Please fill out the following form to be considered for Pre-trial Traffic Diversion. Please scan and upload a copy of your citation when you submit the form. You can use a scanner or your cell phone to scan a copy of the citation. Thank you. 

First Name (required)

Middle Name (required)

Last Name (required)

Date of Birth (required)

Mobile Phone (required)

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CURRENT Mailing Address

City/Parish (required)

Drivers License Number (required)

Court Date (required)

Citation Number (required)

Citation File Upload

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