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

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