Adjusters Supply
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Nebraska Citation & Complaint

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NEBRASKA CITATION AND COMPLAINT (Form NE-17-4) is a four-part citation. (Price Group 19A) The face of all four copies is shown at right. The citations are pre-numbered and bar-coded.

The back of the first copy (white "Complaint") contains the Court Record and spaces to enter pleas, fines, etc. The back of the second copy (canary "Officer's Copy") contains spaces for the officer to fill in road conditions, clocked speeds, etc. The back of the third copy (blue "Prosecutor's Copy") contains information on the disposition of the case. The back of the fourth copy (hard "Defendant's Copy") contains waiver and plea instructions.

The citation is approximately 4.5 inches by 8.75 inches before being torn at the perforation and is booked in sets of twenty-five. Each book is numbered on the outside to aid your record-keeping. As with all our tickets, there is no extra charge for consecutive numbering and up to five lines of crash imprinting. Stock tickets are shipped within seven business days from time the order is received.

To obtain a free sample call 1-800-527-0340 or email

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