One-Time Waiver of Citation

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Citation Number

Citation Number should start with a "Z" followed by 6 digits.

Citation Date

Violation Type

Please mark the violation code listed on your citation (must be only one (1) of the following violations):

MTS Ordinance 2/Pub. Util. Code 120450

Penal Code 640(c)(1)

Penal Code 640(c)(2)

How would you like to be notified if your citation is dismissed?

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I certify to the best of my knowledge that the information on this form is true and correct.

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