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ARIZONA TRAFFIC TICKET AND COMPLAINT
Report Number
Complaint
Social Security Number
Military
Accident
-Choose One-
No Accident
Accident w/ no Ser. Injury/Fatality
Accident w/ Ser. Injury/Fatality
Driver's License #
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DC-Washington D.C.
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GA-Georgia
HI-Hawaii
ID-Idaho
IL-Illinois
IN-Indiana
IA-Iowa
KS-Kansas
KY-Kentucky
LA-Louisiana
ME-Maine
MD-Maryland
MA-Massachusetts
MI-Michigan
MN-Minnesota
MS-Mississippi
MO-Missouri
MT-Montana
NE-Nebraska
NV-Nevada
NH-New Hampshire
NJ-New Jersey
NM-New Mexico
NY-New York
NC-North Carolina
ND-North Dakota
OH-Ohio
OK-Oklahoma
OR-Oregon
PA-Pennsylvania
PR-Puerto Rico
RI-Rhode Island
SC-South Carolina
SD-South Dakota
TN-Tennessee
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UT-Utah
VT-Vermont
VA-Virginia
WA-Washington
WV-West Virginia
WI-Wisconsin
WY-Wyoming
License Class
Endorsements
M H N P T X D
DEFENDANT
Name:First
Middle Initial
Last
Daytime Phone
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Residential Address
City
State/Country
ZipCode
Sex
Weight
Height
Eyes
Hair
Origin
Date of Birth
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/
MM/DD/YY
Restrictions
ON
Date
/
/
MM/DD/YY
Time of Day
Speed
Approx
Posted
R&P
Sections:
1/A
2/B
3/C
4/D
5/E
YOU MUST APPEAR AT
Court #/Name
AT THE DATE INDICATED
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MM/DD/YY