Fill and Sign the Criminal Sheet Form

F OR I NTERNAL U SE O 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 STATE V . D EFENDANT ____________________________________  CF  CM  MI  NF  WL D EFENDANT I NFORMATION L AST N AME F IRST N AME M IDDLE N AME P REFIX (M R ., ETC .) S UFFIX (S R ., ETC .) S TREET A DDRESS ______________________________________________________ ______________________________________________________ ______________________________________________________ A DDRESS T YPE  H OME  W ORK  O THER _______________ D RIVERS L ICENSE # S OCIAL S ECURITY # C ITY S TATE Z IP T ELEPHONE D ATE OF B IRTH D RIVERS L ICENSE S TATE R ACE G ENDER L ANGUAGE /D IALECT A DDITIONAL D EFENDANTS T OTAL N UMBER O F D EFENDANTS ___M ___ F C OMPANY OR L AST N AME F IRST N AME M IDDLE N AME P REFIX (M R ., ETC .) S UFFIX (S R ., ETC .) S TREET A DDRESS ______________________________________________________ A DDRESS T YPE  H OME  W ORK  O THER _______________ E MAIL A DDRESS C ITY S TATE Z IP T ELEPHONE B AR N UMBER AND S TATE OFFENSES C OUNT # C OUNTS O.S. C ITATIONS N CIC C ODE # # # # # # # # Date: ____________________ Signature Of (Assistant) District Attorney _________________________________________________________________ T HIS COVER SHEET IS REQUIRED TO BE SUBMITTED BY ALL PARTIES WITH THEIR INITIAL FILING . T HIS D OCUMENT IS R EQUIRED BY S UPREME C OURT A DMINISTRATIVE D IRECTIVE SCAD-1999-87. Promulgated by the Oklahoma Administrative Office of the Courts R EVISION 5-16-2000 CASE NO. ______________