Criminal Cover Sheet - State Of Oklahoma District Court
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1F
I
U
O
OR
NTERNAL
SE
NLY
THIS SHEET WILL NOT BECOME PART OF THE PUBLIC RECORD, AND WILL BE USED FOR INTERNAL CASE TRACKING
PURPOSES.
CRIMINAL COVER SHEET
IN THE DISTRICT COURT OF ___________________ COUNTY
STATE OF OKLAHOMA
CF
[ ]
STATE
CM
[ ]
CASE NO. ______________
.
MI
V
[ ]
D
____________________________________
NF
EFENDANT
[ ]
WL
[ ]
D
I
EFENDANT
NFORMATION
L
N
F
N
M
P
(M
.,
.)
S
(S
.,
.)
AST
AME
IRST
AME
IDDLE
REFIX
R
ETC
UFFIX
R
ETC
N
AME
S
A
TREET
DDRESS
______________________________________________________
A
T
H
W
O
____________
DDRESS
YPE [ ]
OME [ ]
ORK [ ]
THER
______________________________________________________
D
L
#
S
S
#
RIVERS
ICENSE
OCIAL
ECURITY
______________________________________________________
C
S
Z
T
D
B
D
L
S
ITY
TATE
IP
ELEPHONE
ATE OF
IRTH
RIVERS
ICENSE
TATE
R
G
L
/D
A
D
T
N
O
D
ACE
ENDER
ANGUAGE
IALECT
DDITIONAL
EFENDANTS
OTAL
UMBER
F
EFENDANTS
[ ] M [ ] F
C
L
N
F
N
M
N
P
(M
.,
.)
S
(S
.,
.)
OMPANY OR
AST
AME
IRST
AME
IDDLE
AME
REFIX
R
ETC
UFFIX
R
ETC
S
A
TREET
DDRESS
A
T
H
W
O
___________
DDRESS
YPE [ ]
OME [ ]
ORK [ ]
THER
E
A
MAIL
DDRESS
______________________________________________________
C
S
Z
T
B
N
S
ITY
TATE
IP
ELEPHONE
AR
UMBER AND
TATE
OFFENSES
C
#
C
O.S. C
N
C
OUNT
OUNTS
ITATIONS
CIC
ODE
#
#
#
#
#
#
#
#
Date: ____________________ Signature Of (Assistant) District Attorney _________________________________________________________________
T
REQUIRED
. T
D
R
HIS COVER SHEET IS
TO BE SUBMITTED BY ALL PARTIES WITH THEIR INITIAL FILING
HIS
OCUMENT IS
EQUIRED BY
S
C
A
D
SCAD-1999-87.
UPREME
OURT
DMINISTRATIVE
IRECTIVE
Promulgated by the Oklahoma Administrative Office of the Courts
R
5-16-2000
EVISION
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