Free Criminal Case Cover Sheet - New York

Criminal Case Cover Sheet

U.S. District Court

-

Northern District of New York

Please complete one Cover Sheet for each named defendant - Citation and Count Information is to be recorded on Page 2. Cover sheets are to be submitted to the Clerk at the time of filing - See Local Rule of Criminal Procedure 57.1

Complaint Place of Offense: County:

Information

Indictment

Superseding

Related Case Information: Magistrate Judge Case Number Search Warrant Case Number (Misc. Number) Rule 20/Rule 40 from District of Superseding Indictment Docket Number Same Defendant New Defendant

Is the Related Case Sealed? order)

YES

NO (If related case is no longer sealed provide unsealing

Defendant Information:

Juvenile -

YES -

NO

If YES,

L - Please Include A Sealing Order (18 U.S.C. 5038)

Defendant Name Alias Name Address Birth date: Nationality US Interpreter: YES Location Status: Arrest Date [ [ [ NO If YES, SSN: Sex: Race:

L

List Language and/or Dialect:

] Already in Federal Custody as of ] Already in State Custody ] On Pretrial Release YES - NO

in

Is the Accusatory Instrument to be Sealed? Order U. S. Attorney Information: Assistant United States Attorney Dated:

If YES,

L Provide Sealing

Bar # Office: SYRACUSE

CRIMINAL CASE COVER SHEET Instructions: a) b) c)

MATTER CITATION & COUNT FORM

US DISTRICT COURT - NDNY

List Title & Section (Index/Key Code) for each count Please list only one (1) count on each line. Include a short description of the Title & Section. List all named defendants associated with each count. Case No.

USA vs.

* List all defendants associated with this count. Title & Section Description of Offense Count Defendant(s)*

Citation Count Form Page

1

of

1