_________ Court of Washington | |
County of ___________________ | |
No. | |
_____________________________ Plaintiff, | Statement of Defendant on Plea of Guilty (STTDFG) |
v. | |
_____________________________ Defendant. |
Count | Crime | RCW or Ordinance (with subsection) |
1. | ||
2. | ||
3. | ||
4. |
[ ] Count(s) _________ was (were) committed against an intimate partner
[ ] Count(s) _________was (were) committed against a family or household member.
The elements are:
[ ] as set out in the charging document.
[ ] as follows: ________________________________________
__________________________________________________
__________________________________________________
_________________________________________________.
__________________________________________________
__________________________________________________
_________________________________________________.
NOTIFICATION RELATING TO SPECIFIC CRIMES: IF ANY OF THE FOLLOWING PARAGRAPHS APPLY, THE BOX SHOULD BE CHECKED AND THE PARAGRAPH INITIALED BY THE DEFENDANT.
[ ] Possession under RCW 69.50.4011, 69.50.4013, 69.50.4014, or 69.41.030;
OR
[ ] A crime committed against a family/household member or "intimate partner;"
[ ] Assault, Fourth Degree; [ ] Coercion; [ ] Stalking; [ ] Reckless Endangerment; [ ] Criminal Trespass, First Degree; [ ] Violation of a Protection Order/No-Contact Order restraining/excluding the person from a residence; [ ] Harassment (on or after June 7, 2018);
OR
[ ] Any of the following not included above committed on or after July 23, 2023: [ ] Domestic Violence (RCW 10.99.020); [ ] Stalking; [ ] Cyberstalking; [ ] Cyber Harassment [excluding when committed solely pursuant to the element set forth in RCW 9A.90.120(1)(a)(i)] ; [ ] Harassment; [ ] Aiming/ Discharging a Firearm (RCW 9.41.230); [ ] Unlawful Carrying/Handling Firearm (RCW 9.41.270); [ ] Animal Cruelty, Second Degree committed under RCW 16.52.207(1); [ ] any "prior offense" as defined in RCW 46.61.5055(14) if committed within seven years of a conviction for any other prior offense under RCW 46.61.5055.
[] If I am convicted of carrying a weapon apparently capable of producing bodily harm under RCW 9.41.270, my CPL will be revoked.
OR
[] If I am convicted of knowingly possessing a dangerous weapon on school facilities or areas of facilities while being used for official meetings of a school district board of directors under RCW 9.41.280, my CPL will be revoked for a period of 3 years, and I will be prohibited from applying for a CPL for 3 years.
OR
[] If I am convicted of possessing a dangerous weapon on child care premises under RCW 9.41.282, my CPL will be revoked for a period of 3 years. I will be prohibited from applying for a CPL for 3 years from the date of conviction, and I must immediately surrender any CPL.
[ ] the penalties described in the "DUI Attachment."
OR
[ ] these penalties. Mandatory minimum sentence:
_________________days in jail. _________________days of electronic home monitoring. $ _______________monetary penalty. If a 24/7 sobriety program is available, I will have to comply with 24/7 sobriety program monitoring. Comply with the rules and requirements of the Department of Licensing regarding the installation and use of a functioning ignition interlock device on all motor vehicles that I operate. For each passenger under age 16 in the vehicle, I will be required to install an ignition interlock device for an additional 12 months for a blood alcohol content (BAC) less than 0.15, drug-related, no test, or THC; or 18 additional months for a BAC greater or equal to 0.15, or refusal. RCW 46.61.5055(6)(a). This period is in addition to any other ignition interlock device requirements imposed by the court or the Department of Licensing. The Department of Licensing will suspend or revoke my driving privilege for the period of time stated above in paragraph 6(k).If I have no prior offenses, instead of the minimum jail term, the judge may order me to serve ___________________days in electronic home monitoring or ______________days on 24/7 sobriety program monitoring.
If I have prior offense(s):
The judge shall order me to submit to an expanded alcohol assessment and comply with treatment deemed appropriate by that assessment. If I have 1 prior offense, instead of mandatory jail and electronic home monitoring, the judge may order me to serve not less than ____days in jail, and either _____days of electronic home monitoring or a 120-day period of 24/7 sobriety program monitoring or a 120-day period of ignition interlock device requirement, or both. If I have 2 prior offenses, instead of mandatory electronic home monitoring, the judge may order me to serve additional jail time.If the judge orders me to refrain from consuming any alcohol, the judge may order me to submit to alcohol monitoring. I shall be required to pay for the monitoring unless the judge specifies that the cost will be paid with funds from another source.
The judge may waive electronic home monitoring or order me to obtain an alcohol monitoring device with wireless reporting technology, if that device is reasonably available, if I do not have a dwelling, telephone service, or any other necessity to operate electronic home monitoring. The judge may waive electronic home monitoring if I live out of state, or if the judge determines that I would violate the terms of electronic home monitoring. If the judge waives electronic home monitoring, the judge will impose an alternative sentence which may include use of an ignition interlock device, additional jail time, work crew, work camp, or a 24/7 sobriety program.
I understand that the 24/7 sobriety program is a program which requires tests of my blood, breath, urine, or other bodily substances to find out if I have alcohol, cannabis, or any controlled substance in my body. Testing must take place at designated location(s). I may be required to pay the fees and costs for the program.
The judge will order as conditions of probation that I (i) shall not drive a motor vehicle without a valid license; (ii) shall not drive a motor vehicle without proof of liability insurance or other financial responsibility; (iii) shall not drive or be in physical control of a motor vehicle with an alcohol concentration of 0.08 or more or a THC concentration of 5.00 nanograms per milliliter of whole blood or higher, within 2 hours after driving; (iv) shall submit to a breath or blood alcohol test upon the reasonable request of a law enforcement officer; (v) shall not drive a motor vehicle without a functioning ignition interlock device as required by the Department of Licensing. For each violation of the above mandatory conditions, the court shall order my confinement for a minimum of 30 days, which may not be suspended or deferred. For each incident involving a violation, the court shall suspend my license for 30 days.
[] The complaint or citation and notice was orally amended and I waive filing of a written amended complaint or citation and notice.
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[] The crime(s) was (were) committed against intimate partner(s).
(names) ____________________________________________.
The crime(s) was (were) committed against family or household member(s):
(names) ____________________________________________.
[] [No statement made.] Instead of making a statement, I agree that the court may review the police reports and/or a statement of probable cause supplied by the prosecution to establish a factual basis for the plea, including a determination of my relationship to each victim as:
[] intimate partner(s): (names) ___________________________________.
[] family or household member(s): (names) ___________________________.
[ ] An interpreter has interpreted the above paragraphs and my lawyer's explanation into the ___________________________________language which I understand.
Date: ____________
_________________
Defendant
I have read and discussed this statement with the defendant and believe that the defendant is competent and fully understands the statement.
________________________________________________________
Prosecuting Authority
________________________________________________________
Defendant's Lawyer
________________________________________________________
Type or Print Name WSBA No.
________________________________________________________
Type or Print Name WSBA No.
The foregoing statement was signed by the defendant in open court in the presence of the defendant's lawyer (if represented) and the undersigned judge. The defendant asserted that (check the appropriate box):
Interpreter Declaration: I am a certified or registered interpreter, or have been found otherwise qualified by the court to interpret in the ____________________________language. I have translated this document for the defendant from English into that language. I certify under penalty of perjury under the laws of the state of Washington that the foregoing is true and correct.
Signed at (city) __________________________, (state) ______, on (date) _________________.
_____________
Interpreter
_____________
Print Name WA AOC No.
I find the defendant's plea of guilty to be knowingly, intelligently, and voluntarily made. Defendant understands the charges and the consequences of the plea. There is a factual basis for the plea. The defendant is guilty as charged.
Dated: _____________________________
__________________________________
Judge/Commissioner/Judge Pro Tempore
The foregoing statement was signed by the defendant in open court in the presence of the defendant's lawyer, if represented, and the undersigned judge. The defendant asserted that (check the appropriate box):
Interpreter Declaration:: I am a certified or registered interpreter, or have been found otherwise qualified by the court to interpret in the ____________________________language, which the defendant understands. I have translated this document for the defendant from English into that language. I certify under penalty of perjury under the laws of the state of Washington that the foregoing is true and correct.
Signed at (city) ____________________, (state) ____________, on (date) _________________.
____________
Interpreter
_________________
Print Name
I find the defendant's plea of guilty to be knowingly, intelligently, and voluntarily made. Defendant understands the charges and the consequences of the plea. There is a factual basis for the plea. The defendant is guilty as charged.
Dated: _____________________________
___________________________________
Judge/Commissioner/Judge Pro Tempore
_____________Court of Washington
_________________ | No:_____________ |
Plaintiff, | Petition for Deferred Prosecution |
vs. | (DPPF) |
_________________ | Charges:___________ |
defendant. | Violation Date:___________ |
I am the defendant in this case, and I petition the court for deferred prosecution under ch. 10.05 RCW. I make the following statements in support of my petition:
I certify under penalty of perjury under the laws of the state of Washington that I have read the foregoing and agree with all of its provisions and that all statements made are true and correct.
Dated at __________________, Washington this ____day of ________________________, ______.
__________________
Petitioner-Defendant
__________________
Defense Attorney/WSBA No.
_________Court of Washington | |
For __________________ | |
__________________ | No: ______________ |
Plaintiff, | Petition for Deferred Prosecution of |
vs. | Criminal Mistreatment Charge |
__________________ | (DPPF) |
Defendant. | Violation Date: ________ |
I am the defendant in this case and I petition the court for deferred prosecution of a criminal mistreatment charge under RCW Chapter 10.05. Following are my statements in support of this petition:
I certify under penalty of perjury under the laws of the state of Washington that I have read the foregoing and agree with all of its provisions and that all statements made are true and correct.
Dated at __________________, Washington this ____day of _________________________, ______.
Petitioner-Defendant
Defense Attorney/WSBA No.
Wash. R. Ct. Lim. Juri. CrRLJ 4.2