Appendix C. UTC-3. UTC Transmittal Form

State of Alabama Unified Judicial System FORM No. UTC-3 REV . 3/89 UTC TRANSMITTAL FORM UTC Control Page____of____Pages TO: (Court Name & Address) The District Court of The Municipal Court of Court Name : ______________________________________ Court Address: _____________________________________ _________________________________________________ FORM: (Law Enforcement Agency Name & Address) Agency ORI : Agency Name: ____________________________________ Agency Address: __________________________________ ________________________________________________ SERIES UTC NUMBER DATE ISSUED D.L. ATTCH. REMARKS (DEFENDANT’S NAME AND/OR OFFENSE) COURT CASE NUMBER Year Number TR TR TR TR TR TR TR TR TR TR TR TR TR TR TR TR TR TR TR TR TR Officer’s Signature: ___________________________________________________ Officer’s Identification Number: ________________________________ The above listed traffic tickets are received for court action by: Name: _________________________________________________ Title: _____________________________ Date: _______________ COURT ORL: AL J Original – Court Copy – Police Agency