Fine Repayment Application Form
Posted: June 26th, 2019, 6:38 am
SAN ANDREAS STATE POLICE
ADMINISTRATIVE SERVICES BUREAU
FINE REPAYMENT PROGRAM APPLICATION
ADMINISTRATIVE SERVICES BUREAU
FINE REPAYMENT PROGRAM APPLICATION
PERSONAL INFORMATION
1.1 Forename:
1.2 Surname:
1.3 Date of Birth:
1.4 Personal Address:
1.5 Contact number:
1.6 Fine Amount:
By signing this form, you agree to abide by all terms and conditions stated on the information form, and that you will stick to the weekly payments agreed with your handling Trooper, and you will contact the non-emergency hotline once a week to confirm your payment with either the handling Trooper, or any Trooper on shift, and that the San Andreas State Police is allowed to request your financial status at the local Red County Bank to get insight in your capabilities to repay the fine.
Signature:
1.2 Surname:
1.3 Date of Birth:
1.4 Personal Address:
1.5 Contact number:
1.6 Fine Amount:
By signing this form, you agree to abide by all terms and conditions stated on the information form, and that you will stick to the weekly payments agreed with your handling Trooper, and you will contact the non-emergency hotline once a week to confirm your payment with either the handling Trooper, or any Trooper on shift, and that the San Andreas State Police is allowed to request your financial status at the local Red County Bank to get insight in your capabilities to repay the fine.
Signature:
OFFICIAL USE ONLY
2.1 Trooper's Name:
2.2 Trooper's Rank:
2.3 Trooper's Badge Number:
2.2 Trooper's Rank:
2.3 Trooper's Badge Number:
Code: Select all
[divbox=#1d2951,#ffffff][padding=20,20][flex=space-between][div][fimg=150xauto]https://sasp.redcountyrp.com/images/sasp_logo.png[/fimg][/div][flexalign=center]
[div][font=Arial][color=#FFFFFF][b][size=150]SAN ANDREAS STATE POLICE[/size][/b]
[size=115]ADMINISTRATIVE SERVICES BUREAU[/size]
[b][size=120]FINE REPAYMENT PROGRAM[/size][/b][/color][/font][/div][/flexalign][/flex][/padding][/divbox]
[divbox=#1d2951,#183A1B][b][color=#FFFFFF]PERSONAL INFORMATION[/color][/b][/divbox]
[divbox=#FFFFFF,#FFFFFF]1.1 [b]Forename:[/b]
1.2 [b]Surname:[/b]
1.3 [b]Date of Birth:[/b]
1.4 [b]Personal Address:[/b]
1.5 [b]Contact number:[/b]
1.6 [b]Fine Amount:[/b]
[size=90][i]By signing this form, you agree to abide by all terms and conditions stated on the information form, and that you will stick to the weekly payments agreed with your handling Trooper, and you will contact the non-emergency hotline once a week to confirm your payment with either the handling Trooper, or any Trooper on shift, and that the San Andreas State Police is allowed to request your financial status at the local Red County Bank to get insight in your capabilities to repay the fine.[/i][/size]
[b]Signature:[/b]
[/divbox][divbox=#1d2951,#183A1B][b][color=#FFFFFF]OFFICIAL USE ONLY[/color][/b][/divbox]
[divbox=white,white]2.1 [b]Trooper's Name:[/b]
2.2 [b]Trooper's Rank:[/b]
2.3 [b]Trooper's Badge Number:[/b][/divbox]