Free Criminal 5-2000.PDF - Oklahoma

FOR INTERNAL USE ONLY
THIS SHEET WILL NOT BECOME PART OF THE PUBLIC RECORD, AND WILL BE USED FOR INTERNAL CASE TRACKING PURPOSES.

CRIMINAL COVER SHEET
IN THE DISTRICT COURT OF ___________________ COUNTY STATE OF OKLAHOMA
[ [ [ [ [ ] CF ] CM ] MI ] NF ] WL

STATE V. DEFENDANT____________________________________

CASE NO. ______________

DEFENDANT INFORMATION
LAST NAME FIRST NAME M IDDLE NAME PREFIX (MR., ETC.) SUFFIX (SR., ETC.)

STREET ADDRESS

______________________________________________________ ______________________________________________________ ______________________________________________________
CITY RACE COMPANY OR LAST NAME STREET ADDRESS STATE GENDER [ ]M [ ] F ZIP TELEPHONE LANGUAGE/DIALECT FIRST NAME

ADDRESS TYPE

[ ] HOME [ ] WORK [ ] OTHER____________ DRIVERS LICENSE # SOCIAL SECURITY # DATE OF BIRTH ADDITIONAL DEFENDANTS M IDDLE NAME DRIVERS LICENSE STATE TOTAL NUMBER OF DEFENDANTS PREFIX (MR., ETC.) SUFFIX (SR., ETC.)

ADDRESS TYPE ______________________________________________________
CITY STATE ZIP TELEPHONE EMAIL ADDRESS

[ ] HOME [ ] WORK [ ]

OTHER___________

BAR NUMBER AND STATE

OFFENSES

COUNT # # # # # # # # #

COUNTS

O.S. CITATIONS

NCIC CODE

Date: ____________________ Signature Of (Assistant) District Attorney _________________________________________________________________

THIS COVER SHEET IS REQUIRED TO BE SUBMITTED BY ALL PARTIES WITH THEIR INITIAL FILING. THIS DOCUMENT IS REQUIRED BY SUPREME COURT ADMINISTRATIVE DIRECTIVE SCAD-1999-87.
Promulgated by the Oklahoma Administrative Office of the Courts

REVISION 5-16-2000