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2. I wish to update my personal contact information with The Flower Mound Municipal Court by completing and submitting this form.
4. Important Notice:
   I understand this will be effective today and all future notices will be sent to the address provided. For any information on prior notices that have already been mailed or sent I will need to contact the Court at 972.874.3370.
6. First Name*
7. Middle Name
8. Last Name*
10. Date of Birth*
    Date of Birth
11. Driver's License State
12. Driver's License Number
14. Address1*
16. Address2
18. City*
19. State*
20. Zip*
22. Cell Phone Number*
23. Email *
24. Citation or Ticket Number
26. Alternative Telephone Number
28. Juvenile / Minors MUST provide the following information:
30. Parent / Guardian Name
31. Parent's Phone Number
33. School Name
34. What city is the school located in?
36. Signature*
    I have read and understand the notice. I certify the information given above is true and correct. (A signature is acquired by typing your name above).
Leave This Blank:


38. 1. Receive an email copy of this form.
39. Email address

    This field is not part of the form submission.

40. Submit

* indicates a required field