Pasco, WA · Franklin County
Notice of Insurance Coverage for Deferred Prosecution
This notice lets a defendant petitioning for deferred prosecution provide Pasco Municipal Court and the plaintiff with information about the defendant’s insurance coverage.
What this form is
A defendant petitioning for deferred prosecution uses this notice to tell the court and plaintiff about the nature and extent of their insurance coverage. It asks for the insured’s name and address, policy and premium details, liability limits, and coverage amounts. The defendant also agrees to maintain minimum required coverage during the deferred prosecution period and must attach an insurance agreement or endorsement.
Who needs it
A defendant petitioning for deferred prosecution in Pasco Municipal Court uses this notice to report insurance coverage and provide the required insurance agreement or endorsement.
How to submit it
Submit it to Pasco Municipal Court, 1016 N 4th Ave., Bldg D, Pasco, WA 99301. The form says it is presented by the defendant’s attorney.
About notarization
This notice is signed and dated without a notary; the required insurance agreement or endorsement attachment is not identified as needing notarization or a sworn statement.
How to submit this form
- 1
Download the Notice
Download the Notice of Insurance Coverage for Deferred Prosecution PDF.
- 2
Complete the Notice
Enter the defendant and insured information, coverage amounts, premium, policy, and liability limits.
- 3
Gather the Attachment
Attach an agreement or endorsement stating that insurance is provided under the policy as described on the form.
- 4
Submit to the Court
Submit the notice to Pasco Municipal Court at the address shown on the form. The form says it is presented by the defendant’s attorney.
Frequently asked questions
- What is the Notice of Insurance Coverage for Deferred Prosecution?
- It tells Pasco Municipal Court and the plaintiff about a defendant’s insurance coverage when the defendant is petitioning for deferred prosecution.
- What information does the notice request?
- It requests the insured’s name and address, coverage amounts, premium, policy, and liability limits. The defendant must also attach an insurance agreement or endorsement.
- Do I need a notary for the Notice of Insurance Coverage for Deferred Prosecution?
- No. The notice is signed and dated without a notary. Its required insurance agreement or endorsement attachment is not identified as needing notarization or a sworn statement.
- How do I submit the notice?
- Submit it to Pasco Municipal Court at 1016 N 4th Ave., Bldg D, Pasco, WA 99301. The form says it is presented by the defendant’s attorney.
Need something notarized?
This Notice of Insurance Coverage for Deferred Prosecution doesn’t need a notary — but if you have another Pasco form that does, a commissioned online notary can help.