Sec. 16. The bureau certificate must contain the following information and may be substantially in the following form:

BUREAU OF MOTOR VEHICLES

Terms Used In Indiana Code 9-30-6-16

  • Defendant: In a civil suit, the person complained against; in a criminal case, the person accused of the crime.
  • Probable cause: A reasonable ground for belief that the offender violated a specific law.
CERTIFICATE

Date of Arrest

Time

Driver’s License No.

License State

 

a.m.

 

 

 

/ /

p.m.

 

 

Name: (first)

(M.I.)

(last)

Date of Birth

 

 

 

/ /

CURRENT Address (street, city, state, zip)

Court Code

Cause Number

Sex

Weight

Height

Eyes

Hair

The above motorist

BUREAU USE ONLY

 

REFUSED alcohol test

 

FAILED alcohol test 0.%

 

Court Determination

It has been determined there was probable cause the defendant violated IC 9-30-5 this ___________ day of ________________, 20__ and that charges are pending herein.

_____________________ Court

______________________ County

 

____________________________

 

Judge’s Signature

[Pre-1991 Recodification Citation: 9-11-4-16.]

As added by P.L.2-1991, SEC.18. Amended by P.L.2-2005, SEC.40.

  Previous section
Next section  
 Chapter 6 Contents