Cowlitz County District Court
CONTESTED FORM
If you wish to submit an electronic written statement in lieu of appearing for a contested hearing, please use this form.  By contesting the citation you are stating that you do not believe that you should have been cited for the violation. The court must receive this form within 15 days from the date the infraction was issued.  If you have already requested a hearing this form must be received before your pending court date.  You will receive a response by email, so you must provide the court with a valid email address

  By using this process you waive your right to appeal the decision.    
If there is an error submitting this form please email your statement directly to:  dctcourt@co.cowlitz.wa.us
Please include:  your name, date of birth, and citation number with your emailed statement. 

If you were cited with a moving violation, you may qualify for the infraction deferral program. Please follow this link and review before submitting your statement.

 Personal Information
Last Name:
First Name:
Date of Birth:
Driver's License:

 Address
Street:
City:
State:
Zip Code:
Email:
Ticket Number:

 Statement
 I certify [or declare] under penalty of perjury under the laws of the State of Washington that the foregoing is true:  I promise that if it is determined that I committed the infraction for which I was cited, I will pay the monetary penalty authorized by law and assessed by the court.
If you agree to the above statement you must type "accept" here   


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