OFFICIAL COURT ARRAIGNMENT FORM ­ CERTIFIED MAIL D.J. DOCKET NO. ____________________ COMMONWEALTH OF PENNSYLVANIA V. _____________________________________ ______________________________________ ADDRESS: ___________________________ _____________________________________ S.S.#:_________________________________ D.O.B.: ______________________________ PHONE #: _(______)____________________ DEFENDANT IN JAIL?__________________ IF YES, NAME JAIL COMMON PLEAS NO. ________________________ CHARGES:__________________________________ ____________________________________________ ____________________________________________ ____________________________________________ PROSECUTOR & ADDRESS:____________________ _____________________________________________ ______________________________________________ DATE COMPLAINT FILED: _____________________ PRELIMINARY HEARING DATE: ________________ YOU MUST APPEAR FOR A COURT ARRAIGNMENT OR HEARING FOR A NEGOTIATED AGREEMENT ON: DATE: JUDGE: WHERE: COURTHOUSE, GREENSBURG, PA COURTROOM # AT 8:30 A.M. You MUST appear for court arraignment on the above charge(s) unless you and your attorney sign and file a waiver of arraignment form. You CANNOT waive court arraignment if a negotiated agreement was reached with the District Attorney at your preliminary hearing. You MUST appear on the above date for the negotiated agreement to be accepted by the Court. Failure to appear for court arraignment/negotiated agreement will result in forfeiture of your bond, and you will be placed in jail. You MUST notify the Clerk of Courts in writing of any change of address. Failure to do so may result in your arrest. Send notification to: Clerk of Courts 2 North Main Street Greensburg, PA 15601 I, the undersigned Defendant, acknowledge that I have received notice of my court arraignment date and time at which I must appear. DATE: DEFENDANT SIGNATURE: ______________________________________________ YOUR RIGHTS AS A DEFENDANT - PLEASE READ CAREFULLY You are entitled to know the nature of the charges filed against you and the range of penalties which may be imposed. You are presumed innocent and before you can be found guilty at a trial by a jury or a judge, the Commonwealth must prove your guilt beyond a reasonable doubt. You have an absolute right to a trial by a jury of twelve individuals. You and your attorney will have the right to participate in the selection of these 12 jurors from individuals who are your peers. All 12 jurors must unanimously agree upon your guilt for you to be found guilty. You also have a right to a trial before a judge without a jury. In such case, the judge would be bound by the same rules of evidence, the same law, and the same burden of proof as in a trial with a jury. The judge would act as the judge and the jury in deciding your guilt or innocence. You have a right to confront your accusers and cross-examine those individuals presented by the Commonwealth to testify against you. You have a right to subpoena individuals and require them to appear in Court to testify under oath. You cannot be compelled to take the witness stand and testify against yourself. You are entitled to have an attorney represent you and advise you at all stages of the criminal proceedings. IF YOU ARE INDIGENT AND CANNOT AFFORD AN ATTORNEY, WESTMORELAND COUNTY WILL PROVIDE YOU WITH A PUBLIC DEFENDER. IF YOU DESIRE SUCH REPRESENTATION, AND YOU QUALIFY FOR SUCH REPRESENTATION, PLEASE CONTACT THE PUBLIC DEFENDER'S OFFICE AT THE COURTHOUSE IMMEDIATELY. WHITE - CLERK OF COURT YELLOW - DISTRICT JUSTICE PINK ­ DEFENDANT DJ18 REV 3/10/99 American LegalNet, Inc. www.FormsWorkFlow.com