MESQUITE MUNICIPAL COURT

CLARK COUNTY, NEVADA

State of Nevada

Plaintiff,

-VS-

First and Last Name :

Citation Number:

Defendant.

Civil Infraction Response Form

A peace officer has determined that you have committed one or more civil infractions. This determination will be final UNLESS contested. A civil infraction is a non-criminal violation that can lead to monetary penalties.

Nevada law provides that if you fail to pay or contest your civil infraction within 90 calendar days, the Court shall enter an order finding that you committed the civil infraction and assess the total penalty prescribed for the civil infraction. In addition, you will be liable for a collection fee and the outstanding balance will be referred to collections. You may not appeal this order. A record of conviction will be forwarded to the Department of Motor Vehicles (or the state where you received your license to drive) if you are found to have committed a civil infraction.

Please indicate below whether you wish to CONTEST or NOT CONTEST your civil infraction.

I, or my attorney on my behalf, wish to CONTEST my civil infraction citation. By signing below, I am denying the charge(s) and requesting a Contested Hearing. I will post cash or bond in an amount equal to the total penalty amount. I understand that if I am indigent, I may submit the court form to request permission to proceed In Forma Pauperis per NRS 12.015. (see court website or court clerk window for form)

I, or my attorney on my behalf, DO NOT wish to CONTEST my civil infraction citation. By signing below, I acknowledge that I am not contesting my civil infraction citation and agree to pay the total penalty amount.

For Forma Pauperis Civil Traffic Infraction information please click here.

Optional : I am also requesting (One of the following) :

Demerit Point Reduction to obtain an amended, non-moving violation (visit website for eligibility) Pay full penalty w/in 90 days of infraction AND complete Traffic School OR pay $60 DPR Fee

Payment Plan

Community Service in lieu of the penalty

I am not contesting the citation and understand a penalty will be set, but would like the Court to consider an explanation.

Clear

For additional demerit point eligibility information please click here.

Demerit point reduction option (Please choose one) :

Complete Traffic School

Pay $60 DPR Fee

Please include your statement below :

Information :

Defendant or Attorney Name :

Bar # (if Attorney)

Mailing Address :

Email :

Telephone :

Check the box below if minor

I am under the age of 18

Signature :

Date :

Signature of Parent or Guardian ( juvenile citations)

Date :

Payments can be made in person or at court.mesquitenv.gov (fees apply)

By clicking submit below your response will be sent to :

Mesquite Municipal Court, 500 Hillside Drive, Mesquite, NV 89027

Email: municipalcourt@mesquitenv.gov Fax: (702)346-6587

Your session has timed out.

Click here to access the application.

Civil Infraction Response Form

Civil Infraction Response Form

Information :