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2. By clicking on the submit button, the undersigned hereby request the recommendation of the prosecutor. Failure to fill out this form in its entirety or to include correct information will result in delays processing your request.

4. Defendant
5. Attorney*
7. Email
8. Phone
10. Citation Number
11. Court Date
    Court Date
13. Bar Number*
15. Address1
17. Address2
19. City
20. State
21. Zip
23. Check all that apply.

    1. DWI
    2. Speed 90 mph or above
    3. Involved in accident
25. Select PDF Upload
26. Select Additional PDF Upload
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28. 1. Receive an email copy of this form.
29. Email address

    This field is not part of the form submission.

30. Submit

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