ARSD 02:03:01:01 – Forms for petty offense complaints and summons.

2:03:01 :01. Forms for petty offense complaints and summons. Either Form A or B, or any other form that substantially complies with Form A or B, shall be used as a petty offense summons and complaint. If Form A is used, a power of attorney form in substantial compliance with § 2:03:01:03 shall be attached.

(1) Form A:
UNIFORM TRAFFIC TICKET
SUMMONS-COMPLAINT
PCN ______________
State of South Dakota
In Circuit Court
Magistrate Division
County of_______________
____________Judicial Court
State of South Dakota (Plaintiff)
vs
___________________________________
(Defendant) No. _____________HP
THE UNDERSIGNED PEACE OFFICER COMPLAINS AND STATES THAT
ON OR ABOUT
AT OR NEAR (LOCATION/MILE POST)
AT TIME
A.M.
P.M.
_________________
____________________________________
________
WITHIN THE COUNTY AND STATE AFORESAID
NAME
HEIGHT
SEX
_____________________________
________
_____
ADDRESS
WEIGHT
_____________________________
________
CITY
STATE
BIRTH DATE
_____________________________
________
____________
DRIVER'S LICENSE NO.
STATE
_____________________________
________
DID UNLAWFULLY
OPERATE
_________
PARK
______
VEHICLE MAKE
_______________
BODY STYLE
_____________
STATE LICENSE NO.
YEAR
STATE
FR______Y
_____________________________
______
_______
______N
AND THEN AND THERE COMMIT THE FOLLOWING OFFENSE TO WIT:
PETTY OFF _____
MIS ______
DESCRIBE VIOLATION:
_________________________________________________
CDL ____Y____N
C Veh.____Y____N____E
_________________________________________________
Haz. Materials ____Y____N
in violation of SDCL_________________________________
_____Municipal
SPEEDING
_____Interstate
_____Other
______M.P.H. IN
______M.P.H. ZONE
OFFICER ISSUING SUMMONS
NO.
CITY
COUNTY
STATE
___________________________
_____
______________
_________
_______
ABOVE COMPLAINT IS TRUE AS I VERILY BELIEVE
DATE
OFFICER SIGN IN PRESENCE OF COURT OR NOTARY
__________________________________________________________________
_______
SUBSCRIBED AND SWORN TO ME THIS DATE (NAMEANDTITLE)
DATE
__________________________________________________________________
_______
SUMMONS and PROMISE TO APPEAR
Defendant is ordered and does promise to appear in the above Court located in the city of
_______________________________
on
________________________________ at
a.m.
p.m.
_______
X ____________________________________________________________________________
Defendant's signature
(Signing this form is a promise to appear - not an admission of guilt. Violation of promise to
appear is a Class 2 misdemeanor, and a warrant may be issued.)
_____Yes _____No
Court appearance required.
_____Yes _____No
Power of attorney in lieu of appearance. Amount $______________
(2) Form B:
UNIFORM TRAFFIC TICKET
SUMMONS-COMPLAINT
State of South Dakota
In Circuit Court
Magistrate Division
County of_______________
____________Judicial Court
State of South Dakota (Plaintiff)
vs
___________________________________
(Defendant) THE UNDERSIGNED PEACE OFFICER COMPLAINS AND STATES THAT
ON OR ABOUT
AT OR NEAR (LOCATION/MILE POST)
AT TIME
A.M.
P.M.
_________________
____________________________________
________
WITHIN THE COUNTY AND STATE AFORESAID
NAME
HEIGHT
SEX
_____________________________
________
_____
ADDRESS
WEIGHT
_____________________________
________
CITY
STATE
BIRTH DATE
_____________________________
________
____________
DRIVER'S LICENSE NO.
STATE
_____________________________
________
DID UNLAWFULLY
OPERATE
_________
PARK
______
VEHICLE MAKE
_______________
BODY STYLE
_____________
STATE LICENSE NO.
YEAR
STATE
FR______Y
_____________________________
______
_______
______N
AND THEN AND THERE COMMIT THE FOLLOWING OFFENSE TO WIT:
PETTY OFF _____
MIS ______
DESCRIBE VIOLATION:
_________________________________________________
CDL ____Y____N
C Veh.____Y____N____E
_________________________________________________
Haz. Materials ____Y____N
in violation of SDCL_________________________________
_____Municipal
SPEEDING
_____Interstate
_____Other
______M.P.H. IN
______M.P.H. ZONE
OFFICER ISSUING SUMMONS
NO.
CITY
COUNTY
STATE
___________________________
_____
______________
_________
_______
ABOVE COMPLAINT IS TRUE AS I VERILY BELIEVE
DATE
OFFICER SIGN IN PRESENCE OF COURT OR NOTARY
__________________________________________________________________
_______
SUBSCRIBED AND SWORN TO ME THIS DATE (NAMEANDTITLE)
DATE
__________________________________________________________________
_______
SUMMONS and PROMISE TO APPEAR
Defendant is ordered and does promise to appear in the above Court located in the city of
_______________________________
on
___________________________________ at
a.m.
p.m.
_______
X ____________________________________________________________________________
Defendant's signature
(Signing this form is a promise to appear - not an admission of guilt. Violation of promise to
appear is a Class 2 misdemeanor, and a warrant may be issued.)
_____Yes _____No
Court appearance required.
_____Yes _____No
Power of attorney in lieu of appearance. Amount $________________
PETTY OFFENSES: If charged with a petty offense involving the operation and use of a motor
vehicle and you possess or have proof of a valid South Dakota driver's license, you may choose
alternatives 1, 2 or 3 below. If unable to meet the license requirement or if charged with a non-
traffic offense, you may choose alternate 2 or 3 below. Upon refusal of the following alternatives
you will be taken immediately to a magistrate for hearing.
1. Promise to Appear. You may sign the complaint as a written promise to appear. Intentional
failure to appear is a Class 2 misdemeanor
2. Admission and Deposit. You may sign a stipulation admitting the allegations in the complaint
which, together with the required deposit, will be filed with the clerk of courts.
3. Deposit. You may immediately mail said deposit to the clerk of courts or personally make the
deposit, either alternative to be in the presence of the officer. Refer to schedule of petty offenses
for amount required for the deposit.
If you choose alternative 2 or 3 and do not appear in court on the date specified, the clerk will
enter judgment against you and you will forfeit your deposit. You may appear in court after
signing an admission and the court may, upon motion, relieve you from the stipulation and the
effects thereof.

If a law enforcement agency designated in § 2:03:01:04 chooses to use the declaration option set forth in SDCL 23-1A-5, either Form A or B, or any other form that substantially complies with Form A or B, may be modified by inserting the statutorily approved declaration above the officer's signature in addition to or in lieu of the oath acknowledgment.

Source: 4 SDR 64, effective March 26, 1978; 27 SDR 53, effective December 4, 2000; 41 SDR 218, effective July 1, 2015.

General Authority: SDCL 23-1A-2.

Law Implemented: SDCL 23-1A-2 , 23-1A-5.

Prior versions effective: 2000-12-04.