Request to Judge

Request to Judge

Any form submitted without a current case number or incomplete information may not be considered.
If you are requesting a modification of a protective order, please don't complete this form. Instead complete the Request to Modify a Protective Order form.
Name of defendant

First NameMiddle NameLast Name
Case number
Defendant's birth date

MonthDayYear
Defendant's phone number
Please enter a valid phone number.Format: (000) 000-0000.
Defendant's current email
example@example.com
I am requesting:

Other
Please provide details on your request. For example if you are requesting an adjustment on your payment, please explain when you can pay the fine by and how much you can pay per month, etc.
File Upload

Cancelof
The court communicates by mail, email, phone call and/or text messaging. By completing this form you are giving consent to communication by these means.
Defendant acknowledgement
Today's Date

MonthDayYear
Date
Signature
Judicial Assistant Review
Judicial Assistant determination of next action needed
Reason for return to submitter
MyCourtCase PIN
Case status
Is there a protective order on the case?
Probation/plea in abeyance status
Date of probation end

MonthDayYear
Date
Date of plea in abeyance end

MonthDayYear
Date
Are the fine/trust accounts paid in full?   Yes   No
Fine balance is $
Trust balance is $
Past due amount is $
Defendant on payments of $         per month.
    hours of community service in lieu of     .
   hours as a sanction.
Due by        .
Has the probation been revoked and reinstated in this case?
Provide details on sanctions from probation being revoked and reinstated
Conditions non-compliant with
Next court date(s)
Other information
Prosecutor Input

Copy prosecutor input from email if given and place in box below to include in court PDF
Prosecutor response/order
Judge Review
Judge's response/order
Should be Empty:

Request to Judge

Judicial Assistant Review

Prosecutor Input

Judge Review