Affidavit of Complaint
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Law Enforcement Agency *
Case/Incident No. *
Affiant's Address *
Affiant Name *
Affiant's Phone 1 *
Affiant's Phone 2
Defendant's Name *
Defendant's Address *
Defendant's Phone 1 *
Defendant's Phone 2
Defendant's DOB XX/XX/XXXX *
Defendant's Race *
Defendant's Gender *
Alleged Offense (Please enter all alleged offenses separated by a comma) *
TCA ( Please enter all relevant TCA) *
Date of Alleged Offense *
MM
/
DD
/
YYYY
Time of Alleged Offense *
Time
:
Address of Alleged Offense *
City and State of Alleged Offense *
Victim's Name *
Victim's Address *
Victim's City and State *
Victim's Phone 1 *
Victim's Phone 2
Victim's DOB XX/XX/XXXX *
Victim's Race *
Victims's Gender *
Application for Probable Cause *
Submit
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