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Louisiana Citations

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LOUISIANA CITATION AND COMPLAINT (Form LA-17-4) is a four-part citation. (Price Group 16) The face of all four copies is shown at right.

The back of the first copy (white "Complaint-Affidavit") contains Abstract of Court Record information. The back of the second copy (blue "Abstract of Court Record for State Licensing Authority of Conviction") contains Abstract of Court Record information for the Driver's License Division. The back of the third copy (yellow "Police Record") contains spaces for Report of Action on Case, Officer's Notes, Witnesses, and Vehicle Defects. The back of the fourth copy ("Summons" hard copy) contains instructions for the defendant.

The citation is 4.25 inches by 9.5 inches before being torn at the perforation and is booked in sets of twenty-five. As with all our tickets, there is no extra charge for consecutive numbering and up to five lines of crash imprinting. Stock tickets are shipped within seven business days from time the order is received.


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LOUISIANA "THREE VIOLATION" UNIFORM TRAFFIC SUMMONS (Form LA-17-4DPS) is a four-part citation. (Price Group 16) The face of all four copies is shown at right.

The back of the first copy (white "Complaint-Affidavit") contains Abstract of Court Record information. The back of the second copy (yellow "Abstract of Court Record for State Licensing Authority of Conviction") contains Abstract of Court Record information for the Driver's License Division. The back of the third copy (pink "Police Record") contains spaces for Report of Action on Case, Officer's Notes, Witnesses, and Vehicle Defects. The back of the fourth copy ("Summons" hard copy) contains instructions for the defendant, Guilty Plea Waiver, and a perforated Temporary Operator's License.

The citation is 4.25 inches by 9.375 inches before being torn at the perforation and is booked in sets of twenty-five. As with all our tickets, there is no extra charge for consecutive numbering and up to five lines of crash imprinting. Stock tickets are shipped within seven business days from time the order is received.


To obtain a free sample call 1-800-527-0340 or email sales@gathompson.com.

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