DUI Advisement Of Right Waiver And Plea Form {PRU-103}

COURT TY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... .. : : Plaintiff(s) Index No. Calendar No. Reserved for Clerk's File Stamp SUPERIOR COURT OF CALIFORNIA : COUNTY: JUDICIAL SUBPOENA -againstPLAINTIFF: : : : PEOPLE OF THE STATE OF CALIFORNIA DEFENDANT: DUI ADVISEMENTDefendant(s) WAIVER, AND PLEA FORM OF RIGHTS, : ................................................ (Vehicle Code § 23153) CASE NUMBER: DEPARTMENT: OPLE OF THE STATE OF NEW YORK INSTRUCTIONS Fill out this form if you wish to plead guilty or no contest to the charges against you. Initial the box for each applicable item only if you understand it and sign and date the form on page 5. If you have any questions about your case, the possible sentence, or the information on this form, ask your attorney or the judge. RIGHT TO AN ATTORNEY INGS: 1. I understand that I have the right to be represented by an attorney throughout the proceedings. WE COMMAND YOU, that allCourt will appoint a free attorney for me if I each of you attend hire one, but at I understand that the business and excuses being laid aside, you and cannot afford to before , orable the end of the case, I may be asked to pay all orCourt of the cost of that attorney, if I can afford to. at the part located at I understand that there are dangers and disadvantages to giving up my right to an attorney, and of that it is almost always unwise ,to represent myself. . .in . . . .noon, and at any. recessed . . . ..... ... , on the day of 20 , at o'clock the rned date, to testify and give evidence as a witness in this action on the part of the NATURE OF THE CHARGES (Complete all items you are charged with.) I understand that I am charged with a violation of Vehicle Code section(s): 2. 23153(a) - Driving this subpoena is punishable as a or drugs, court and will make driving, committing Your failure to comply with under the influence of alcoholcontempt of or both, and when you liable to an act this subpoena was issued for a maximum imposed by and which causes injury to y on whose behalfforbidden by law or neglecting a duty penalty of $50law, all damages sustained as a another person. . . f your failure to comply. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3. 23153(b) - Driving when my blood-alcohol level was .08 percent or higher, and when driving, Witness, Honorable an act forbidden by law or neglecting a duty imposed by law, the , one of the Justices of which causes injury to committing another person. .day of . . . . . 20 . . . . . . . . . . . . . . . . . . . . . . . .. County, ,. 4. 23153(d) - Driving a commercial vehicle when my blood-alcohol level was .04 percent or higher, and when driving, committing an act forbidden by law or neglecting a duty imposed by law, which causes injury to another person. . . . . (Attorney must. sign above and type.name . . . . . . . . . . .... ..... . below) 5. Check if applicable 14601 or 14601.1 or 14601.2 or 14601.5 Driving in knowing violation of a driver's license restriction, suspension, or revocation. . . . . . Attorney(s) for 6. Check if applicable 14601.3 (Habitual traffic offender) - Accumulating a driving record history in knowing violation of a driver's license suspension or revocation. . . . . . . . . . . . . 7. If applicable - I understand that I am also charged with the following other offense(s): Office and P.O. Address TYPE OF OFFENSE(S) AND SECTION NUMBER(S) INITIALS 1. 2. 3. 4. 5. 6. 7. Telephone No.: 8. If applicable - I am also charged with having the following other conviction(s): Facsimile No.: E-Mail Address: LIST OFFENSE(S), CASE NUMBER(S) AND DATE(S) Mobile Tel. No.: 76A298K87 8. PRU-103 (Rev. 1-2003) Continued on reverse American LegalNet, Inc. www.USCourtForms.com Page 1 of 6 COURT TY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... .. : NATURE OF THE CHARGES (Continued) Index No. INITIALS 9. If applicable ­ I am also charged with violating the Calendar No. probation order(s) in the following case(s): : CASE NUMBER(S) : AND DATE(S) JUDICIAL SUBPOENA Plaintiff(s) 10. I understand the charge(s) against me, and the possible pleas and defenses. . . . . . . . . -against: 9. 10. : 11. RIGHT TO A JURY TRIAL - I understand that I have the right to a speedy, public jury trial. At the : trial, I would be presumed innocent, and I could not be convicted unless 12 impartial jurors were convinced of my guilt beyond a reasonable doubt. . . . . . . . . . . . . . . . . . . Defendant(s) : . . . . . 12. .RIGHT . TO. CONFRONT. . . . . . . . . . . . . -. .I . understand that I have the right to confront and cross. . . . . . . . . . . . . . . . . . . . WITNESSES .... examine all witnesses testifying against me. . . . . . . . . . . . . . . . . . . . . . 13. RIGHT AGAINST SELF-INCRIMINATION - I understand that I have the right to remain silent and not incriminate myself, and the right to testify on my own behalf. I understand that by pleading guilty OPLE OF THEcontest, OF admitting other conviction(s) or probation violation(s), I am incriminating myself. . or no STATE or NEW YORK 14. RIGHT TO PRODUCE EVIDENCE - I understand that I have the right to present evidence and to have the Court issue subpoenas to bring into court all witnesses and evidence favorable to me, at no cost to me. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . CONSTITUTIONAL RIGHTS 11. 12. 13. 14. RIGHTS ON CHARGES OF OTHER CONVICTION(S) AND PROBATION VIOLATION(S) INGS: 15. If applicable - I understand that I have the right to an attorney, the right to a jury trial, the right to WE COMMAND witnesses,all business against self-incrimination, and and each ofto producebefore confront YOU, that the right and excuses being laid aside, you the right you attend evidence and , orable witnesses for all of the chargesthe at against me, including other alleged conviction(s) or probation Court located atfor a charge of violating probation, I do not have the right to a jury trial, of violation(s). However, although I do have the right to a 20 . . . . at . . . . . , on the day of , hearing before a judge.in .the . .noon, and . any recessed . . . , at o'clock rned date, to testify and give evidence as a witness in this action on the part of the WAIVER OF RIGHTS Understanding all of the above, for all of the charges against me, including any other alleged conviction(s) or probation subpoena is Your failure to comply with this violation(s):punishable as a