Brief Adjudicative Proceeding Mitigation/Payment Plan/Both Mitigation and Payment Plan Declaration

Declaration of (Name)
The docket number is not the same as the infraction number listed on your ticket.  You must wait to submit this form until the Office of Administrative Hearings has your case and assigns you a docket number.  If you submit this form without a docket number, it will not be processed.

You only need to answer the questions related to what you want. For example, if you are seeking to have the fine reduced, but do not want a payment plan, you would only answer the questions in the mitigation section.

Mitigation
2. Is there any additional information you would like the judge to consider regarding whether you are responsible?
Payment Plan
2. How frequently do you want to make payments?
4. Do any other members of your household (i.e., roommate(s) or other adults living with you) help pay for household expenses (rent/mortgage, power, food, etc.)?
Maximum 5 files.
100 MB limit.
Allowed types: pdf.