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Statement Of Defendant On Plea Of Guilty - Attachment A Form. This is a Washington form and can be use in King Local County.
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Tags: Statement Of Defendant On Plea Of Guilty - Attachment A, Washington Local County, King
Defendant(s)
:
......................................................
THE PEOPLE OF THE STATE OF NEW YORK
Case Name:
TO
Cause No.:
Attachment A: Paragraph 6(k), driving under the influence of alcohol and/or actual physical control of a vehicle while under the influence of alcohol and/or
drugs. (If required, attach to Statement of Defendant on Plea of Guilty.)
Department of Licensing - DUI Administrative Sanctions and Reinstatement Provisions (as amended through June 1, 2001)
GREETINGS:
ADMINISTRATIVE SANCTIONS – RCW 46.20.3101 (Effective January 1, 1999)
Second or Subsequent Refusal Within Past 7 Years OR First Refusal And At
First Refusal Within COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before
WE 7 Years And No Prior
Least One Prior Administrative Action Within Past 7 Years (Revocation
REFUSED TEST
Administrative Action Within Past 7 Years
,
the Honorable
at the
Court
consecutive to any court ordered suspension as a result of same incident)
Adult
1-Year License Revocation
2-Year
located at License Revocation
County of
Minor
1-Year License Revocation , on the
in room
day of 2-Year License Revocation Or Until Age 21 Whichever Is Longerat any recessed
, 20
, at
o'clock in the
noon, and
ALCOHOL
or adjourned date, to testify and give evidence as a witness in this action on the part of the
CONCENTRATION
First Administrative Action
Second or Subsequent Administrative Action
TEST RESULT
Adults With 0.08 or
90-Day License Suspension
2-Year License Revocation
Greater
Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to
Minors With 0.02 or
90-Day License Suspension behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a
1-Year License Revocation Or Until Age 21 Whichever Is Longer
the party on whose
Greater
result of your failure to comply.
Note: An individual convicted of DUI or physical control will have his/her driving privilege placed in probationary status for five years from the date he/she
is eligible to reinstate his/her driver’s license. (See RCW 46.61.5055 and 46.20.355) An individual granted a deferred prosecution under RCW
Witness, Honorable
, one of the Justices of the
10.05.060 will have his/her driving privilege placed on probationary status for five years from the date of the incident, which was the basis for the
County,
day of
, 20
RCW 46.20.355 and 10.05.060)
deferred prosecution. (See Court in
REQUIREMENTS FOR REINSTATEMENT OF DRIVING PRIVILEGE
Suspended License* (RCW 46.20.311)
Revoked License* (RCW 46.20.311)
• File and maintain proof of financial responsibility for the future with the
• File and maintain proof of financial responsibility fornamefuture with the
(Attorney must sign above and type the below)
Department of Licensing as provided in chapter 46.29 RCW
Department of Licensing as provided in chapter 46.29 RCW
• Pay $150 driver’s license reissue fee (Effective June 11, 1998)
• Pay $150 driver’s license reissue fee (Effective June 11, 1998)
• Driver’s ability test NOT required
• Satisfactorily complete a driver’s ability test
* If suspension or revocation is the result of a criminal conviction, the driver must also show proof of eitherAttorney(s) for satisfactory participation in an
(1) enrollment and
approved alcohol treatment program or (2) completion of an alcohol information school, as determined by the court and/or treatment agency.
COURT DUI SENTENCING GRID (RCW 46.61.5055 as amended through June 1, 2001)
“Prior Offense” includes the following: (as defined in RCW 46.61.5055)
Original Convictions for the following: (1) DUI (RCW 46.61.502) (or an equivalent local ordinance); (2) Phys. Cont. (RCW 46.61.504) (or an equivalent local ordinance); (3) Veh. Homicide (RCW
Office and P.O. Address
46.61.520) or Veh. Assault (RCW 46.61.522) if either committed while under the influence; (4) Equiv. out-of-state statute for any of the above offenses.
Attachment “A” (continued)
STATEMENT OF DEFENDANT ON PLEA OF GUILTY (Attachment “A”) – Page 1 of 2
CrRLJ 04.0200 (4/2002) – CrRLJ 4.2(g)
Telephone No.:
Facsimile No.:
E-Mail Address:
Mobile Tel. No.:
American LegalNet, Inc.
www.USCourtForms.com
Defendant(s)
:
......................................................
THE PEOPLE OF THE STATE OF NEW YORK
Amended Convictions for the following: If the person was originally charged with DUI or Phys. Cont. or an equivalent local ordinance, or Veh. Homicide (RCW 46.61.520) or Veh. Assault (RCW
TO
46.61.522). (1) Neg. Driving 1st (RCW 46.61.5249); (2) Reckless Driving (RCW 46.61.500); (3) Reckless Endangerment (RCW 9A.36.050); (4) Equiv. out-of-state or local ordinance for the above
offenses.
Deferred Prosecution Granted for the following: (1) DUI (RCW 46.61.502) (or equivalent local ordinance); (2) Phys. Cont. (RCW 46.61.504) (or equivalent local ordinance); (3) Neg. Driving 1st
(RCW 46.61.5249), (or equiv. local ord.), if the person was originally charged with DUI or Phys. Cont. (or an equiv. local ord.), or Veh. Homicide (RCW 46.61.520) or Veh. Assault (RCW 46.61.522).
“Within seven years” means that the arrest for a prior offense(s) occurred within 7 years of the arrest for the current offense. (As defined in RCW 46.61.5055.)
GREETINGS:
No Prior Offenses Within Past
One Prior Offense Within Past
Two or More Prior Offenses Within
7 Years
7 Years
Past 7 Years
WE COMMAND YOU, 30-365 Days (30 days non-suspendable) 90-365 Days (90 days you
1-365 Days (24 consecutive hours that all business and excuses being laid aside, you and each ofnon- attend before
,
the Honorable
at the
Courtsuspendable)
non-suspendable)
County of Mandatory Minimum located at
Electronic Home Monitoring*
In Lieu of
60 Days
120 Days
inJail Time, Not Less on the Daysday of
room
, Than 15
, 20
, at
o'clock in the
noon, and at any recessed
or$350-$5,000date, to testify and give$500-$5,000 ($975 total minimum fine on $1,000-$5,000 ($1,775 total minimum
adjourned ($735 total minimum
evidence as a witness in this action the part of the
Fine
fine w/statutory assessments****)
w/statutory assessments****)
fine w/statutory assessments****)
Driver's License
90-Day Suspension
2-Year Revocation
3-Year Revocation
Ignition Interlock Device
Court may order**
Not Less Than 1 Year**
Not Less Than 1 Year**
Your By The Court
Alcohol/Drug Ed. or Treatment
As Determinedfailure to comply with this subpoena isThe Court as a contempt of court and will Court you liable to
As Determined By punishable
As Determined By The make
the No Prior Offensesbehalf this subpoenaOne Prior Offense Within Past penaltyTwo$50More all damages sustained as a
party on whose Within Past
was issued for a maximum
of or and Prior Offenses Within
Alcohol Concentration At Least
7 Years
7 Years
Past 7 Years
.15 or Greater Or Test Refusal result of your failure to comply.
Jail Time***
2-365 Days (2 consecutive days
45-365 Days (45 days non-suspendable) 120-365 Days (120 days nonnon-suspendable) Honorable
suspendable) Justices of the
Witness,
, one of the
Electronic Home Monitoring*
In Lieu of Mandatory Minimum
90 Days
150 Days
CourtTime, Not Less Than 30 Days
in
County,
day of
, 20
Jail
Fine
$500-$5,000 ($975 total minimum $750-$5,000 ($1,375 total minimum fine $1,500-$5,000 ($2,575 total minimum
fine w/statutory assessments****)
w/statutory assessments****)
fine w/statutory assessments****)
Driver's License
1-Year Revocation
900-Day Revocation
(Attorney must4-Year Revocationname below)
sign above and type
Ignition Interlock Device
Not Less Than 1 Year**
Not Less Than 1 Year**
Not Less Than 1 Year**
Alcohol/Drug Ed. or Treatment
As Determined By The Court
As Determined By The Court
As Determined By The Court
Alcohol Concentration Less
Than .15 Or No Test Result
Jail Time***
*
Electronic Home Monitoring: For first time offenders, the court may impose electronic home monitoring in lieu of the mandatory minimum jail time. Courts may waive electronic home
monitoring in writing stating the reasons therefore and facts relied upon. If EHM is waived, the court is required to impose an alternative sentence for similar punitive consequences. (RCW
Attorney(s) with
46.61.5055.)
** Ignition Interlock: For a person previously ordered to install ignition interlock under RCW 46.20.720(3)(a) not less than 5 years, for a person previously ordered to install ignition interlock under
RCW 46.20.720(3)(b) not less than 10 years. For application in DUI Deferred Prosecution, see: RCW 10.05.140.
*** Mandatory conditions of probation if any jail time is suspended: (Court’s jurisdiction extended to five years if it imposes less than one year in jail - RCW 46.61.5055) (i) The individual is not
to drive a motor vehicle within this state without a valid license to drive and proof of financial responsibility for the future, (ii) the individual is not to drive a motor vehicle within this state while
having an alcohol concentration of .08 or more within two hours after driving, (iii) the individual is not to refuse to submit to a test of his orandbreath or blood to determine alcohol concentration
Office her P.O. Address
upon request of a law enforcement officer who has reasonable grounds to believe the person was driving or was in actual physical control of a motor vehicle within this state while under the
influence of intoxicating liquor.
**** Local Government Criminal Justice Funding Penalty: Effective July 22, 2001, the court must impose an additional local government criminal justice funding penalty of $50. RCW 46.64.055.
STATEMENT OF DEFENDANT ON PLEA OF GUILTY (Attachment “A”) – Page 2 of 2
CrRLJ 04.0200 (4/2002) – CrRLJ 4.2(g)
Telephone No.:
Facsimile No.:
E-Mail Address:
Mobile Tel. No.:
American LegalNet, Inc.
www.USCourtForms.com