COURT COUNTY OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .NOTIFICATION OF ELECTION FOR TRAFFIC SCHOOL:::::::Index No.When electing traffic school, you must contact a traffic school of your choice in the State of Florida. 1.Calendar No.JUDICIAL SUBPOENAPlaintiff(s) -against-Defendant(s)Complete the following Election form -PLEASE PRINT CLEARLY. 2.The undersigned does solemnly swear or affirm that I am pleading no contest to the charge(s) and I am requesting to attend Traffic School so the adjudication of guilt will be withheld, in lieu of court appearance pursuant to F.S. 318.14(9)(a), to be completed within ninety (90) days of this date at which time the points will be withheld from my driving record. Failure to complete the Traffic School course will result in the suspension of my driver license. 3.You MUST check option A or B below, if eligible. Election A and B below are not available to anyone who has made the same election within the preceding twelve (12) months, or five (5) times ever. A . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Pursuant to Section 318.1451 Florida Statute, I am electing to attend the four (4) hour Basic Traffic Course. (I have not elected a four (4) hour course within the preceding twelve (12) months, or five (5) times ever.)THE PEOPLE OF THE STATE OF NEW YORK TOB Pursuant to Broward County administrative order, I am electing to attend the eight (8) hour Traffic Course as I have attended the four (4) hour course within the preceding twelve (12) months. (I have not elected an eight (8) hour course within the preceding twelve (12) months, or five (5) times ever.) THIS OPTION (B) IS ONLY AVAILABLE FOR CITATIONS ISSUED IN BROWARD COUNTY.GREETINGS:CITATION CITATION NUMBERCHECKCITATION (Include alpha letters): WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before Court at the the HonorableDIGIT: DATE: ,COUNTY IN WHICH YOU RECEIVED YOUR CITATION: LAST NAME: FIRST NAME: MIDDLE INITIAL: DATE OF BIRTH: // MALE: FEMALE: STREET ADDRESS: CITY: STATE: located at County ofo'clock in the day of, on the, 20, at or adjourned date, to testify and give evidence as a witness in this action on the part of thenoon, and at any recessed in roomYour failure to comply with this subpoena is punishable as a contempt of court and will make you liable to the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a result of your failure to comply., one of the Justices of theCourt in Witness, Honorableday of, 20 County,ZIP: (Attorney must sign above and type name below)DRIVER LICENSE #: STATE ISSUED: HOME PHONE: DAY BUSINESS PHONE: Attorney(s) for4.I am aware that I may be in CONTEMPT OF COURT if any information I give is false. VIOLATOR'S SIGNATUREOffice and P.O. AddressDATEIMPORTANT If you received a citation in Broward County and wish to attend a State approved Florida Traffic School outside of the County, register for school in that area. Upon course completion, send the original certificate back to Howard C. Forman, Clerk of Court, P.O. Box 14610 Fort Lauderdale, FL 33302-4610 within ninety (90) calendar days of this date. It is very important that your citation number be on the certificate of completion. FORM.611 REVISED 1/03Telephone No.: Facsimile No.: E-Mail Address:Mobile Tel. No.:COPY FEE: 699SEARCH FEE: 698American LegalNet, Inc. www.USCourtForms.com