JURY  DEMAND  FORM

If you would like to request a Jury Trial, a Jury Demand and a $25.00 jury fee  must be received by the court within twenty calendar days of

your Not Guilty plea. 

BROOMFIELD MUNICIPAL COURT, BROOMFIELD COUNTY, STATE OF COLORADO

CASE NO.____________________________________

JURY DEMAND

THE CITY OF BROOMFIELD BY AND ON BEHALF OF THE PEOPLE OF THE STATE OF COLORADO

 vs.

____________________________________________

Defendant

The defendant respectfully requests that the above entitled case be tried before a jury of _________________

(please specify the number of jurors from 3-6).

Dated this___________________day of ________________________, 2008

Defendant’s daytime telephone number__________________________

                                                                                                _______________________________________

                                                                                                Defendant signature

I hereby certify that the above named defendant posted a Jury Fee in the amount of $25.00 on the

______________day of ______________________, 2008.

________________________

Deputy Court Clerk