Citizen Complaint Form

<document>COURT COUNTY OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .:::::::Index No.Calendar No.CITIZEN COMPLAINT FORM Please provide as much detail as you can to the following questions.JUDICIAL SUBPOENAPlaintiff(s) -against-Defendant(s)Please understand that the Prosecutor represents the State of Ohio. The Prosecutor does not represent you and is not your lawyer. If you would like representation is it suggested that you contact an attorney for advise. Please complete the form and return it to the Clerk's office. When you complete the form, the prosecutor will review it. The Prosecutor will contact you on whether charges will be filed or not. A decision to prosecute rests with the prosecutor and depends on the information you provide and on the evidence available.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .THE PEOPLE OF THE STATE OF NEW YORK TOFILING REQUIREMENTS:1.Report must be signed at the end.GREETINGS:WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before Court at the the Honorable2.Witness statements must be provided at the time of filing.,located at County of3.Medical bills and damage estimates must be provided by the first pretrial.o'clock in the day of, on the, 20, at or adjourned date, to testify and give evidence as a witness in this action on the part of thenoon, and at any recessed in room4.Description of defendant must be given.5.The Social Security Number and/or Date of Birth must be provided.Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a result of your failure to comply., one of the Justices of theCourt in Witness, Honorableday of, 20 County,KNOWINGLY MAKING A FALSE STATEMENT SUBJECTS YOU TO CRIMINAL AND CIVIL ACTION. (Attorney must sign above and type name below)Attorney(s) forOffice of the City Prosecutor Vermilion, OhioOffice and P.O. AddressTelephone No.: Facsimile No.: E-Mail Address:Mobile Tel. No.:American LegalNet, Inc. www.USCourtForms.comCOURT COUNTY OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .:::::::Index No.Calendar No.JUDICIAL SUBPOENAPlaintiff(s) -against-Defendant(s)1. Your name Age Date of BirthYour addressCityYour Social Security No. Telephone No.Your occupation. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Place of employmentTHE PEOPLE OF THE STATE OF NEW YORK TOTHE FOLLOWING PERTAINS TO THE PERSON YOU ARE COMPLAININGABOUT:2.Name Telephone No.GREETINGS:Address CityWE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before Court at the the Honorable,Age Date of Birth Social Security No.located at County ofHeight Weight Hair Eyes Race Sexo'clock in the day of, on the, 20, at or adjourned date, to testify and give evidence as a witness in this action on the part of thenoon, and at any recessed in roomPlace of employmentDriver License No.Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a result of your failure to comply.(Bring in a recent photograph of the above person if available), one of the Justices of the3.Day and date of incident TimeCourt in Witness, Honorableday of, 20 County,4.Location of incidentCOUNTY5.Were law enforcement officials notified? If yes, what action was taken by them?(Attorney must sign above and type name below)If no, state reasons for failure to notify? Attorney(s) for6.List name, address, and telephone no. of persons present before, during and after incident:NameAddressPhoneOffice and P.O. AddressNameAddressPhoneNameAddressPhoneTelephone No.: Facsimile No.: E-Mail Address:NameAddressPhoneMobile Tel. No.:American LegalNet, Inc. www.USCourtForms.comCOURT COUNTY OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .:::::::Index No.Calendar No.7.State what each person listed above saw, heard, and did:JUDICIAL SUBPOENAPlaintiff(s) -against-Defendant(s). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8.Of the persons listed in questions 6 and 7, which do you expect to call as witnesses?THE PEOPLE OF THE STATE OF NEW YORK TO9.Are you related to any of the persons involved or any of the witnesses? If yes, state thenature of such relationship. 10.Did you know the accused prior to the incident? If yes, state the length of time and theGREETINGS:nature of such acquaintance. WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before Court at the the Honorable11.Were weapons involved? If yes, what type of weapon, who used such weapon, and,located at County ofhow such weapon was used. o'clock in the day of, on the, 20, at or adjourned date, to testify and give evidence as a witness in this action on the part of thenoon, and at any recessed in room12.If personal injuries were involved, state the nature of such injuries, the medical treatment, whichyou sought, the amount of medical expenses, and the name of the person/s and/or organizations, whichtreated you. Also, state whether or not you have color photographs of such injuries.Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a result of your failure to comply., one of the Justices of theCourt in Witness, Honorableday of, 20 County,(Attorney must sign above and type name below)13.If property damage is involved, list each item of property, which was damaged, the value of each,and the amount of damage to each item. Include any estimates.Attorney(s) forOffice and P.O. AddressTelephone No.: Facsimile No.: E-Mail Address:Mobile Tel. No.:American LegalNet, Inc. www.USCourtForms.comCOURT COUNTY OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .:::::::Index No.Calendar No.14.With regards to the person you are charging, list all incriminating statements made by the