Richland Hills, TX · Tarrant County
Waiver of Jury Trial and Request for Payment Plan Agreement
Defendants in Richland Hills Municipal Court use this agreement to waive a jury trial and request 30 days to pay fines and costs.
What this form is
This agreement records a defendant’s plea, waiver of the right to a jury trial, and request to pay the fine and costs within 30 days. It asks for case and violation details, the amount due, the defendant’s contact information, and a signature and date. The document explains payment and extension terms, including that an extension must be requested at the clerk’s office before the due date.
Who needs it
A defendant with a Richland Hills Municipal Court violation who wants to waive a jury trial and request 30 days to pay should complete this agreement.
How to submit it
Email the form to the court at [email protected]. The form asks the defendant to keep a copy of the request and fax confirmation and to follow up to ensure receipt and approval.
About notarization
This form is signed without a notary; the defendant signs and dates it, and the document identifies no notarized attachment or related step.
How to submit this form
- 1
Download The Agreement
Download the Waiver of Jury Trial and Request for Payment Plan Agreement.
- 2
Complete The Form
Enter the case, violation, fine or cost, and defendant contact details, then sign and date the agreement.
- 3
Gather Attachments
The document does not identify any required attachments.
- 4
Email The Court
Email the form to [email protected], keep a copy, and follow up with the court to confirm receipt and approval.
Frequently asked questions
- Do I need a notary for the Waiver of Jury Trial and Request for Payment Plan Agreement?
- No. The defendant signs and dates this form without a notary, and it identifies no notarized attachment or related step.
- How do I submit the payment plan request?
- Email the form to [email protected]. Keep a copy and fax confirmation for your records, and follow up with the court to confirm receipt and approval.
- What information does the agreement ask for?
- It asks for the case number, fine or cost amount, violation, defendant’s name and contact information, and the defendant’s signature and date.
- When is payment due under this agreement?
- The agreement says the fine and costs are due 30 days from the date the defendant signs. It says to request an extension at the clerk’s office before the due date.
Need something notarized?
This Waiver of Jury Trial and Request for Payment Plan Agreement doesn’t need a notary — but Texas residents can notarize other documents online with a commissioned online notary.