City of Victoria Form Center

2. Instructions: You have 20 business days after receiving your citation to handle your citation.
   You may use this form to enter a Not Guilty plea and request a trial. Notice of your court date(s) will be sent to you by mail or by E-mail from the Municipal Court staff.
6. Select below which type of court hearing you would like for the court to set you on.*

   1. Not Guilty Plea and request a trial
8. If not guilty, please select the type of trial*

   1. I plead "Not Guilty", waive my right to a jury trial and request a judge trial
   2. I plead "Not Guilty" and request a jury trial.
10. Comments*
    Please include any additional information in this section regarding your request.
14. Citation Number*
15. Offense*
17. First and Last Name*
18. Date of Birth*
20. Address*
22. City*
23. State*
24. Zip Code*
26. Cell Phone Number*
27. E-mail address*
29. Please contact the court.

    It is your responsibility to follow up with the court at 361-485-3050 or courtclerk@victoriatx.gov to verify receipt of your request.

    By submitting this form, you hereby swear and affirm that the information provided above is correct.  Upon review of your request, the Municipal Court will send your court notice(s) by e-mail. 

31. Defendant Signature (Type name if you agree to the terms of this form.):*
32. Date*
    Date
34. Upload proof of identification*
    Please upload your Driver's License, Identification card, or other proof of identification. This request is mandatory.
35. Upload additional documentation (if applicable)
Leave This Blank:


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

    This field is not part of the form submission.

39. Submit

* indicates a required field