Traffic Safety Education & Diversion Form

Please fill out the form below if you wish to participate in the Traffic Safety Education & Diversion Program. We will respond to your request once we have received the citation from Hermiston Police Department.

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FIRST NAME *

LAST NAME *

DATE OF BIRTH

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MAILING ADDRESS *

CITY *

STATE *

ZIP CODE *

CITATION NUMBER *

DATE OF OFFENSE *

EMAIL ADDRESS *

PHONE NUMBER *

I choose to enter a plea of NO CONTEST to the violation(s) on the citation listed above. *

Agree, I am entering a plea of No Contest.

I have read the Traffic Safety Education & Diversion Program conditions. *

Agree

I have read the Traffic Safety Education & Diversion Program eligibility requirements. *

Agree

Additional Comments to Court Staff

Traffic Safety Education & Diversion Form

Contact Information