Civil Infraction Form


First Name (As it appears on your citation)* A value is required		Last Name (As it appears on your citation)* A value is required
Address* A value is required
City* A value is required		State* A value is required	Zip* A value is required A valid zip code is required
Phone Number (6165551212)* A value is required Please enter a valid phone number		Email Address* A valid email address is required An email is required
Ticket Numbers (if known)
You can upload up to three (3) images of citations. Each file must be of one of these file types: .jpg .jpeg .jpe .gif .bmp .png .ttf
Ticket #1 Image File Size: 6144KB Maximum Invalid file type		Ticket #2 Image File Size: 6144KB Maximum Invalid file type	Ticket #3 Image File Size: 6144KB Maximum Invalid file type

Admit Responsibility...* without Explanation with Explanation A value is required
ADMIT RESPONSIBILITY via this web form. CONTACT THE COURT and obtain the amount of your fine and costs. Sign below and submit. Mail a check or money order to the court on or before the date specified on the front of the citation. Or pay in full at https://e.courts.michigan.gov/ I enter my appearance, waive my right to a hearing, and I admit responsibility for the civil infraction(s) alleged on the front of the citation.
ADMIT RESPONSIBILITY WITH EXPLANATION via this web form. You may admit responsibility with explanation of the circumstances of the violation which the court may consider in determining the amount of your fine and costs. Provide your explanation in the box below: CONTACT THE COURT and obtain the amount of your fine and costs. Sign below and submit. Mail a check or money order to the court on or before the date specified on the front of the citation. Or pay in full at https://e.courts.michigan.gov/ I enter my appearance, waive my right to a hearing, and I admit responsibility for the civil infraction(s) alleged on the front of the citation.
Explanation:

Charge 1 Signature* A signature is required		Date* A date is required
Charge 2 Signature		Date
Charge 3 Signature		Date

If you would like to make payments to satisfy your fines and costs, please enter your proposed payment schedule in the boxes below. The court will email confirmation of your admission and/or pay plan. Failure to propose a pay plan will result in the standard “due in full within 10 days of citation date”.
Payment Amount $25 $50 $100	First payment due within 20 days of accepting responsibility and will be due every 30 days thereafter. Please be advised that an online payment can only be made when paying in full. Monthly payments must be made in person, by mail, or via the court dropbox. Please include your name and ticket number on the check or money order. Make payable to: 62A District Court


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Civil Infraction Form

City of Wyoming, Michigan | 1155 28th St SW, Wyoming, MI 49509 | 616-530-7226 | Fax 616-530-7200Hours of Operation: Monday - Thursday, 7:00 A.M. to 5:00 P.M. | Closed Friday - Sunday

City of Wyoming, Michigan | 1155 28th St SW, Wyoming, MI 49509 | 616-530-7226 | Fax 616-530-7200
Hours of Operation: Monday - Thursday, 7:00 A.M. to 5:00 P.M. | Closed Friday - Sunday