COURT APPROVED FORM REVISED July 2016 Case No. Department No. Court Date IN THE MUNICIPAL COURT OF THE CITY OF RENO, COUNTY OF WASHOE, STATE OF NEVADA THE CITY OF RENO, Plaintiff, vs. AUTHORIZATION TO REPRESENT , Defendant. I, (defendant), in accordance with N.R.S.178.388(3)*, do hereby designate my attorney, , Esq., to represent me in all stages of the action against me in the court on all necessary dates and consent to proceedings in my absence. [ ] My attorney has apprised me of my applicable constitutional rights and I hereby assert that I am aware of said rights, and I waive my arraignment and request that the charge(s) be set for trial. [ ] My attorney has apprised me of my right to a speedy trial and I hereby waive my right to have my trial held within sixty (60) days. DefendantSignature (Mandatory) Date [ ] An interpreter for the language is necessary for further proceedings in this matter. [ ] I hereby certify that I am an attorney licensed to practice law in the State of Nevada and I have agreed to represent the defendant herein. Attorney for Defendant (Mandatory) Date Bar No. Address: Phone: Email: The Court [ ] Approves the above request. [ ] Disapproves the above request. [ ] Except for sentencing (if applicable) [ ] Except for change of plea [ ] Except for trial Municipal Judge *Rights of Defendant NRS 178.388(3): Presence of defendant. In prosecutions for offenses punishable by fine or by imprisonment for not more than 1 year, or both, the court, with the written consent of the defendant, may permit arraignment, plea, trial and imposition of sententhat the defendant was fully aware of the applicable constitutional rights when the defendant gave consent. American LegalNet, Inc. www.FormsWorkFlow.com