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Diversion Application Form

  1. Hays Police Department Diversion Application Form
  2. Please provide your full name.

  3. Please list your current address.

  4. Have you had a prior diversion with the Hays Municipal Court:*
  5. Can you have the Fines / Court Costs / Diversion fees paid for within 60 days of your court date:*
  6. Do You Have a Commercial License?*
  7. How would you like your diversion to be sent to you: *

    You also have the option to come in person to our office to obtain a diversion

  8. If this form is not completely filled out, a diversion will not be considered.

  9. Leave This Blank:

  10. This field is not part of the form submission.