Adjusters Supply
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Washington Citations

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WASHINGTON INFRACTION CITATION (Form WA-17-4I) is a four-part citation. (Price Group 16) The face of all four parts is shown at right.

The back of the first copy ("Court Copy) contains spaces for Officer's Notes. The back of the second copy ("DOL Copy") is blank. The back of the third copy ("Defendant Copy") contains instructions for the offender to follow. The back of the fourth copy ("LEA Copy") contains the same backer as the Court Copy.

WASHINGTON CRIMINAL CITATION (Form WA-17-4C) (Price Group 16) is almost identical to the Infraction Citation except the Gold Defendent Copy contains different instructions on the back for the offender to follow.

Both citations are 5.75 inches by 9.5 inches after being torn at the perforation and are booked in sets of twenty-five. 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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