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Request a Hearing

Fill out form and print two copies, one to be mailed and one for your files.


TO DENY THE OFFENSE AND REQUEST A HEARING
  • The following must be received before the court date shown on the bottom of your ticket.
    THIS IS NOT AN EMAIL FORM AND CANNOT BE SENT VIA EMAIL.

  • Read the form below, enter the appropriate information, print out the form, sign the bottom
    of the form and mail it to the following address:
    Town of Pinetop-Lakeside Magistrate Court
    P.O. Box 860
    Lakeside, Arizona 85929
  • We must receive your request for a hearing before the court date. You will then be notified
    by mail of your trial/hearing date. You must appear on that date and be ready to present
    evidence and examine witnesses in front of a Judge.

  • If you are not notified of a trial/hearing date within 14 days, please call (928) 368-6200.
    Thank you.

I request a Hearing,

Name
Mailing Address
City State Zip
Phone
Complaint Number
This number can be found on the top left-hand corner of your ticket.
Write this number on your check also.
Signature
 

 



Town of Pinetop-Lakeside
1360 N. Niels Hansen Lane
Lakeside, AZ 85929

(928) 368-8696
(928) 368-8528 Fax
(928) 368-8802 TDD

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