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Handbooks
Supreme Court Rules
Section/Rule:
37.C.
Subject:
Forms - Statutory and Ordinance Violations and Traffic Violations Bureaus - Suggested Forms
Publication / Adopted Date:
May 14, 1985
Topic:
Suggested Forms - Waiver of Counsel
Revised / Effective Date:
January 1, 1986
FORM 37.C.
WAIVER OF COUNSEL
Form 37.C.
STATE OF Case No.
MISSOURI WAIVER OF COUNSEL
IN THE CIRCUIT COURT OF COUNTY, __________ DIVISION
_______________________________________________________________________________________
CITY/COUNTY OF (PLAINTIFF) ORDINANCE VIOLATION CHARGED
vs.
(DEFENDANT)
_______________________________________________________________________________________
I HAVE BEEN ADVISED BY THE COURT THAT:
1) I have been charged in the offense(s) stated above.
2) If I am found guilty the minimum judgment is a sentence of ________________ or a fine of $___________
The maximum judgment is a sentence of ______________ and a fine of ____________ or both.
3) I have the right to be represented by an attorney. If found by the court to be indigent and it appears to the judge that there would likely be a jail sentence upon conviction the judge will appoint an attorney.
4) I have the right to plead not guilty, and I have been informed of any right to a trial by jury.
5) I have the right to confront and question witnesses who testify against me.
UNDERSTANDING THESE RIGHTS I WAIVE RIGHT TO COUNSEL
________________________________________ ____________________________________________
witness defendant
The court finds that the defendant has been fully informed of the aforementioned rights, understands them and knowingly, intelligently and voluntarily has waived these rights.
Dated _________________________________ Judge __________________________________________
_______________________________________________________________________________________
(Adopted May 14, 1985, eff. Jan. 1, 1986.)
