Online Hearing Form If you proceed electronically in lieu of appearing in person before a judge, you are acknowledging the fact that NO appeal may be made. Mitigation Hearing: I agree I have committed the infraction(s) and I want to explain the circumstances. Contested Hearing: I want to contest the infraction(s). I did not commit the infraction(s). ContestedMitigation Name First Name: Last Name: Middle initial: Contact Information A confirmation email will be sent to your email address after submitting this form. If you do not receive the confirmation please check that you entered the correct address or call the district court Email: Email: Please Retype Email Address: Mailing Mailing Cont. City State or Province Zip Code Date of Birth Gender: MaleFemale Ticket Number: Statement: Max Characters is set at 1000. Name of Person Submitting Statement I promise that if it is determined that I committed the infraction for which I was cited, I will pay the monetary penalty authorized by law and assessed by the court. I certify (or declare) under penalty of perjury under the laws of the State of Washington that the foregoing is true and correct. I understand that if this form is submitted electronically my typed name on the signature line will qualify as my signature for purposes of the above. Signature Date and place of signature