Mendocino Superior Court SUPERIOR COURT OF CALIFORNIA, COUNTY OF MENDOCINO PLEA IN ABSENTIA (Vehicle Code Sections 23153, 23152, 23103.5) This form must be attached to the waiver form. Case No. Defendant Name DEFENDANT’S CERTIFICATION I certify that I have read the front of the attached waiver of constitutional rights entirely, that I understand it; that my attorney has orally explained it to me, that I have personally and voluntarily to the charge of placed the answers in the boxes and I enter a plea of violation of the Veh. Code section(s) . I authorize and direct my attorney, , to enter to the court in my absence my plea and admit any prior convictions and/or refusal allegation as indicated on the attached waiver form(s). My attorney is further authorized and directed to waive time for sentencing, and to receive the sentence in my absence. I specifically waive my right to personally enter my plea, I waive my right to be personally present when sentence is imposed, I waive my right to delay sentencing not less than six hours nor more than five days after entry of the plea, and I waive my right to personally address the court in mitigation of any sentence which may be imposed. I waive my right to be sentenced by a judge. I understand that if the court grants probation, it shall be for not less than 3 years nor more than 5 years, and the terms and the conditions of probation may include, but not be limited to, fine, jail time, restitution and the conditions that I not drive without a valid California drivers license, not drive with any measurable amount of alcohol in my system, not refuse to take a chemical test or tests of blood, breath or urine when requested to do so by a peace officer, and obey all laws. I authorize my attorney to accept the conditions on my behalf. Signed: Dated: ATTORNERY’S CERTIFICATION I certify that I am the attorney of record for the defendant; that I have fully discussed the matters on the attached waiver of constitutional rights with the defendant and advised the defendant thereon; that the representation above are the defendant’s own, that I believe the plea and waivers, were intelligently, voluntarily and expressly made; that I join in the plea and waivers, and that the above signature and the signature on the waiver form, if not notarized, were made in my presence. I stipulate there is a factual basis for the plea, and that time is waived for judgment and sentencing. Dated: Signed: FINDINGS AND ORDER This document having been completed and presented to the Court: the Court being satisfied that the plea and waiver were expressly, intelligently and voluntarily made; and the Court finding that there is a factual basis for said plea and enters it on the record. Signed: Dated: Judge/Commissioner of the Superior Court (Adopted for Mandatory use effective 7/1/08) American LegalNet, Inc. www.FormsWorkflow.com