SUPERIOR COURT OF CALIFORNIA COUNTY OF SANTA CLARA Bail Schedule Request to Modify Bail Amount Only , requests the Court to modify the bail amount for the following violation(s). (Name of Agency) MANDATORY COURT APPEARANCE PROOF OF CORRECTION ELIGIBLE CODE SECTION OR MUNI ORDINANCE DESCRIPTION Yes No CODE SECTION OR MUNI ORDINANCE Yes No REQUESTED BAIL AMOUNT OTHER CRIME CATEGORY FILE IN DIVISION Increase Decrease Felony Misdemeanor Infraction MANDATORY COURT APPEARANCE Criminal Traffic PROOF OF CORRECTION ELIGIBLE CODE SECTION OR MUNI ORDINANCE DESCRIPTION Yes No CODE SECTION OR MUNI ORDINANCE Yes No REQUESTED BAIL AMOUNT OTHER CRIME CATEGORY FILE IN DIVISION Increase Decrease Felony Misdemeanor Infraction MANDATORY COURT APPEARANCE Criminal Traffic PROOF OF CORRECTION ELIGIBLE CODE SECTION OR MUNI ORDINANCE DESCRIPTION Yes No CODE SECTION OR MUNI ORDINANCE Yes No REQUESTED BAIL AMOUNT OTHER CRIME CATEGORY FILE IN DIVISION Increase Decrease Felony Misdemeanor Infraction Criminal Traffic Additional Information: Requested by: Email: Date: Telephone: AD-1003 REV 9/3/10 BAIL SCHEDULE REQUEST TO MODIFY BAIL ONLY American LegalNet, Inc. www.FormsWorkFlow.com