Covid Court Form

2. Covid Court Form
   This form is only to be used only to submit Covid documentation to the municipal court.

   This form is only to be used only to submit Covid documentation to the municipal court.

4. Citation #

5. Driver's License/ID #

7. Last Name*

8. First Name*

10. Address*

12. City*

13. State*

14. Zip Code*

16. Phone*

18. Covid Documentation*

    Upload copy of official covid documentation.

20. After review, you will receive a phone call from the Municipal Court personnel.

    After review, you will receive a phone call from the Municipal Court personnel.

Leave This Blank:


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

    This field is not part of the form submission.

24. Submit

* indicates a required field