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Last updated: 2/22/2010
Confidential Disclosure Of Personal Identifiers (Traffic Criminal)
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Description
MARIETTA MUNICIPAL COURT Traffic / Criminal CONFIDENTIAL DISCLOSURE OF PERSONAL IDENTIFIERS Supreme Court of Ohio, Rules of Superintendence, Rule 45(D) Complete all applicable information (PLEASE PRINT) Defendant Name____________________________ DOB_____________________ Social Security Number___________________________ Citation No________________ Charge(s)__________________________________ ************************************************************************ Juvenile Victim Name_____________________________________________________ Address________________________________________________________________ Phone Number__________________________ Other Information_________________________________________________________ ________________________________________________________________________ ************************************************************************ Department__________________________________ Officer Name________________________________ Unit Number_______________ Required to be filed with each citation / complaint. Revised: 6/25/09 American LegalNet, Inc. www.FormsWorkFlow.com
