Non-Traffic/Other Violation Affidavit 1
Revised 11/2020
City of Austin Municipal Court
Address: 6800 Burleson Rd., Bldg 310, Ste 175, Austin, TX 78744-2314
Mail: P.O. Box 2135, Austin, TX 78768-2135
Phone: (512) 974-4800; Fax: (512) 974-4882
Email: [email protected]; Internet: www.austintexas.gov
REQUIREMENTS WHEN FILING COMPLAINT
1. The complainant (person making the complaint) must, in good faith, make full, fair, and honest
disclosure of all facts and circumstances known to him/her at the time the complaint is made. The facts,
as presented, must be in the form of an affidavit and signed under oath. This affidavit will form the basis
of any further investigation and of the charging instrument.
2. The complainant must appear in court to testify against the defendant if the charges are contested by
the accused and a trial is held.
3. If the defendant is found guilty, the maximum sentence that may be assessed in Municipal Court is a fine
up to $500.00 plus court costs and fees. There can be no jail time. The defendant may appeal the case to
a higher court.
4. The defendant may file a counter-complaint if the complainant has also been involved in some illegal
activity. Please be advised that any statement made at this time or in the future to a prosecutor or other
investigator may be used against you should there be a counter. Please be advised that when speaking
to the prosecutor, that the prosecutor represents the state and no attorney-client relationship is
established by any communications.
5. Once a case is filed, only a Municipal Court Judge, upon recommendation of a prosecutor, has the
authority to dismiss the case.
6. The prosecutor reserves the right to subpoena the citizen-complainant and to enforce the subpoena by
ordering a peace officer to bring the citizen-complainant to court.
7. Make a copy of the notarized affidavit for yourself. Contact Municipal Court 21-30 days after
mailing or delivering the original signed forms in order to obtain a case number for future
reference.
8. An asterisk “*” denotes a required field. If the required fields are not completed in full and
with all necessary information, the Austin Prosecutor’s Office will most likely not accept
your complaint nor proceed with any criminal charges.
I have read and agree to the above requirements.
*Complainant’s Signature *Printed Name *Date
(Person Making the Complaint)
Non-Traffic/Other Violation Affidavit 2
Rev
ised 11/2020
AFFIDAVIT BY CITIZEN
NON-TRAFFIC/OTHER VIOLATIONS
Information About You:
*Your Name:
*Address:
*City, State, Zip:
*Phone Number: Work Phone Number:
Email Address (if any):
The Undersigned Affiant Swears To The Following Statement:
Defendant Information:
*Name of Defendant (Person Accused):
*Address:
*City, State, Zip:
*Phone Number: Work Phone Number:
*How did you determine the defendant’s name?
*Can you identify the defendant (Yes or No)? (If no, it will not be possible to process your complaint)
Description of defendant: Race: Sex: Height:
Date of Birth or Age:
Non-Traffic/Other Violation Affidavit 3
Revised 11/2020
FACTS ABOUT THE CASE
OFFENSE INFORMATION
*Date of Offense: Time of Offense:
*Location (block number/street name) of Offense (must be in Austin city limits):
Type of premises: (public roadway or private property).
*What is your complaint? Describe with as much detail as possible (use back of page if more room is
needed):
Use as many pages as necessary to relate fully, fairly, and honestly all material facts and circumstances.
Witness Information (if any)
Name of Witness: Phone Number:
Address: Work Number:
Name of Witness: Phone Number:
Address: Work Number:
Non-Traffic/Other Violation Affidavit 4
Revised 11/2020
*I Swear That the Statements Made Here Are within My Personal Knowledge and Are true and Correct.
*Complainant’s Signature *Printed Name *Date
(Person Making the Complaint)
*Sworn To Me On This The Day of , 20 .
*Deputy Court Clerk or
Notary Public for the State of My Commission Expires:
Non-Traffic/Other Violation Affidavit 5
Revised 11/2020
Do Not Write on this Page but Submit with Your Request
Reviewed by (if required):
Recommendations:
Violation code and DOV (if complaint approved):
___________________________________________________________
Judicial Review
(If case is filed and defendant fails to respond to charge)
Date:
, 20
I have examined the foregoing affidavit and have determined that probable cause exists for the issuance of an
arrest warrant for the individual accused therein.
Judge
Municipal Court
Austin, Texas
