Ala. R. Jud. Admin., Appendix A. Uniform Nontraffic Citation and Complaint
Document untcc. Appendix A. Uniform Nontraffic Citation and Complaint
Length: 875 wordsOfficial source
A ___________________
State of Alabama
Unified Judicial System
ARJA-20
7/94
UNIFORM NON-TRAFFIC CITATION
AND COMPLAINT
(For Scheduled Non-Traffic Violations or Misdemeanors
Case Number
IN THE _______________________ COURT OF _____________________ COUNTY
Law Enforcement Agency/Organization or Department
□ AM
Month
Day
Year
□ PM
The undersigned complainant, being duly sworn, deposes and says that the person
herein named committed the offense hereinafter set forth in that on or about
At
Approx.
Time
:
□ MT
First
Middle/Maiden
Last
Street
City
State
Zip
Expiration Date
Birth Date
State
Month
Date
Year
Month
Date
Year
Driver’s License Number
Height
Weight
Eyes
Hair
Social Security Number
Sex
Race
Name of Employer
Address of Employer
Did Violate: Ordinance Number __________________, which incorporates or encompasses Section __________________, Code of Alabama
1975 within the city limits or police jurisdiction of ___________________________, and /or Section ___________________, Code of
Alabama 1975 or Rule/Regulation Number ______________________________, within ______________________________ Country at or
near the following location (describe) _________________________________________________________ more particularly described in the
DESCRIPTION OF OFFENSE section below
DESCRIPTION OF OFFENSE
Office or Short Description of Offense:
State Specific Facts Relating to Offense:
Months
Day
Year
Sworn to and acknowledged
before me this date
Complainant’s (Officer’s) Signature
Agency O.R.I.
Signature and Title of Judicial Officer
Officer I.D.
AL
COURT APPEARANCE INFORMATION □ Court Appearance Required
By signing this citation, I am promising to appear in court on the date and at the times specified below if a court appearance is not required, I
may choose to plead guilty before a magistrate or by mail or in person, paying the required fine and court costs prior to my scheduled court
date, in which event I do not have to appear in court. If I do not appear in court on the scheduled date and if I do not plead guilty and pay the
required fine and costs prior to that. I promise to pay an amount prescribed by law.
I also understand that failure to appear or to plead guilty and pay the fine and costs may result in a warrant being issued for my arrest on the
present charge and I may also be charged with second degree bail jumping.
Court Appearance Date (if applicable )
Month
Day
Year
Time
□ AM
:
□ PM
Court Address
Telephone Number
Defendant’s Signature
Telephone Number
NOTICE: FAILURE TO APPEAR IN COURT AND/OR FAILURE TO REMIT FINE AND COSTS WILL RESULT IN AN ARREST WARRANT BEING ISSUED
1. White – Court
2. Pink – Law Enforcement
3. Canary – Defendant
Sample Form ARJA –20
(back)
PLEA OF GUILTY/WAIVER OF RIGHTS
Plea Received by or Entered Before Magistrate
(Non-Traffic or Misdemeanor Offenses)
NOTICE TO DEFENDANT:
You are charged with the offense of _______________________________________ as described on
the front page. In accordance with Rule 20(d) of the Alabama Rules of Judicial Administration, if the offense
charged is included in an approved fine schedule, then instead of appearing in court, you may elect to plead
guilty by appearing in person before a magistrate and paying the fine and costs or you may return this form,
either by mail or in person, along with the fine and costs and any applicable victim compensation assessment to
the court clerk within seven (7) days of receiving this citation, or, if you are notified, not later than 72 hours prior
to the court appearance date shown on the front of this form. The amount due, should you choose to plead
guilty, is $ ________________ (fine), plus court costs of $ _________________________, plus a victim’s
compensation assessment of ___________________, for a total of $ ___________________.
PLEA OF GUILTY – WAIVER OF RIGHTS
YOU ARE HEREBY ADVISED OF YOUR RIGHTS AS A DEFENDANT IN THIS CRIMINAL CASE
Please Read Carefully
I, the undersigned, do hereby enter my appearance on the citation and complaint for the offense stated
above. I understand that I have certain constitutional rights, which I will waive if I plead guilty, namely: the right to
a trial before the court; the right to an attorney of my choice, or one appointed by the court at no charge if I
cannot afford one; the right at trial to subpoena witnesses on my behalf, to confront and cross examine
witnesses against me, and to argue and make objections; and the right to testify in my own behalf. I also
understand that I cannot be forced to testify against myself, that I am presumed innocent and that this
presumption can be overcome only if the prosecution convinces the judge of my guilt beyond a reasonable
doubt.
I understand my constitutional rights set out above and the punishment that will be imposed if I elect to
plead guilty before a magistrate. I also understand that my plea of guilty will have the same force and effect as a
judgment of conviction by the court, which may result in enhanced penalties for subsequent convictions and from
which I have the right to appeal. I further understand that the judgment of conviction will be noted on the court’s
records, which are open to public inspection. I understand my rights and the matters set out above and hereby
voluntarily and knowingly waive those rights by pleading guilty, as evidenced by my signature below.
_____________________________________________
Defendant’s Signature
Date
_____________________________________________
Defendant’s Name (print or type)