Forms • Town of Paradise Valley, AZ • CivicEngage

Receipt of Summons and Complaint

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PARADISE VALLEY MUNICIPAL COURT
NOTICE AND ACKNOWLEDGEMENT OF RECEIPT OF SUMMONS AND COMPLAINT

COMPLAINT(S) #*

PLEASE INDICATE THE OPTION YOU HAVE CHOSEN:*

	Option 1: Pay the fine
	Option 2: Attend Defensive Driving School

	Option 3: Contest the violation (Request Hearing)
	Option 4: Make a request

If Option 4 is selected, please describe the request and the reason for making the request. You may also provide additional information for any of the other options selected:

Drivers License Number:*

State:*

Date of Birth:*

Telephone Number:*

Email:*

I acknowledge receipt of this summons and complaint. My signature is not an admission of responsibility. Digital signatures are accepted, You are not required to manually sign the form.

SIGNATURE:*

* indicates required fields.

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