ࡱ> ),$%&'(g [bjbjVV vr<r<R)  xxxxx8,Kb""""""nETFDF$ʿ̿̿̿̿̿̿$_nxG>nEGGxx""LLLGNx"x"ʿLGʿLL&"`I`0KI`xF>F,L&G$JGjFFF K`FFFKGGGGFFFFFFFFF >: PREFACE This is the Texas Municipal Courts Education Centers 2011 Forms Book, Tenth Edition, with changes incorporated from the 82nd Legislature. Several forms have changed due to statutory amendments, and multiple new forms have been created to ensure that municipal courts have most, if not all, of the forms necessary to efficiently and effectively process cases and serve the ends of justice. Look for the icon on each chapters table of contents to indicate forms that have been added or drastically changed since the last edition. Some of the new forms include: a subpoena for a child witness, a cash bond posted by a third party on behalf of a defendant, a judgment in a sexting case against a 17-year-old defendant, addendums to allow a child defendant to discharge fines and costs by doing community service or attending tutoring in lieu of payment, forms for cruelly-treated animal hearings, and forms for juror, witness, and peace officer contempt. Many forms have also been updated to include legislative amendments, including new provisions for Failure to Attend School Cases and the recusal or disqualification of municipal judges. Updated forms for reporting to the Department of Public Safety, the Office of Court Administration, and the Comptroller of Public Accounts are also included. Take a few moments to review each new form and determine whether it might be of benefit to your court. Note that the top of each form includes a heading containing our title for the form and any relevant statute to which it pertains. The chapter title and revision date are located at the bottom of each form along with a page number for reference within the book. Editors notes are located on some forms in order to highlight important or unclear areas of law. Your court may delete all of this information for practical use. Remember that all papers issued out of the court (except for subpoenas) and all documents of the court that need authenticating should bear the municipal courts seal. Feel free to modify these forms to accommodate the needs of your court. You may access the forms in Microsoft Word format online at www.tmcec.com/Resources/Books/Forms_Book and save a copy directly to your courts computer. We realize that many courts are using software to generate complaints. However, as diverse as the municipal courts of Texas are, there are several courts that rely on sample complaints from TMCEC and other courts. In an ongoing effort to conserve paper and encourage use of the TMCEC website, we have removed the sample complaints from newer editions of the Forms Book. Instead, we have created a Complaint Bank on the TMCEC website that includes all the model complaints included in previous editions of the Forms Book. We invite prosecutors and clerks to submit model complaints for varying state-law Class C misdemeanor offenses. Ideally, we can develop a databank with model language for each of the thousand-plus Class C misdemeanors in Texas law! We are constantly revising the forms within this publication, and we greatly appreciate suggestions and examples from municipal courts across the state, to help make this book as useful and accurate as possible. This book will be revised again in 2013 to reflect any changes made by the 83rd Legislature and Texas courts. Katie Tefft Program Attorney August 2011 CAVEAT This book is intended to serve as only a guide and to provide accurate and current information. However, it is published with the intention that TMCEC is not engaged in rendering legal or other professional advice. All users must be responsible for their own legal drafting. Legal drafting should be accompanied by legal advice and direction from the city attorney. TMCEC and its employees do not warrant, either expressly or implicitly, that the forms and information in this volume have not been subject to change, amendment, reversal, or revision. ACKNOWLEDGEMENTS Thank you to following individuals for their contributions to this and prior versions of the TMCEC Forms Book: W. Clay Abbott, Austin; Laura Anderson, Irving; Cielito Sky Apolinar, Austin; Lidia Ball, Austin; Courtney Barajas, San Antonio; James Bethke, Austin; Noelia Cortez Benson, Austin; Judge Jan Blacklock-Matthews, Lubbock; Judge Martha Brennion-Nease, Tenaha; Michael Brown, Fort Worth; Deanna Burnett, Carrollton; Margaret Danforth, Austin; Angela DeLuca, College Station; Judge Robert Doty, Lubbock; Dylan O. Drummond, Austin; Ross Fischer, San Antonio; Beatrice Flores, Austin; Herman Flores, Austin; Tracie Glaeser, Lewisville; Judge Bonnie Goldstein, Royse City; Mark Goodner, Austin; Nigel Gusdorf, Austin; Jo Dale Guzman, Austin; Rey Guzman, Austin; Judge Sara Hartin, New Braunfels; Judge Francisco Hernandez, Grand Prairie; Hector Hernandez, Houston; Judge Brian S. Holman, Lewisville; Paul Isham, Lago Vista; Seth Johnson, Austin; Annette Jones, Waco; Elisabeth (Gazda) Kaylor, Arlington; Deanie King, Brazoria; Judge Matthew King, Tarrant County; Claudia Lemon, Boerne; Hope Lochridge, Austin; Judge Kevin Madison, Lakeway; Judge Ninfa Mares, Fort Worth; Janet Marton, Houston; Karen Meyers, Austin; Judge Ron Meyerson, Austin; Nancy Nicoles, Austin; Obeng Opoku-Acheampong, Dallas; Ana Otero, Houston; Katherine Peake, Fredericksburg; Elizabeth Price, Austin; Meichihko Proctor, Austin; Sharon Pruitt, Austin; Judge Robin Ramsay, Denton; Judge Robert Richter, Missouri City; Cathy Riedel, Austin; Margaret Robbins, Cedar Park; Judge Jay Robinson, Dallas; Sheri Russell, San Marcos; Patricia Russo, Austin; Judge Jennifer Rymell, Tarrant County; Roxanne Salinas, Austin; Shane Scribner, Houston; Judge Ed Spillane, College Station; Scott Stevens, Austin; Desiree Taylor, Austin; Katie Tefft, Austin; Patty Thamez, Austin; Ryan Turner, Austin; Nol Wells, Austin; Judge Steve Williamson, Fort Worth; and Lois Wright, Austin TABLE OF CONTENTS I. OATHS A.Anti-Bribery Oath of Appointed Officer 1B.Anti-Bribery Oath of Elected Officer 2C.Oath of Office 3D.Oath for Language Interpreter4E.Oath for Interpreter for Deaf or Hard of Hearing Juror, Defendant, or Witness 5 II. COMPLAINTS A.Model Complaint for State Law Violations 6B.Model Complaint for City Ordinance Violations 7C.Model Application for Citizen Complaint 8 III. SUBPOENAS & SUMMONS A.Summons for Defendant 11B.Parental Summons 12C.Corporate Summons 13D.Subpoena for Witness 14E. Subpoena for Child Witness 15F.Subpoena Duces Tecum 16G.Writ of Attachment for Witness Disobeying Subpoena 17H.Witness Excuse Letter 18 IV. WARRANTS & CAPIASES A.Warrant of Arrest: Judge 19B.Warrant of Arrest: Magistrate 20C.Affidavit for Probable Cause for Arrest Warrant (Under Chapter 45, C.C.P.) 21D.Affidavit for Probable Cause for Arrest Warrant (Under Chapter 15, C.C.P.) 22E.Affidavit for Probable Cause for Failure to Appear 23F.Affidavit for Probable Cause for Failure to Appear or Violation of Promise to Appear when Original Charge Filed by Citation  24G.Search Warrant 25H.Affidavit for Search Warrant 26I.Search and Arrest Warrant 27J.Affidavit for Combined Search and Arrest Warrant 28K.Blood Search Warrant 29L.Affidavit for Blood Search Warrant 31M.Capias (Chapter 23, C.C.P.) 32N.Capias (Chapter 43, C.C.P.) 33 V. MAGISTRATE DUTIES A.Presentation Before the Magistrate1.Magistrates Warning 342.Magistrates Determination of Bail and Commitment Form 353.Application for Further Detention 364.Release: With Order to Appear 385.Release: Magistrates Determination of No Probable Cause 396.Out-of-County Magistrates Bench Judgment 407.Bail with Ignition Interlock Condition 418.Bail Condition Where Child is Alleged Victim 42B.Juveniles1.Statutory Warning of a Child 432.Written Statement of a Child 443.Magistrate's Certification of Child's Written Statement 454.Magistrates Determination of Voluntariness Recorded Statement of Child 47C.Domestic Violence1.Magistrates Order of Emergency Protection 492.Clerks Letter: Copy of Magistrates Order of Emergency Protection 533.Motion to Modify Magistrates Order of Emergency Protection 544.Order Modifying Magistrates Order of Emergency Protection 55D.Mental Health Issues1.Application for Emergency Detention 562.Order for Issuance of Mental Health Warrant 573.Mental Health Warrant for Emergency Detention 584.Sheriffs Notification Person in Custody with Possible Mental Illness/Mental Retardation  595.Magistrates Order for Mental Illness/Mental Retardation Exam 606.Order into Custody for Mental Illness/Mental Retardation Exam 617.Warrant for Mental Health/Mental Retardation Exam Person Failing to Submit Voluntarily  62F.Property Hearings / Other1.Inventory of Property Seized 632.Notice of Stolen Property Hearing 643.Order Awarding Possession of Stolen Property 654.Order for Impoundment of Out-of-State Motor Vehicle 66 VI. TRIAL APPEARANCE BONDS A.Cash Bond: Posted by the Defendant 67B.Cash Bond: Posted by a Third Party 68C.Personal Bond 69D.Surety Bond 70E.Oath of Surety 71F.Motion and Order to Revoke Personal Bond 72 VII. BOND FORFEITURE A.Affidavit of Intention to Surrender Principal 73B.Capias: After Forfeiture or Upon Surrender of Principal 74C.Warrant of Arrest: Surrender of Principal 75E.Bailiffs/Clerks Affidavit of Defendants Failure to Appear 76F.Judgment Nisi Declaring Forfeiture: Cash or Personal Recognizance Bond 77G.Judgment Nisi Declaring Forfeiture: Surety Bond 78H.Scire Facias Docket 79I.Citation 80J.Dismissal and Reinstatement of Bond 81K.Motion and Order of Dismissal With Costs 82LMotion and Order of Dismissal Without Costs 83M.Final Judgment: Cash or Personal Recognizance Bond Finding for State 84N.Final Judgment: Surety Bond Finding for State 85O.Agreed Final Judgment 86 VIII. PLEAS A.Plea Form: By Mail or Delivery to Court 87B.Notice to Defendant Following Plea by Mail 88C.Plea Form: In Person 89 IX. DEFERRED PROCEEDINGS A.Deferred Disposition1.Deferred Disposition Order 902.Deferred Disposition Order: Defendant Under Age 25 Moving Violation 923.Deferred Disposition: Notice to Defendant to Show Cause 944.Deferred Disposition: Extension of Deferral Period 955.Judgment: Final Disposition of Deferred Disposition 96B.Driving Safety Course1.DSC Warning Sign 972.Request for a Driving Safety Course 983.Affidavit for a Driving Safety Course 994.Judgment: Driving Safety Course Granted 1005.Driving Safety Course: Notice to Defendant to Show Cause 1016.Driving Safety Course: Extension of Time to Present Evidence of Completion 1027.Judgment: Final Disposition of Driving Safety Course 103C.Teen Court1.Teen Court Request/Agreement 1042.Teen Court Order 1053.Teen Court Jury Instructions 1064.Teen Court Community Service Referral 108D.Chemically Dependent Person Order 109 X. TRIAL SETTINGS A.Non-Jury Trial Setting Form: Defendant Appears by Mail 110B.Non-Jury Trial Setting Form: Defendant Appears in Person 111C.Jury Trial Setting Form: Defendant Appears by Mail 112D.Jury Trial Setting Form: Defendant Appears in Person..113E.Election for Jury to Assess Punishment 114F.Pre-Trial Setting 115G.Trial Date Reset Notice 116H.Order to Summon Venire 117I.Jury Service Cover Letter 118J.Juror Information Sheet 119K.Official Model Jury Summons and Questionnaire 120L.Jury Panel List (Venire Panel) 124M.Other Jurors Summoned (Pick Up Jury) 125N.Jury List 126O.Evidence Log Form 127P.Verdict: Election for Jury Punishment 128Q.Verdict: Jury Sentence & Bench Punishment 129R.Juror/Witness/Defendant Excuse Letter 130S.Certificate of Appreciation for Jury Service 131T.Admonishment for Expunction on Acquittal 132 XI. JUDGMENTS & ORDERS A.Judgment: Jury Waived Guilty 133B.Judgment: Jury Waived Guilty (Juvenile) 134C.Judgment: After Jury Verdict 135D.Judgment: After Jury Verdict (Juvenile) 136E.Judgment: Forfeiture of Cash Bond in Satisfaction of Fine 137F.Judgment: Not Guilty (Adult and Juvenile) 138G.Order to Refund Cash Bond 139H. Dismissal by the Court: Compliance Dismissal 140I. Judgment: Driving or Operating Watercraft Under the Influence of Alcohol by Minor Guilty  141J. Judgment: Possession, Purchase, Consumption, or Receipt of Cigarettes or Tobacco Products by Minor Guilty  142K. Judgment: Purchase of Alcohol by Minor, Attempt to Purchase Alcohol by Minor, Consumption by Minor, Minor in Possession of Alcohol, Misrepresentation of Age by Minor Guilty  143L. Judgment: Electronic Transmission of Certain Visual Material Depicting Minor by 17 Year Old Defendant - Guilty 144M. Failure to Attend School Dispositional Order 145N.Order of Drivers License Suspension for Failure to Complete Alcohol or Tobacco Awareness Program and/or Community Service  146O. Optional Orders Applicable to Juveniles 147P. Community Service Addendum - Juveniles 148Q. Tutoring or Community Service Addendum - Juveniles 149R. Judgment/Jail Credit Addendum (For Persons Age 17 and Older) 150S. Order for Impoundment of In-State Motor Vehicle 151T. Order of Release for Impounded Motor Vehicle 152 XII. APPEALS A.Cash Appeal Bond 153B.Personal Appeal Bond 154C.Surety Appeal Bond 155D.Certified Transcript of Proceedings (Court of Non-Record) 157E.Checklist for Record on Appeal (Court of Record) 158 XIII. INDIGENCE, COMMUNITY SERVICE, JAIL CREDIT & PAYMENT PLANS A.Admonishment as to Financial Changes 159B.Application for Time Payment, Extension, or Community Service 160C.Installment Agreement Order 164D.Schedule of Payments for Installment Agreement 165E.Community Service Order 166F.Community Service Time Sheet 167G.Waiver of Payment of Fine and Costs for Indigent Defendants 168H.Incarcerated Jail Credit Response Letter 169I.Defendants Motion to Lay Out Fine in Jail 170 XIV. ENFORCEMENT A.Capias Pro Fine1.Clerks Affidavit for Capias Pro Fine 1712.Capias Pro Fine 1723.Order of Commitment (Capias Pro Fine) 173B.Contempt1.Show Cause Notice: Adult Defendant Contempt 1742.Show Cause Notice: Adult Contempt (Not a Defendant) 1753.Show Cause Notice: Juror Contempt 1764.Show Cause Notice: Peace Officer 1775.Show Cause Notice: Witness Contempt 1786.Contempt: Adult Plea 1797.Judgment of Direct Contempt: Adult 1808.Judgment of Indirect Contempt: Adult 1819.Judgment of Contempt: Failure to Appear for Jury Service 18210.Judgment of Contempt: Peace Officer Failure to Serve Process 18311.Judgment of Contempt: Witness Refusal to Obey Subpoena....184C.Civil Collection1.Abstract of Judgment 1852.Writ of Execution 186 XV. JUVENILES A.Expunction1.Alcoholic Beverage Code Offensesa.Application for Expunction: Alcoholic Beverage Code Offenses 187b.Order for Expunction of Records: Alcoholic Beverage Code Offenses 1882.Failure to Attend Schoola.Failure to Attend School: Notice of Expunction Rights 190b.Application for Expunction: Failure to Attend School 191c.Order for Expunction of Records: Failure to Attend School 1923.Tobacco Offensesa.Application for Expunction: Tobacco Offenses 194b.Order for Expunction of Records: Tobacco Offenses 1954.Penal Offensesa.Notice of Expunction Rights: Penal Offenses/Deferred Disposition/Teen Court 197b.Application for Expunction: Penal Offenses 198c.Order for Expunction of Records: Penal Offenses 199B.Failure to Attend School Cases1.Affidavit for Complaint: Failure to Attend School - School Attendance Officer 2012.Complaint: Failure to Attend School 2023.Affidavit for Complaint: Parent Contributing to Non-Attendance 2034.Failure to Attend School Dispositional Order 2045.Dismissal of Untimely Failure to Attend School Complaint 205C.General Forms1.Order to Take into Nonsecure Custody Offender under Age 17 2062.Report to Juvenile Court of Complaint Filed 2073.Waiver of Jurisdiction and Transfer to Juvenile Court 2084.Optional Orders Applicable to Juveniles 209D.Youth Accountability & Enforcement1.Notice of Continuing Obligation to Inform Court of Childs Residence 2102.Statement/Change of Residential Address 2113.Complaint: Violation of Continuing Obligation to Inform Court of Childs Address 2124.Judgment Addendum: Child Contempt Warning 2135.Contempt Show Cause Notice: Child 2146.Judgment of Contempt by a Child 2157.Order Referring Child to Juvenile Court for Delinquent Conduct 2168.Notice of Continuing Obligation to Appear: JNA 2179.Complaint: Violation of Continuing Obligation to Appear 21810.Clerks Affidavit for Capias Pro Fine: JNA 21911.Capias Pro Fine: JNA 22012.Order of Commitment (Capias Pro Fine): JNA 221 XVI. ANIMAL HEARINGS A.Cruelly Treated Animal(s)1.Affidavit for Warrant to Seize Cruelly Treated Animal(s) 2222.Seizure Warrant for Cruelly Treated Animal(s) 2233.Order: Cruelly Treated Animal(s) Hearing 2254.Appeal Bond: Cruelly Treated Animal(s) Case 226B.Dogs that Attack Persons1.Affidavit for Warrant to Seize Dog that Caused Serious Bodily Injury or Death 2272.Seizure Warrant for Dog that Caused Serious Bodily Injury or Death 2283.Notice of Hearing for Dog that Caused Serious Bodily Injury or Death 2294.Order: Dog Caused Serious Bodily Injury or Death 230C.Dangerous Dogs1.Complaint: Dangerous Dog Incident 2312.Notice of Dangerous Dog Complaint Filed 2323.Seizure Warrant for Dangerous Dog 2334.Notice of Dangerous Dog Hearing 2345.Dangerous Dog Judgment 2356.Application: Dangerous Dog Owner Failed to Comply 2377.Notice of Hearing: Owner Failed to Comply 2388.Dangerous Dog Judgment: Owner Failed to Comply 2399.Seizure Warrant for Dangerous Dog: Owner Failed to Comply 240 XVII. FINANCIAL MANAGEMENT & COURT ADMINISTRATION A.Payment Receipt 241B.Officer Mileage Log 242C.Fraudulent Lien Sign 243D.Fraudulent Lien Sign - Spanish 244E.Rule 12 Letter 245F.Order of Recusal or Disqualification 246G.Order of Referral Upon Motion for Recusal or Disqualification 247 XVIII. GOVERNMENT & AGENCY FORMS A.Office of Court Administration 1.Official Municipal Court Monthly Report 2482.Report of Change or Vacancy in Judge/Clerk/Mayor Position 2533.Municipal Court Security Incident Report 254B.Department of Public Safety1.Application for Copy of Driver Record 2552.DIC-18: Notice of Final Conviction for Traffic Law Violation (Misdemeanor).2573.DIC-81: Notice of Violation Notice of Restoration Minors License Only Failure to Appear Failure to Pay Fine 2584.DIC-15: Notice of Conviction and Suspension/Disqualification 2595.DIC-21: Notice of Suspension-Violation of License or Certificate Provision 2606.DPS Correction Form 2617.Nonresident Violator Compact: Notice of Failure to Comply with Terms of Citation 262C.Comptroller of Public Accounts1.Quarterly Report: State Criminal Costs and Fees 2682.Child Safety Seat and Seatbelt Fines 2693.Excess Highway Fines 2704.Photographic Enforcement Systems 271D.State Bar of Texas1.State Bar of Texas Attorney Grievance Form 2722.State Bar of Texas Attorney Grievance Form-Spanish 278E.State Commission on Judicial Conduct1.State Commission on Judicial Conduct Complaint Form 2842.State Commission on Judicial Conduct Complaint Form-Spanish 286 XIX. SAMPLE ORDINANCES A.Sample Ordinance Municipal Court Building Security Fund 288B.Sample Ordinance Municipal Court Technology Fund 290C.Sample Ordinance Municipal Court Juvenile Case Manager Fund 292 XX. PROSECUTOR FORMS A.Prosecutors Admonishment 294B. Waiver of Right to be Prosecuted by Complaint 295C.Sentence Recommendation in Exchange for Waiver of Appeal 296D.Motion for Recusal/Disqualification of Judge 297E.Motion for Continuance 298F.Motion and Order to Dismiss 299G.Writ of Procedendo: Joint Application 300H.Writ of Procedendo: State Application 301 ABBREVIATIONS USED IN THIS FORMS BOOK A.B.C. Alcoholic Beverage Code Art. Article C.C.P. Code of Criminal Procedure E.C. Education Code F.C. Family Code G.C. Government Code H.S.C. Health and Safety Code JNA Juvenile Now Adult No. Number P.C. Penal Code Sec. Section T.C. 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" # $ % & ' ( ) * + , Oh+'0|   , 8 D P\dltTABLE OF FORMS Pat RussoNormal Katie Tefft5Microsoft Office Word@U@R7@ړ@ы ` F՜.+,0 hp  TMCEC*R TABLE OF FORMS Title  !"#$%&'()*+,-./0123456789:;<=>?@ABCDEFGHIJKLMNOPQRSTUVWXYZ[\]^_`abcdefghijklmnopqrstuvwxyz{|}~      !"#$%&'()*+,-./0123456789:;<=>?@ABCDEFGHIJKLMNOPQRSTUVWXYZ[\]^_`abcdefghijklmnopqrstuwxyz{|}~      !"#*+.Root Entry FP-Data vrt1TableWordDocument vSummaryInformation(DocumentSummaryInformation8MsoDataStore`TDN3IZOB4WTYDXQ==2`Item  PropertiesUCompObj r   F Microsoft Word 97-2003 Document MSWordDocWord.Document.89q