Mendocino — MTR-210

Source: https://www.mendocino.courts.ca.gov/system/files/forms-and-filings/mtr-210.pdf

SUPERIOR COURT OF CALIFORNIA, COUNTY OF MENDOCINO REQUEST FOR SENTENCE MODIFICATION

NAME FOR COURT USE ONLY

ADDRESS

CITY STATE ZIP CODE

DATE OF BIRTH DRIVER LICENSE NUMBER

CASE OR CITATION NUMBER

INSTRUCTIONS: All supporting documentation must be attached to this form at the time it is submitted to the judge.

I understand that this request will NOT stop any pending action on my case, including a referral to Court Collections.

I pled guilty or no contest or was found guilty by the court and I would like to request the following:

Modify my sentence to convert my fine to community service and refer me to Mendo-Lake Alternative
Service.

Modify my sentence to allow me to attend traffic violator school, either in person or on-line, even
though it was not initially ordered. (If approved, I will be required to pay a non-refundable traffic
violator school administrative fee in the amount of $54.00 and $25.00 court cost before attending the
school.)

Modify my sentence to give me an extension of time to (check all that apply):
pay the fine complete traffic violator school complete community service

Set aside my judgment and reset my court trial (explain why)

Date Defendant’s Signature

MTR-210 (rev 0124)