Statement of charges form
A statement of charges form is a document that is filled by a law enforcement officer or by an officer of the judicial system. The statement of charges form is also a document for charging and used as a sworn affidavit that needs to be shown to the judicial officer of a District Court.
Sample Statement of Charges Form:
Purpose of filling the form:
The form will be used as evidence in the presence of the officer who arrested the individual and presented before the judicial officer of the district court.
Heading:
Address of the District court: ______________________
Reason for charges: ___________________
Name of the defendant: _____________
Location of the defendant: ______________________
Tracking number: _______________
Information of the complainant:
Name: _________
Title: _____________
Name of the agency: _______________
Police id number: _____________
Details of the defendant:
State Id number: ____________
Gender: ___________
Height: __________
Date of birth: _____________
Weight: _____________________
Information on which the defendant has been arrested:
__________________________________________
__________
Signature of the arresting officer
Dated: ____________
Category: Statement Forms

