Stow Municipal Court Safe Driver's Program Application
You must complete the form no later than one business day prior to the court date that is listed at the bottom of your citation to be considered for entry into Safe Driver Diversion Program. (If your court appearance is less than 24 hours from now, you may apply in person at the Stow Municipal Court prior to your scheduled hearing.) Once your case has been reviewed, a bailiff will notify you of your eligibility status. If it is determined that you are not eligible, you are required to either proceed with payment of your ticket through the Court's website or appear in person for your scheduled court appearance.
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Email *
Name (As it appears on your Driver's License) *
Address *
Phone number *
What day is your scheduled court appearance? (Listed at the bottom of your traffic citation.)
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Have you been convicted of any criminal or traffic offenses with in the past two years? *
If you answered 'Yes' to the previous question, please list the offense(s), court(s), and the approximate date(s) of your convictions.
Do you have a Commercial Driver's License (CDL)?  
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Have you participated in a traffic diversion program at this court or any other court in the past two years? *
Acknowledgement of Responsibilities & Waiver of Rights
By checking the box below, you acknowledge that you have read the terms of Stow Municipal Court's Driver Safety Program, if granted permission to participate, you will pay the $200.00 program fee within 7 days of notification of acceptance, and pay ($50.00) to SafetyServe.com and complete the National Safety Council's Defensive Driver Course with in 30 days. *
Required
I swear, or affirm that the information that I have provided is true and accurate to the best of my knowledge, and I understand that my acceptance into the program is subject to the established guidelines and permission being granted by the Court. Further, I acknowledge that by applying to the Stow Municipal Court's Safe Driver Program, I plead guilty, waive the rights set forth in the terms of the program, and I understand that if I fail to pay for and complete the program in the time frame required, a record of this conviction will be forwarded to the Bureau of Motor Vehicles and points will be assessed to my driving record as required by law. *
Signature (First and Last Name)
A copy of your responses will be emailed to the address you provided.
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