Uniform Citation, Summons and Accusation

X

NEW

Blaine County Sheriff's Office

{{-- @foreach ($errors->all() as $error)

{{ $error }}

@endforeach --}} @csrf

Related Case #

Type

{{-- Input Error: ring-red-600 ring-2 --}}

Citation
#

{{-- Input Error: ring-red-600 ring-2 --}}

Upon:

Date

{{ date('l') }}

Time:

Section I - Violator

License No.

{{--

Required.

--}}
{{-- Input Error: ring-red-600 ring-2 --}}

Class/Type

{{-- Input Error: ring-red-600 ring-2 --}}

State

{{-- Input Error: ring-red-600 ring-2 --}}

Expires

{{-- Input Error: ring-red-600 ring-2 --}}

Name (SSN)

{{--

Required.

--}}
{{-- Input Error: ring-red-600 ring-2 --}}

DOB

{{-- Input Error: ring-red-600 ring-2 --}}

Age

{{-- Input Error: ring-red-600 ring-2 --}}

Postal

{{--

Required.

--}}
{{-- Input Error: ring-red-600 ring-2 --}}

Street

{{-- Input Error: ring-red-600 ring-2 --}}

City

{{-- Input Error: ring-red-600 ring-2 --}}

State

{{-- Input Error: ring-red-600 ring-2 --}}

Phone #

{{--

Required.

--}}
{{-- Input Error: ring-red-600 ring-2 --}}

Race

{{-- Input Error: ring-red-600 ring-2 --}}

Gender

{{-- Input Error: ring-red-600 ring-2 --}}

Height

{{-- Input Error: ring-red-600 ring-2 --}}

Weight

{{-- Input Error: ring-red-600 ring-2 --}}

Plate No.

{{--

Required.

--}}
{{-- Input Error: ring-red-600 ring-2 --}}

Make

{{-- Input Error: ring-red-600 ring-2 --}}

Color

{{-- Input Error: ring-red-600 ring-2 --}}

Status

{{-- Input Error: ring-red-600 ring-2 --}}

Expires

{{-- Input Error: ring-red-600 ring-2 --}}
Section II - Violation

Speeding

{{--

Required.

--}}

mph in a

Zone

{{-- Input Error: ring-red-600 ring-2 --}}

Clocked Mode

{{-- Input Error: ring-red-600 ring-2 --}}

DUI/Drugs

{{--

Required.

--}}
{{-- Input Error: ring-red-600 ring-2 --}}

Test Method

{{-- Input Error: ring-red-600 ring-2 --}}

Test Result

{{-- Input Error: ring-red-600 ring-2 --}}

Test Administered By

{{-- Input Error: ring-red-600 ring-2 --}}

Impound Vehicle

{{--

Required.

--}}

Suspend License

{{--

Required.

--}}
{{-- Input Error: ring-red-600 ring-2 --}}

Charges will be added on the next screen.

Section III - Location

On Highway/Street

{{--

Required.

--}}
{{-- Input Error: ring-red-600 ring-2 --}}

Near Intersection

{{-- Input Error: ring-red-600 ring-2 --}}

In/Near the City of

{{-- Input Error: ring-red-600 ring-2 --}}

Weather

{{--

Required.

--}}
{{-- Input Error: ring-red-600 ring-2 --}}

Traffic

{{-- Input Error: ring-red-600 ring-2 --}}

Officer Notes (Not Printed)

{{-- Input Error: ring-red-600 ring-2 --}}
Section IV - Summons

Court Information will be provided after ticket is signed.

Section V - Officer Certification

Submitted on

{{--

Required.

--}}
{{-- Input Error: ring-red-600 ring-2 --}}

Officer Signature

{{-- Input Error: ring-red-600 ring-2 --}}

Badge Number

{{-- Input Error: ring-red-600 ring-2 --}}

Agency

{{-- Input Error: ring-red-600 ring-2 --}}