Plea Questionnaire / Waiver of Rights

This form is used by a defendant to tell the court what plea they are entering and to confirm they understand and give up several rights. It asks the court to accept the plea and find the defendant guilty.

The court describes it as: To provide a standard format for a defendant to complete when entering a plea and waiving rights. Available in Spanish, Hmong and Polish.

Official instructions

How-to guides published by the court for this form.

• Plain-language summary↗

Common questions

Who fills out this form?

The defendant fills out this form, and if they have a lawyer, the lawyer also signs it. The court uses it to record the plea.

What does this form ask the court for?

The defendant is asking the court to accept their plea and find them guilty of the charges listed.

Does this form explain what rights are given up?

Yes, the form lists several constitutional rights that the defendant understands they are giving up by entering the plea.

Revision history

No changes recorded since we started tracking this form on October 10, 2026. The current version took effect November 21, 2019.

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