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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