Forms - Make a payment - Pre-Trial Diversion Payments - CCDA

“Use this form only ONLY if you wish to amend your PTD contract to give a donation in lieu of completing your mandatory community service hours. You will need to be in compliance with your PTD contract or have approval from the DA’s Office.”

PTD Contract Payments - Amended Pre-Trial Diversion ($250)

Email Address Used to contact you in case of problem with payment

Case Number Court assigned case number

Probation Officer Name of probation officer approving community service buy-out

Defendant’s First Name

Defendant’s Last Name

Defendant’s Date of Birth Ex: 01/15/1990

Defendant’s Address Line 1

Defendant’s Address Line 2

City

State

Zip

Defendant’s Phone Number

Defendant’s Email Address

Payment method

Payment Details

Payment amount

Convenience Fee (Credit Card) 5.00% (of subtotal)

Note: a minimum charge of $1.00 will be applied.

Total

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956-544-0849