APPEARANCE FORM (CRIMINAL) State of Indiana Case Number: __________________________________________ (To be supplied by Clerk at the time of filing with the Clerk.) (File stamp) 1. Name of Defendant(s): ______________________________________________________________ ________________________________________________________________________________ [See Administrative Rule 1(B)(4) for multiple charges or defendants] 2. Case Type: _________________________________________________________ [See Administrative Rule 8(B)(3)] 3. Prosecuting Attorney information (as applicable): Name: _________________________________ Address: _______________________________ _______________________________________ _______________________________________ Attorney No. _________________________ Phone: ______________________________ FAX: ______________________________ Computer Address: ____________________ Deputy assigned case (Optional): __________________________________________________ 4. Will the State accept service by FAX: Yes ____ No ____ 5. Arrest report number (Originating Agency Case Number): __________________________________ 6. Additional information required by state or local rule: ____________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ Authority: Pursuant to Criminal Rule 2.1(A), this form shall be filed at the time a criminal proceeding is commenced. In emergencies, the requested information shall be supplied when it becomes available. Parties shall advise the court of a change in information previously provided to the court. This format is approved by the Division of State Court Administration. American LegalNet, Inc. www.FormsWorkflow.com