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Covid Court Form

Covid Court Form
This form is only to be used only to submit Covid documentation to the municipal court.
Citation #
Driver's License/ID #
Last Name*
First Name*
Address*
City*
State*
Zip Code*
Phone*
Covid Documentation*
Upload copy of official covid documentation.
After review, you will receive a phone call from the Municipal Court personnel.

Leave This Blank:

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

This field is not part of the form submission.
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