COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : Index No. LAW ENFORCEMENT APPLICATION FOR WARRANT CASE NUMBER ACCUSED NAME : : VICTIM Plaintiff(s) NAME -against- Calendar No. JUDICIAL SUBPOENA : STREET STREET CITY CITY : : STATE ZIP CODE STATE Defendant(s) : ...................................................... HOME/WORK PHONE ZIP CODE HOME/WORK PHONE EMPLOYER OF THE STATE OF NEW YORKEMPLOYER THE PEOPLE TO SS # DOB RACE RACE SEX SEX HGT. VICTIM/WITNESS HAIR EYES STREET GREETINGS: WGT. DOB WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before CITY/STATE/ZIP Court , at the located at County of in room day of , 20 , at o'clock noon, and at any recessed INCIDENT TIME , on the HOME/WORK PHONE in the or adjourned date, to testify and give evidence as a witness in this action on the part of the INCIDENT DATE the Honorable INC. LOCATION VICTIM/WITNESS STREET 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 OR FAMILY VIOLENCE DOMESTIC failure to comply. CITY/STATE/ZIP Witness, Honorable YES NO Court in CHARGE CODE SECTION County, , one HOME/WORK PHONE of the Justices of the day of , 20 PROPERTY TAKEN/DAMAGED, ETC. (Attorney must sign above and type name below) CHARGE Attorney(s) for CODE SECTION CHARGE PROPERTY VALUE CODE SECTION ACCUSED ON PROBATION/PAROLE Office and P.O. Address CHARGE CODE SECTION YES Telephone No.: NO Facsimile No.: ARREST DATE Address: E-Mail Mobile Tel. No.: American LegalNet, Inc. www.USCourtForms.com COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : Index No. DESCRIPTION OF INCIDENT/PROBABLE CAUSE FOR ARREST : 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 (Attorney must sign above and type name below) Attorney(s) for Office and P.O. Address APPLICANT’S NAME (PRINT) APPLICANT’S SIGNATURE LAW ENFORCEMENT AGENCY DATE Telephone No.: Facsimile No.: PHONE E-Mail Address: Mobile Tel. No.: American LegalNet, Inc. www.USCourtForms.com