified above in a 12-month period after this conviction, I may petition the Court to modify the order delaying issuance of a driver's license. I understand that I may petition the Court to impose a restricted driver's license based on a critical need to drive. CR-131 (Rev. 1-2012) See Next Page Page 1 of 2 American LegalNet, Inc. www.FormsWorkFlow.com 2. DEFENDANT CHARGED WITH COMMITTING A LEWD ACT OR PROSTITUTION (VC § 13201.5) I understand that it is alleged that I committed a violation of one of the following offenses. Please check the applicable box. a. b. LEWD CONDUCT - Penal Code § 647(a) - If picking up a person who was loitering with the intent to commit prostitution and engaging in lewd conduct with that person. PROSTITUTION - Penal Code § 647(b) I understand that in addition to the consequences of my guilty plea set forth in the Advisement, Waiver, and Plea form I completed, that my driver's license may be suspended for up to 30 day s as a result of my conviction if the offense was committed with the use of a vehicle within 1,000 feet of a private residence. My driver's license may instead be restricted for a period of up to six months to allow necessary travel to and from work, within the scope of employment, or for education purposes. 3. DEFENDANT 13 YEARS OF AGE OR OLDER CHARGED WITH VANDALISM (VC § 13202.6) I understand that it is alleged that I was 13 years of age or older when I committed a violation of Penal Code §§ 594, 594.3, or 594.4. I understand that in addition to the consequences of my guilty plea set forth in the Advisement, Waiver, and Plea form I completed, that my driver's license will be suspended for not more than two years as a result of my conviction, and that I must surr ender my driver's license to the Court. However, my license will not be suspended if the Court finds a personal or fa mily hardship that requires me to drive for a family, employment, or medically related purpose. I understand that if I do not have a valid driver's license at the time of my conviction, the Court will order the Department of Motor Vehicles to delay issuing a license to me for not less than one year nor more than three years after I become eligible to drive. However, if I have no further conviction for violating Penal Code §§ 594, 594.3, or 594.4 in a 12-month period after the conviction, I may petit ion the Court to modify the order delaying issuance of a driver's license. I understand that for each successive offense specified above, the Court will suspend my driver's license, or delay my eligibility to receive a driver's license, for an additional year. I also understand that I may elect to reduce the period of suspension or delay in issuance of my driver's license by performing community service at the rate of one day for each hour of community service performed. **************************************** I understand the information regarding the above additional consequences of my guilty plea in this case. I understand that if I have any questions, I may ask my attorney or the judge. DEFENDANT'S SIGNATURE: DATE: INTERPRETER'S STATEMENT (if applicable) I, having been sworn or having a written oath on file, certify that I truly translated this form to the defendant in the language indicated below. The defendant stated that (s)he understood the contents of the form, and then (s)he initialed and signed the form. Language: Spanish Other (specify): COURT INTERPRETER'S SIGNATURE TYPE OR PRINT NAME DATE CR-131 (Rev. 1-2012) Page 2 of 2 American LegalNet, Inc. www.FormsWorkFlow.com