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Request for Prosecutor Assistance in a Misdeameanor Case

2. Defendant’s Name

3. Case #

7. Your Name

8. Phone #

10. Address

11. Email

15. Offense Date
    Offense Date

17. Charge(s)

21. Did you contact law enforcement?

    1. Yes
    2. No

22. When?
    When?

23. Report Number

27. Court Date & Time
    Court Date & Time

    Court Date & Time

28. Please Select the appropriate Court

    1. Circuit Court
    2. General District
    3. Juvenile & Domestic Relations

32. Reason for requesting assistance

36. Brief Description of the incident

40. Witnesses needed?

    1. Yes
    2. No

41. Did you request a subpoena?

    1. Yes
    2. No

43. Witness Name

44. Address

45. Phone #

47. Witness Name

48. Address

49. Phone #

51. Witness Name

52. Address

53. Phone #

57. * The Commonwealth’s Attorney’s Office reserves the right to not participate and/or to decline prosecution of any misdemeanor case. The burden of proof in all criminal cases is beyond a reasonable doubt. It is our office’s policy not to prosecute any case in which there is not a reasonable chance of conviction.

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59. 1. Receive an email copy of this form.
60. Email address

    This field is not part of the form submission.

61. Submit

* indicates a required field