Santa Cruz — SUPCR-1109

Source: https://www.santacruz.courts.ca.gov/system/files/forms-and-filings/websupcr-1109-advisement-rights-waiver-and-plea-form.pdf

SUPCR 1109

ATTORNEY OR PARTY WITHOUT AN ATTORNEY (Name, State Bar number, and address): FOR COURT USE ONLY NAME: ADDRESS: CITY, STATE, ZIP:

TELEPHONE NO: FAX NO. (Optional): EMAIL ADDRESS (Optional): ATTORNEY FOR (Name): SUPERIOR COURT OF CALIFORNIA, COUNTY OF SANTA CRUZ 701 Ocean Street, Room 120 Santa Cruz, CA 95060 Santa Cruz Branch versus DEFENDANT: CASE NUMBER: ADVISEMENT OF RIGHTS, WAIVER AND PLEA FORM (VEHICLE CODE § 14601 et. seq.; VEHICLE CODE § 12500(a)) DEPARTMENT:

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 4. 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 INITIALS

1. I understand that I have the right to be represented by an attorney throughout the proceedings. I understand that the Court will appoint a free attorney for me if I cannot afford to hire one, but a t the end of the case, I may be asked to pay all or part of the cost of that attorney, if I can afford to. Iitisunalmost always unwise to represent myself. 1. 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. 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. 2.

3. Check if applicable - 14601.3 (Habitual traffic offender) – Accumulating a driving record history in knowing violation of a driver’s license suspension or revocation. 3.

4. Check if applicable - 12500(a) – Driving without a valid driver’s license. 4.

5. If applicable - I understand that I am also charged with the following other offense(s):

   TYPE OF OFFENSE(S) AND SECTION NUMBER(S) 5.

6. If applicable - I am also charged with having the following other conviction(s):

   LIST OFFENSE(S), CASE NUMBER(S) AND DATE(S) 6.

7. I understand that if I obtain a valid driver’s license, I can withdraw my pleas to driving on a suspended license and enter a new 7.

8. I understand the charge(s) against me, and the possible please and defenses. 8.

Form Adopted for OPTIONAL USE ADVISEMENT OF RIGHTS, WAIVER, AND PLEA Page 1 of 5 Superior Court of Santa Cruz County FORM (VEHICLE CODE § 14601 et seq.; Vehicle Codes § 14601 & 12500SUPCR 1109 02/04/26 VEHICLE CODE § 12500(a))

PEOPLE OF THE STATE OF CALIFORNIA vs. CASE NUMBER: DEFENDANT:

CONSTITUTIONAL RIGHTS INITIALS

9. RIGHT TO A JURY TRIAL - I understand that I have the right to a speedy, public jury trial. At the trial,convincedI wouldof bemypresumedguilt beyondinnoa reasonable doubt. 9.

10. RIGHT TO CONFRONT WITNESSES - I understand that I have the right to confront and cross- examine all witnesses testifying against me. 10.

11. RIGHT AGAINST SELF-INCRIMINATION - I understand that I have the right to remain silent and not orincriminateno contest,myself,or admittingand theotherright conviction(s)to tes or probation violation(s), I am incriminating myself. 11.

12. RIGHT TO PRODUCE EVIDENCE - I understand that I have the right to present evidence and to nohavecosttheto me.Court issue subpoenas to 12. RIGHTS ON CHARGES OF PRIOR CONVICTION(S)

13. If applicable - I understand that I have the right to an attorney, the right to a jury trial, the right to confront witnesses, the right against self-incrimination, and the right to produce eviden ceof the charges against me, including other alleged conviction(s). 13.

WAIVER OF RIGHTS Understanding all of the above, for all of the charges against me, including any other alleged conviction(s) or probation violation(s): 14. I give up my right to an attorney, and I choose to represent myself. (Does not apply if you have an attorney.) 14. 15. I give up my right to a jury trial. 15. 16. I give up my right to confront and cross-examine witnesses. 16. 17. I give up my right to remain silent and to not incriminate myself 17. 18. I give up my right to produce evidence and witnesses on my own behalf. 18.

SENTENCES FOR DRIVING IN VIOLATION OF A LICENSE SUSPENSION, REVOCATION, OR RESTRICTION

Vehicle Code Sec. First Offense Second or Subsequent Offense 14601 5 days to 6 months in jail, and a fine of $300-$1000. 10 days to 1 year in jail, and a fine of $500 to $2000. 10 days in jail required if probation is imposed.

Form Adopted for OPTIONAL USE ADVISEMENT OF RIGHTS, WAIVER, AND PLEA Page 2 of 5 Superior Court of Santa Cruz County FORM (VEHICLE CODE § 14601 et seq.; Vehicle Codes § 14601 & 12500SUPCR 1109 02/04/26 VEHICLE CODE § 12500(a))

PEOPLE OF THE STATE OF CALIFORNIA vs. CASE NUMBER: DEFENDANT:

Vehicle Code Sec. First Offense Second or Subsequent Offense 14601.1 Up to 6 months in jail, and a fine of $300-$1000, or both. 5 days to 1 year in jail, and a fine of $500- $2,000. 14601.2 10 days to 6 months in jail, and a fine of $300-$1000. 30 days to 1 year in jail, 10 days in jail required if probation is imposed. and a fine of $500 to $2000. -If I have been designated as a habitual traffic offender within 3 years jailof and to pay a $2,000 fine. 30 days in jail required if probation is imposed.

14601.5 Up to 6 months in jail, or a fine of $300 to $1,000 or both. 10 days to 1 year in jail, and a fine of $500 to $2,000. Note- Sec. 14601.3 also constitutes a prior conviction for this offense. 14601.3 30 days in jail, and a fine of $1,000. 180 days in jail, and a fine of $2,000.

ADDITIONAL PENALTIES (Ignition Interlock Device) INITIALS 19. I understand that if I am convicted of a violation of section 14601.2, or if the original charge was for a violation of that section but I am pleading to section 14601, 14601.1 or 14601.5, the Court wil l require me to install an ignition interlock device (IID) on any vehicle that I own or operate for a period of up to three years. Installation of this device, which prevents the vehicle from starting if I have alcohol in my body, does not authorize me to drive without a valid driver’s D V. 19.

CONSEQUENCES OF PLEA OF GUILTY OR NO CONTEST 20. I have read and understood the penalty charts which list the minimum and maximum penalties for the offense(s) I am charged with (See item No. 27 for the offenses not listed in the charts.) 20. 21. I understand that in addition to the fine, the Court will add assessments which will significantly increase the amount I must pay. I will also be ordered to make restitution and to pay a restitution fine of $100 to $1000, unless the Court finds compelling and extraordinary reasons not to do so. 21. 22. I understand that in addition to any other penalty, the Court may impound my vehicle for an additional 6 months for a first conviction of section 14601 et seq, or up to 12 months for a second or subsequent violation. 22. 23. I understand that my vehicle will be subject to forfeiture as a nuisance if I drive in violation of a license suspension or revocation (V.C.§14601 et seq.) or without a license (V.C.§12500(a)) and I am the registered owner of the vehicle. 23. 24. If you are not a citizen of the United States, you are hereby advised that conviction of the offense for which you have been charged may have the consequences of deportation, exclusion from admission to 24. the United States, or denial of naturalization pursuant to the laws of the United States.

Form Adopted for OPTIONAL USE ADVISEMENT OF RIGHTS, WAIVER, AND PLEA Page 3 of 5 Superior Court of Santa Cruz County FORM (VEHICLE CODE § 14601 et seq.; Vehicle Codes § 14601 & 12500SUPCR 1109 02/04/26 VEHICLE CODE § 12500(a))

PEOPLE OF THE STATE OF CALIFORNIA vs. CASE NUMBER: DEFENDANT:

25. I understand that any plea entered in this case may be grounds for revoking probation or parole which has previously been granted to me in any other case. 25. PENALTIES FOR OTHER CHARGES
26. If applicable - I understand that the possible consequences for the offense(s) charged, which are not listed on the penalty charts on pages 2, include the following:

• VC 12500(a) 0 6 months $0 $1000 SECTION NUMBER JAIL - MIN. MAX. FINE - MIN. MAX.

OTHER CONSEQUENCES : A jail sentence may be imposed depending on the basis for the license

• SECTION NUMBER JAIL - MIN. MAX. FINE - MIN. MAX.

OTHER CONSEQUENCES :

• SECTION NUMBER JAIL - MIN. MAX. FINE - MIN. MAX.

OTHER CONSEQUENCES : 26.

27. Other Terms and conditions of this plea agreement: ____________________________________ _______________________________________________________________________________ 27.

PLEA(S) 28. I hereby freely and voluntarily plead (circle one) GUILTY NO CONTEST to the following (Circle Vehicle Code sections): 14601.1 14601.2 14601.5 14601 28. 29. If applicable - I freely and voluntarily admit the other conviction(s) that I listed on this form. I understand that this admission will increase the penalties which are imposed on me. 29. 30. I understand that I have the right to a delay of from 6 hours to 5 days prior to being sentenced for a I give up this right and agree to be sentenced at this time. 30. 31. If applicable - I understand that I have the right to enter my plea before, and to be sentenced by, a Cruzjudge.SuperiorI giv Court Judge 31.

SIGN

**DEFENDANT’S SIGNATURE: DATE:

Form Adopted for OPTIONAL USE ADVISEMENT OF RIGHTS, WAIVER, AND PLEA Page 4 of 5 Superior Court of Santa Cruz County FORM (VEHICLE CODE § 14601 et seq.; Vehicle Codes § 14601 & 12500SUPCR 1109 02/04/26 VEHICLE CODE § 12500(a))

PEOPLE OF THE STATE OF CALIFORNIA vs. CASE NUMBER: DEFENDANT:

ATTORNEY’S STATEMENT

I am the attorney of record for the defendant. I have reviewed the form and any addenda with my client. I have explained each of the defendant’s rights to the defendant and answered all of the defendant’s questions with regard to this plea. I have also discussed the facts of the defendant’s case with the defendant, and explained the consequences of this plea, the elements of the offense(s), and the possible defenses. I concur in this plea and in the defendant’s decision to their constitutional rights.

SIGN

SIGNATURE OF DEFENDANT’S ATTORNEY DATE

INTERPRETER’S STATEMENT (if applicable)

I, having been sworn or having a written oath on file, certify that I truly translated this form to the defendant in the language indicated below. The defendant stated that they understood the contents of the form, and then initialed and signed the form. Language: Spanish Other (specify):

SIGN

COURT INTERPRETER’S SIGNATURE TYPE OR PRINT NAME DATE

COURT’S FINDINGS AND ORDER

The Court, having reviewed this form and any addenda, and having questioned the defendant concerning the defendant’s constitutional rights and the defendant’s admission of other conviction(s) and probation violation(s), if any, finds that the defendant has expressly, knowingly, understandingly and intelligently waived their constitutional rights. The Court finds that the defendant’s plea(s) and admission(s) are freely and voluntarily made with an understanding of the nature and consequences thereof, and that there is a factual basis for the plea(s). The Court accepts the defendant’s plea(s), the defendant’s admission of the other conviction(s) and probation violation(s), if any, and orders this form filed and incorporated in the docket by reference as though fully set forth therein.

SIGN

Judge of the Superior Court DATE

Form Adopted for OPTIONAL USE ADVISEMENT OF RIGHTS, WAIVER, AND PLEA Page 5 of 5 Superior Court of Santa Cruz County FORM (VEHICLE CODE § 14601 et seq.; Vehicle Codes § 14601 & 12500SUPCR 1109 02/04/26 VEHICLE CODE § 12500(a))