Continuance Request

Continuance Request Form

First Name:


Last Name:

Email Address:


Date of Birth:




Postal Code:



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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