Traffic Ticket Intake Form - Bailey & Galyen: Fill out & sign online

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Click ‘Get Form’ to open the Traffic Ticket Intake Form in the editor.
Begin by filling out Section 1 with your personal information, including your date, last name, first name, middle initial, birth date, driver's license number, and social security number. Ensure accuracy as this information is crucial for your case.
Complete your mailing address details including apartment number, city, state, home phone, cell number, and zip code. Don’t forget to provide your email address and authorize emails from Bailey & Galyen.
Review the statements regarding court pleas and defensive driving courses. Initial where indicated to confirm your understanding of these conditions.
In Section 2, law office personnel will complete additional details such as payment received and citation number. Ensure you understand any fees associated with your representation.
Finally, sign the Traffic Citation Agreement acknowledging your responsibilities and understanding of the terms outlined in the document.

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2011	4 Satisfied (46 Votes)

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