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Motion for Credit for Time Served

2. If you have been incarcerated, you may request credit for time served. To request credit for time served, you must provide proof of incarceration from a jail or prison that includes the dates you were incarcerated.

4. To consider your request, you must enter a plea for the charge(s) for which you are requesting jail credit, if you have not done so already.

6. CHECK ONE PLEA:*

   1. NO CONTEST
   2. GUILTY

   Please be advised your plea of No Contest or Guilty will result in a conviction that will appear on your record.

8. List the charge(s) for which you are requesting jail credit. If you have more than 3 charges you would like considered, please include any additional charges with the supporting documentation being uploaded.

10. STATE VS.

12. Defendant Name *

13. Date of Birth *

15. Phone number*

16. Email address

18. CITATION/CAUSE NUMBER*

19. VIOLATION CHARGED*

21. CITATION/CAUSE NUMBER

22. VIOLATION CHARGED

24. CITATION/CAUSE NUMBER

25. VIOLATION CHARGED

27. ACKNOWLEDGEMENT OF RIGHTS

29. I hereby enter a plea of No Contest or Guilty to the charge(s) listed above that I had not previously entered a plea for. In doing so, I understand I am waiving my right to a trial.

31. COMPLETE ONE OF THE FOLLOWING:*

    1. I am currently incarcerated
    2. I was incarcerated

33. Location: *

35. Date of Incarceration or Dates Incarcerated *

37. Electronic Signature: *

38. Date*
    Date

40. Phone Number*

41. Email Address

43. Upload Supporting Documents *

Leave This Blank:


45. 1. Receive an email copy of this form.
46. Email address

    This field is not part of the form submission.

47. Submit

* indicates a required field