Shippensburg Police Department

 

Fred A. Scott, Chief of Police

 

60 West Burd Street ~ Shippensburg, Pennsylvania 17257 ~ Department: 717.532.7361 Fax: 717.532.2313
 

          Please pull over to the right for lights and siren....whether they are coming up behind you or driving on the other side of the road...Please pull over toward the right hand side for lights and siren         


 

Box

Description

1

District Court Number

2

Docket Number

3

Defendant's Social Security #

4

District Court Address

5

Defendant's Driver's License #

6

State Issuing Driver's Licence

7

Defendant's Name

8

Defendant's Address

9

Defendant's Race/Ethnicity

10

Sex of Defendant

11

Defendant's Date of Birth

12

Resident Status

13

Case Initiated by Arrest or Citation

14

Juvenile Yes or No

15

Parent Notified Yes or No

16

Parent Name

17

Date of Parental Notification
(if by officer)

18

Time of Parental Notification
(if by officer)

19

Charge

20

Nature of Offense

21

PA Code (not used)

22

Indicates Statute or Ordinance

23

Section Charged

24

Subsection Charged

25

Amount of Fine (fine set by Magisterial District Judge)

26

Court Costs
(added State cost)

27

Judicial Computer Project/
Access to Justice Court
(added State cost)

28

Total Fines & Costs Due
(call court for total)

29

Lab Services Requested

30

Date of Offense

31

Time of Offense

32

Day of Offense 

33

Municipality of Offense

34

Code (not used) 

35

Zone (not used) 

36

Location of Offense

37

County of Offense

38

County Code

39

Defendant's Signature

40

Date Citation Issued

41

Filed on Information Received

42

Officer's Signature & Badge #

43

Police Station Address

44-
49

For Police Use Only

50

Victim's Name

51

Victim's Date of Birth

52

Victim's Sex

53

Victim's race

54

Victim's Address (not visible on Defendant's copy of citation)

55

Victim's Phone # (not visible on Defendant's copy of citation)

56

Officer's Remarks or
Subpoena Lists

 

 

Non-Traffic Citation

 

If you received your Citation in person (generally signed by Defendant), turn it over to find instructions for your response and follow them carefully. Nothing further will be mailed by the court unless you fail to respond, at which time a Warrant will be issued for your arrest. If a Citation was not handed to the Defendant, a Summons is sent from the Court by First Class mail indicating the offense charged, fines and costs, and instructions for response

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Shippensburg Police Department  Phone - 717-532-7361  Fax - 717-532-2313        Last Modified :01/30/12 11:28 PM          Copyright 2008