COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : APPLICATION FOR ISSUANCE OF CRIMINAL WARRANT Index No. : Calendar No. In order to apply for a criminal warrant, you must report your problem to the appropriate law enforcement agency and obtain an incident report before this application will be accepted for review. When you have : Plaintiff(s) completed this form, return the form to the Clerk. If a warrant is issued,JUDICIAL to prosecute the case, and you fail SUBPOENA you will be charged court costs plus any applicable Sheriff’s fees :(which may be substantial). -against: WARNING: False statements made on the application may subject you to criminal and civil liability. : Defendant(s) REQUIRED : Your full name . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Your daytime telephone number .... .. Do you have any civil suits pending with the Defendant? YES _____ NO _____ Your street address THE PEOPLE OF THE STATE OF NEW YORK TO City State Has a warrant or any other action been taken out against you or a relative of yours involving this incident? YES NO ZIP GREETINGS: I want a warrant for an arrest of the following person: Have WE COMMAND YOU, that all business and excuses being you taken out aand each against attend before laid aside, you warrant of you this person before today? , the Honorable at the Court YES _____ NO _____ located at County of in , on the day of , 20 , at o'clock in the noon, and at any recessed Full Name room or adjourned date, to testify and give evidence as a witness in this action on the part of the Telephone: Street address City Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to Employment: the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a State ZIP result of your failure to comply. Description: Race _________ Sex _________ Age _______ Height ________ Weight ________ Birthdate Witness, Honorable Court in County, , one of the Justices of the Scar/Tattoos _______________ Social Security No. Where did it happen? day of , 20 Address: (Attorney must sign above and type name below) City: _______________________________________ Business: When did it happen? Date: _______________________________________ Time of day: Attorney(s) for Witness Name: Witness Name: Address: Address: City: City: Phone: Phone: OVER Office and P.O. Address Telephone No.: Facsimile No.: E-Mail Address: Mobile Tel. No.: American LegalNet, Inc. www.USCourtForms.com COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ....... . Tell what .happened.in .your own words (not what the police report says), and why you want this person arrested: : Index No. : Plaintiff(s) -against- Calendar No. : JUDICIAL SUBPOENA : : : Defendant(s) : ...................................................... THE PEOPLE OF THE STATE OF NEW YORK TO GREETINGS: WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before , the Honorable at the Court located at County of in room , on the day of , 20 , at o'clock in the noon, and at any recessed or adjourned date, to testify and give evidence as a witness in this action on the part of the 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. Witness, Honorable Court in County, , one of the Justices of the day of , 20 If property was taken, what was the value? $_________________________ Was it returned? WARNING: YES ______ NO ______ (Attorney must sign above and type name below) False statements made on the application may subject you to criminal and civil liability. Date: ________________________ Your signature: Attorney(s) for DO NOT WRITE BELOW THIS LINE CHARGE/BOND: Receipt No. ___________ Office and P.O. Address APPROVED _______ NOT APPROVED _______ Judge Telephone No.: Facsimile No.: E-Mail Address: Mobile Tel. No.: American LegalNet, Inc. www.USCourtForms.com