SUPERIOR COURT OF CALIFORNIA, COUNTY OF RIVERSIDE BANNING 135 N. Alessandro Rd., Banning, CA 92220 BLYTHE 265 N. Broadway, Blythe, CA 92225 HEMET 880 N. State St., Hemet, CA 92543 INDIO 46-200 Oasis St., Indio, CA 92201 MORENO VALLEY 13800 Heacock St., Ste. D201, Moreno Valley, CA 92553 TEMECULA 41002 County Center Dr., Ste. 100, Temecula, CA 92591 RI-TR005 FOR COURT USE ONLY PEOPLE OF THE STATE OF CALIFORNIA vs. DEFENDANT: CASE NUMBER: REQUEST FOR TRAFFIC SCHOOL AFTER BAIL FORFEITURE OR TRIAL 1. I would like to attend traffic violator school for my violation. 2. I have not attended traffic violator school for any violation that occurred within the past three years. OR 3. I last attended traffic violator school for a citation I received for violation of Vehicle Code section(s): on . (DATE OF VIOLATION) 4. I do not have a Class A, Class B, or commercial Class C driver’s license. I declare under penalty of perjury that the foregoing is true and correct to the best of my knowledge. Signature of defendant: Signed on: (PRINT NAME) (STREET ADDRESS) (CITY) (STATE) (ZIP) (COURT USE ONLY) ORDER RE REQUEST FOR TRAFFIC SCHOOL Defendant’s request for traffic violator school is Denied. Defendant’s request for traffic violator school is Granted provided that all monies owed in this case, including the $ Traffic School Fee, are paid in full by Defendant must complete Traffic School within (JUDICIAL OFFICER) . days. (DATE) Page 1 of 1 Approved for Optional Use Riverside Superior Court RI-TR005 [Rev. 5/16/12] REQUEST FOR TRAFFIC SCHOOL AFTER BAIL FORFEITURE OR TRIAL riverside.courts.ca.gov/localfrms/localfrms.shtml American LegalNet, Inc. www.FormsWorkFlow.com