Criminal Case Cover Sheet

CRIMINAL CASE COVER SHEET U.S. ATTORNEY'S OFFICE Defendant Name: ___________________________________________________ Place of Offense (City & County): ______________________________________ Juvenile: Yes ____ No ____ Yes Petty Matter to be Sealed: Yes ____ No _____ Interpreter: No _____ Total # of Counts: Language: _____________________________ Misdemeanor (Class ) Felony Count(s) ORIGINAL INDICTMENT U.S.C. Citation(s) and Description of Offense Charged Set 1 (Use tab key after entering counts to create additional rows) SUPERSEDING INDICTMENT U.S.C. Citation(s) and Description of Offense Charged Set 1 New count? Y or N New Count # Old Count # ( if applicable) (Use tab key after entering counts to create additional rows) Current Trial Date (if set): ______________ Criminal Complaint Filed: No _____ Yes before Judge ___________________ Case No. ___________________ Defendant on Supervised Release: Yes _____ No _____ Violation Warrant Issued? Related Case(s): No ____ Yes ____ Case No. ____ _______________ ___________________________________________________________ Case Number Defendant's attorney How related ___________________________________________________________ Case Number Defendant's attorney How related Criminal Informations: Pending criminal case: No ____ Yes ______ Case No. ________________ New Separate Case _______ Name of defendant's attorney: Retained: Supersedes Pending Case _______ __________________________________________ Appointed: ______ Date: Signature of AUSA: ________________________ American LegalNet, Inc. www.FormsWorkFlow.com