Request to Defer Traffic Infraction

Form Template

Use the app to certify you are the person named listed in the app.

5,000 Companies save time and money with GoCanvas

Lumen Logo Post Consumer Brands Logo Saluda Hill Landscapes Logo Te3co Logo Two Men and a Truck Logo VIP Lighting Logo

You agree that you have committed the infraction(s) listed on citation number shown. Use the app to ask the Court to defer entry of a finding that I committed the infraction(s). You must not have had another traffic infraction deferred by any court within the past seven (7) years. If the infraction is for the charge of Operating a Motor Vehicle without Liability Insurance, you must show the Court proof that I am now insured. Sign the app to certify under penalty of perjury under the Laws of the State that your statements are true and correct. The Request to Defer Traffic Infraction mobile app allows you to replace your paper request with a cell phone, tablet or even a computer. The mobile form includes fields to document items such as driver's license number, state, citation number, mailing address and captures the defendant's signature. Once the mobile app is filled out a secure PDF is generated. The PDF is easy to share, and a copy is stored in your account for your citations records. You can also use the App Builder to personalize and customize this mobile form.

Features
  • Signature Capture
  • Submission Editing
  • Reference Data
  • Dispatch
Read More
Platforms
  • iPhone
  • iPad
  • Android
  • Windows
Read More
Integrations
  • Quickbooks
  • Salesforce
  • Google Docs
  • Dropbox
Read More
*The Capterra SoftwareAdvice ​and GetApp logos are a service mark of Gartner, Inc. and/or its affiliates and is used herein with permission.*

Don't take our word for it...

“I’m not a tech guy and I was able to pick this thing up in probably an hour, and actually start to build apps. I’ve done them over lunch when I’ve gotten frustrated with a process that didn’t exist in our company. So for non tech people who’ve got a problem, the support here is awesome and I’d recommend it to anybody, not just in our industry.”

Dave Kramer, PennLine Service

Connect with one of our experts today.

We’ll help you put together the right solution for your needs.

Contact Us