American LegalNet, Inc. www.FormsWorkFlow.com DISTRICT COURT OF WASHINGTON, FOR CHELAN COUNTY , Plaintiff VS. , Defendant NO: PETITION FOR DEFERRED PROSECUTION (DPPF) CHARGES: VIOLATION DATE: COMES NOW the defendant and petitions the court for deferred prosecution pursuant to RCW Chapter 10.05, and states as follows: 1.I allege the wrongful conduct charged is the result of or caused by[ ] ALCOHOLISM [ ] DRUG ADDICTION [ ] MENTAL PROBLEMS, for which I need treatment. 2.Unless I receive treatment for my problem, the probability of future American LegalNet, Inc. www.FormsWorkFlow.com 11.I understand that for some crimes, a deferred prosecution will enhancemandatory penalties for subsequent offenses committed within a seven-yearperiod. I understand that a deferred prosecution will be a prior offense underRCW 46.61.5055 (driving under the influence, physical control of a vehicleunder the influence, negligent driving if originally charged as driving under theinfluence or physical control of a vehicle under the influence, vehicularhomicide, or vehicular assault).12.I understand that if the court grants this Petition, I may not operate a motorvehicle on the public highways without a valid operator222s license and proof ofliability insurance pursuant to RCW 46.29.490. I understand I shall also berequired to install an ignition interlock or other device on any motor vehicle Ioperate as set forth in RCW 46.20.720. I may also be required to pay restitutionto victims, pay court costs, and pay probation costs authorized by law. Thecourt may terminate the deferred prosecution program if I violate thisparagraph.13.I understand that if I fail or neglect to comply with any part of my treatmentplan or with any ignition interlock requirements, then the court will hold ahearing to determine whether I should be removed from the deferredprosecution program. After the hearing the court will either order that Icontinue with treatment or be removed from deferred prosecution and enterjudgment. If I am convicted of a similar offense during the deferred prosecution,the court will revoke the deferred prosecution and enter judgment.14.I understand that the charge(s) against me in this case will be dismissed threeyears from the end of the two-year treatment plan, but no less than five yearsfrom the date the deferred prosecution is granted, if the court grants mypetition for deferred prosecution and if I fully comply with all the terms of thecourt order placing me on deferred prosecution. I certify under penalty of perjury under the laws of the state of Washington that I have read the foregoing and agree with all of its provisions and that all statements made are true and correct. Dated at , Washington this day of , 20. Petitioner-DefendantDefenseAttorney