(b) In traffic cases, the information and summons shall be in substantially the following form:In the _________ Court of __________ CountyCause No. _________ Docket No. ___________Page No. _____State of Indiana SS: No.___________ County of ______________________________________________ INFORMATION AND SUMMONS The undersigned having probable cause to believe and being duly sworn upon his oath says that:On the ____________ Day of __________, 20 ____ at ____ MName ____________________________________________ Last First Middle Street __________________________________________________City ______________________ State _____ Zip Code ______Race ___ Sex ___ Age ___ D.O.B. ______ HT ____ WT _____Oper. Lic. #_____________ St. ____ Did UnlawfullyOperate Veh. Color _______ Veh. Yr.___ Veh. Make ______Veh. Lic. Yr. ____ Veh. Lic. St. ____ Veh. Lic. # ______Upon, (Location)____________________________________________________________________________________________________________A PUBLIC STREET OR HIGHWAY IN ______________________COUNTY, INDIANA, AND COMMIT, THE OFFENSE ___________________________________________________________________________________________________________A PUBLIC STREET OR HIGHWAY IN ______________________COUNTY, INDIANA, AND COMMIT, THE OFFENSE OF:____________________________________________________________________________________________________________CONTRARY TO THE FORM OF THE ( ) STATE STATUTE( ) LOCAL ORDINANCE IN SUCH CASE MADE AND PROVIDED.OFFICER'S SIGNATURE _________________________________I.D. No. ______________ Div. Dist. __________________________POLICE AGENCY _______________________________________Subscribed And Sworn to Before Me(Deputy Clerk) ______________________________________This ____________ Day of _________________, 20 ____ COURT APPEARANCE I PROMISE TO APPEAR IN COURTROOM__________________________________________________ADDRESS: ______________________________ON ______________ THE ________ DAY OF_________, 20 ___ AT __ M. OR BE SUBJECT TO ARREST.SIGNATURE __________________________________________'YOUR SIGNATURE IS NOT AN ADMISSION OF GUILT'The information and summons shall consist of four (4) parts:(1) the original copy, printed on white paper, which shall be the abstract of court record for the R SIGNATURE IS NOT AN ADMISSION OF GUILT'The information and summons shall consist of four (4) parts:(1) the original copy, printed on white paper, which shall be the abstract of court record for the Indiana bureau of motor vehicles;(2) the court copy, printed on white paper;(3) the police record, which shall be a copy of the information, printed on pink paper; and(4) the summons copy, printed on white stock.The reverse sides of the information and abstract of court record shall be substantially as follows, with such additions or deletions as are necessary to adapt the form to the court involved:RECEIPT #_______________DATE ___________________ COURT ACTION AND OTHER ORDERS BAIL $ ___________REARREST BOND $ _____________ DATE ___________ 1. CONTINUANCE TO ___ 4. CONTINUANCE TO ____ 2. CONTINUANCE TO ___ 5. CONTINUANCE TO ____ 3. CONTINUANCE TO ___ 6. CONTINUANCE TO ____ Motions Date Ruling Date 1. ___ ___ ___ ___ 2. ___ ___ ___ ___ 3. ___ ___ ___ ___ 4. ___ ___ ___ ___ PLEA ( ) GUILTY ( ) NOT GUILTY FINDING ( ) GUILTY ( ) NOT GUILTY THE COURT THEREFORE, ENTERS THE FOLLOWING ORDER FINE $ _________ AMOUNT SUSP. 2. ___ ___ ___ ___ 3. ___ ___ ___ ___ 4. ___ ___ ___ ___ PLEA ( ) GUILTY ( ) NOT GUILTY FINDING ( ) GUILTY ( ) NOT GUILTY THE COURT THEREFORE, ENTERS THE FOLLOWING ORDER FINE $ _________ AMOUNT SUSP. $ ________ (STATE) $ _____________ COSTS (CITY) $ ______________ ___________ DAYS IN _____________ DAYS SUSP. _________( ) RECOMMENDED LICENSE SUSPENDED FOR _______( ) PROBATIONARY LICENSE AUTHORIZED FOR ONE YEAR PROBATION __________________________________________________ __________________________________________________ __________________________________________________ __________________________________________________ JUDGE: ______________________________________________DATE: ______________________________________________ATTORNEY FOR DEFENDANT _________________ADDRESS________________________ TELEPHONE _________ WITNESSES _________________________________________________ _________________________________________________ The notice, the appearance, the plea of either guilty or not guilty, and the waiver shall be printed on the summons. The trimmed size of the paper and stock on which the form is printed shall be nominally four and one quarter (4 1/4) inches by eight and one quarter y, and the waiver shall be printed on the summons. The trimmed size of the paper and stock on which the form is printed shall be nominally four and one quarter (4 1/4) inches by eight and one quarter (8 1/4) inches.(c) In civil traffic cases, the complaint and summons shall be in substantially the following form:In the ____________________ Court of _______________ CountyCause No. ______________ Docket No. ________________Page No.__________________________State of Indiana SS: No._____________ County of ______________________________________ COMPLAINT AND SUMMONS The undersigned having probable cause to believe and being duly sworn upon his oath says that:On the ____________ Day of___________, 20 ____ at __ MName _________________________________________________ Last First Middle Street _____________________________________City ________________________ State _____ Zip Code ________Race ___ Sex ___ Age __ D.O.B. ________ HT ____ WT ___Oper. Lic. # ____________ St. ______________ Did UnlawfullyOperate Veh. Color _______ Veh. Yr. ___ Veh. Make _________Veh. Lic. Yr. ____ Veh. Lic. St. ____ Veh. Lic. __ D.O.B. ________ HT ____ WT ___Oper. Lic. # ____________ St. ______________ Did UnlawfullyOperate Veh. Color _______ Veh. Yr. ___ Veh. Make _________Veh. Lic. Yr. ____ Veh. Lic. St. ____ Veh. Lic. # _________Upon, (Location) ________________________________________________________________________________________________A PUBLIC STREET OR HIGHWAY IN ______________________COUNTY, INDIANA, AND COMMIT, THE OFFENSE OF: __________________________________________________ __________________________________________________ __________________________________________________ CONTRARY TO THE FORM OF THE ( ) STATE STATUTE( ) LOCAL ORDINANCE IN SUCH CASE MADE AND PROVIDED.OFFICER'S SIGNATURE ___________________________I.D. No. _____________ Div. Dist. _______________________POLICE AGENCY _________________________________Subscribed And Sworn to Before Me(Deputy Clerk) __________________________________________This ____________ Day of ______________, 20___ COURT APPEARANCE I PROMISE TO APPEAR IN ________________________COURTROOM ___________________________________ADDRESS: ______________________________________ON ____________ THE ________ DAY OF ____, 20 ___AT __ M. NCE I PROMISE TO APPEAR IN ________________________COURTROOM ___________________________________ADDRESS: ______________________________________ON ____________ THE ________ DAY OF ____, 20 ___AT __ M. OR BE SUBJECT TO ARREST.SIGNATURE _____________________________________'YOUR SIGNATURE IS NOT AN ADMISSION OF A VIOLATION'The complaint and summons shall consist of four (4) parts:(1) the original copy, printed on white paper, which shall be the abstract of court record for the Indiana bureau of motor vehicles;(2) the court copy, printed on white paper;(3) the police record, which shall be a copy of the complaint, printed on pink paper; and(4) the summons copy, printed on white stock.The reverse sides of the complaint and abstract of court record shall be substantially as follows, with such additions or deletions as are necessary to adapt the form to the court involved:RECEIPT #_________DATE ________________ COURT ACTION AND OTHER ORDERS BAIL $ _______________REARREST BOND $ _________ DATE _______ 1. CONTINUANCE TO ______ 4. CONTINUANCE TO ______ 2. CONTINUANCE TO ______ 5. CONTINUANCE TO ______ 3. CONTINUANCE TO ______ 6. CONTINUANCE TO ______ Motions Date Ruling Date 1. ________ DATE _______ 1. CONTINUANCE TO ______ 4. CONTINUANCE TO ______ 2. CONTINUANCE TO ______ 5. CONTINUANCE TO ______ 3. CONTINUANCE TO ______ 6. CONTINUANCE TO ______ Motions Date Ruling Date 1. ___ ___ ___ ___ 2. ___ ___ ___ ___ 3. ___ ___ ___ ___ 4. ___ ___ ___ ___ PLEA ( ) ADMIT ( ) DENY ( ) NOLO CONTENDERE FINDING ( ) JUDGMENT FOR PLAINTIFF ( ) JUDGMENT FOR DEFENDANT THE COURT THEREFORE, ENTERS THE FOLLOWING ORDER FINE $ ________ AMOUNT SUSP. $ ________ (STATE) $ __________ COSTS (CITY) $ ___________ ( ) RECOMMENDED LICENSE SUSPENDED FOR ________( ) PROBATIONARY LICENSE AUTHORIZED FOR ONE YEAR PROBATION ______________________________________________ ______________________________________________ ______________________________________________ ______________________________________________ _______________________________________________ JUDGE: _________________________________________DATE: __________________________________________ATTORNEY FOR DEFENDANT ____________________ADDRESS ___________________ TELEPHONE __________ WITNESSES _______________________________________________ _______________________________________________ The notice, appearance, plea of either admission, SS ___________________ TELEPHONE __________ WITNESSES _______________________________________________ _______________________________________________ The notice, appearance, plea of either admission, denial, or nolo contendere shall be printed on the summons. The trimmed size of the paper and stock on which the form is printed shall be nominally four and one quarter (4 1/4) inches by eight and one quarter (8 1/4) inches.(d) The complaint form shall be used in traffic cases, whether the charge is made by a law enforcement officer or by any other person.(e) Each judicial officer or police authority issuing traffic complaints and summons:(1) is responsible for the disposition of all the traffic complaints and summons issued under the authority of the officer or authority; and(2) shall prepare and submit the records and reports relating to the traffic complaints in the manner and at the time prescribed by both the state examiner of the state board of accounts and the bureau.[Pre-1991 Recodification Citation: 9-4-7-4.]As added by P.L.2-1991, SEC.18. Amended by P.L.93-1991, SEC.2; P.L.1-2001, SEC.8; P.L.184-2007, SEC.59; P.L.206-2007, SEC.7.
Indiana Legal Code