Continuance Request Form

First Name:
Last Name:
Email Address:
Date of Birth:
Address:
City:
Postal Code:
Telephone:
Alt. Telephone:
Case Number:
Charge (If multiple, please enter first charge only):
Date of Current Hearing (enter as MM/DD/YY):
Time of Current Hearing (enter as HH:MM):
Attorney's Name (if none, enter NA):
Is this your first appearance in court on this matter?:	Yes   No

 

Reason for Continuance and Additional Information: 

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