Indiana Code 9-30-6-16. Bureau certificate; form and contents

Sec. 16. The bureau certificate must contain the following information and may be substantially in the following form:

BUREAU OF MOTOR VEHICLES
Ask a traffic law question, get an answer ASAP! Thousands of highly rated, verified traffic lawyers. Parking violations, accidents, DUI/DWI, licensing, registration, and more Protect your vehicle and your rights with expert legal help now Click here to chat with a lawyer about your rights. Terms Used In Indiana Code 9-30-6-16 Defendant: In a civil suit, the person complained against; in a criminal case, the person accused of the crime. Probable cause: A reasonable ground for belief that the offender violated a specific law. CERTIFICATE
Date of Arrest		Time	Driver’s License No.	License State
		a.m.
	/ /	p.m.
Name: (first)		(M.I.)	(last)	Date of Birth
				/ /

CURRENT Address (street, city, state, zip)

Court Code

Cause Number

Sex

Weight

Height

Eyes

Hair

The above motorist	BUREAU USE ONLY
	REFUSED alcohol test
	FAILED alcohol test 0.%
	Court Determination

It has been determined there was probable cause the defendant violated IC 9-30-5 this ___________ day of ________________, 20__ and that charges are pending herein.

_____________________ Court	______________________ County
	____________________________
	Judge’s Signature

[Pre-1991 Recodification Citation: 9-11-4-16.]

As added by P.L.2-1991, SEC.18. Amended by P.L.2-2005, SEC.40.

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Terms Used In Indiana Code 9-30-6-16