DC-71 (revised August 2016) STATE OF RHODE ISLAND AND PROVIDENCE PLANTATIONS DISTRICT COURT NOTICE TO APPEAR Police Department Offense Number Name of the Defendant Address of the Defendant Date of Birth of the Defendant Civil Violation: Pursuant to this statute a 1st and 2nd offense will result in a violation with civil penalties (Select One) 31-11-18/1 Driving With Suspended/Revoked/Cancelled License - 1st Offense 31-11-18/2 Driving With Suspended/Revoked/Cancelled License- 2nd Offense 31-11-18/NIC/1 - Driving With Expired License or Without License - 1st Offense 31-11-18/NIC/2 - Driving With Expired License or Without License - 2nd Offense Your failure to appear on this Civil Violation, will result in you being defaulted (Guilty Absentia). A judgment shall enter against you and the court shall impose a fine and court cost pursuant to the statute, and the court may issue a Civil Body Attachment. Misdemeanor: Pursuant to this statute a 3rd and subsequent offense will result in a misdemeanor charge with criminal penalties (Select One) 31-11-18/3 - Driving With Suspended/Revoked/Cancelled License 3rd and Subsequent Offense 31-11-18/NIC/3 Driving With Expired License or Without License 3rd and Subsequent Offense If you fail to appear on this Misdemeanor charge, the court may issue a Bench Warrant for your arrest. Signature of the Defendant Refused to Sign Murray Judicial Complex 2nd Division 45 Washington Square Newport, Rhode Island 02840 - 2913 Noel Judicial Complex 3rd Division 222 Quaker Lane Warwick, Rhode Island 02886 - 0107 McGrath Judicial Complex 4th Division 4800 Tower Hill Road Wakefield, Rhode Island 02879 - 2239 Garrahy Judicial Complex 6th Division One Dorrance Plaza Provide nce, Rhode Island 02903 - 2719 TO THE ABOVE - NAMED DEFENDANT: You are hereby ordered to appear at the District Court listed above. Your appearanc e date and time is Hearing Date: Hearing Time: Issuing Officer Signature /s/ Department Number Officer Identification Date en If you need language assistance, please contact the Office of Court Interpreters at (401) 222-8710 or by email at eninterpreterfeedback@courts.ri.goven before your court appearance. telephone number listed above as soon as possible. TTY users can contact the District Court through Rhode Island Relay at 7-1-1 or 1-800-745-5555 (TTY) to voice number. American LegalNet, Inc. www.FormsWorkFlow.com