If they issued on the same day and the court appearance date and time are the same, you can use the following template. Modify the requested information as desired.
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Disclosure Request
Date: DATE
Defendant LAST Name: LAST NAME
Defendant First Name: FIRST NAME Initial: INITIAL
Offences:
1. Speeding
2. Fail to have valid insurance card
Offence No: FIRST OFFENCE #, SECOND OFFENCE #
Offense Date: OFFENCE DATE
Appearance Date: APPEARANCE DATE
Courtroom: LOCATION AND COURTROOM #
Time: APPEARANCE TIME
Officer in Charge: Name: OFFICER'S NAME
Number: OFFICER'S BADGE NUMBER
Division: OFFICER'S DIVISION
Requested By: YOUR FULL NAME (Defendant)
Note: Please send me the following information as part of the disclosure
• Both sides of the officer's ticket
• The officer's notes on the day of the offence.
• The Make, Model of the equipment used to clock speed by the officer.
• copies of the testing procedures that are outlined in the equipment’s
• manual.
• Test results (with dates and times) for the equipment prior to and after the offences listed above.
Please send all information requested above to:
YOUR FULL NAME
YOUR ADDRESS
Thanks in advance,
YOUR SIGNATURE
YOUR FULL NAME<date><last name=""><first name=""><initial><first offence="" #=""><second offence="" #=""><offence date=""><appearance date=""><location and="" courtroom="" #=""><appearance time=""><officer's name=""><officer's badge="" number=""><officer's division=""><your full="" name=""><your full="" name=""><your address="">
<your signature="">
<your full="" name="">
-----------------------</your></your></your></your></your></officer's></officer's></officer's></appearance></location></appearance></offence></second></first></initial></first></last></date>