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2. PUYALLUP - Contested Hearing *Request - Electronic

   A contested hearing is a hearing you request if you do not believe you committed the infraction and want to explain your case to the judge. The local rules of Puyallup Municipal Court allow you to submit a written statement instead of appearing at a hearing. If you wish to submit an electronic written statement instead of appearing at a hearing, please use this form. You also must provide the court with a valid e-mail address so the court can follow up with any questions. Please use the ticket you received to complete this form.  The court will advise you of the results of the hearing by mail.

4. *Hearing request must be submitted to the court within thirty (30) days from the date that you received your infraction or thirty-three (33) if the infraction was mailed to you. **If you currently scheduled an in-person hearing. this form must be received by the courts at least three (3) business days before the hearing date. YOU MAY NOT USE THIS FORM IF YOU HAVE SUBPOENAED WITNESSES.

6. Please be sure you review all hearing options, as well as the deferral opportunity with this court. Be advised, once an infraction has been contested, your ability to request a deferral is no longer available. Also, you may not appeal the results of a hearing by mail.
8. Ticket Number*
10. First Name*
11. Last Name*
13. Address*
15. City*
16. State*
17. Zip Code*
19. Phone Number*
20. Text Reminders*

    1. Yes
    2. No

    Data rates may apply.

22. Email Address*
24. Date of Birth*
    Date of Birth
25. Upload Supporting Documents
27. Statement*
29. I hereby state as follows:
    I promise that if it is determined that I committed the infraction for which I was cited, I will pay the monetary penalty authorized by law and assessed by the court. I CERTIFY (OR DECLARE) UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT.
31. Electronic Signature Agreement*

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

    1. I agree.
33. Electronic Signature*
34. Date*
    Date
Leave This Blank:


36. 1. Receive an email copy of this form.
37. Email address

    This field is not part of the form submission.

38. Submit

* indicates a required field