AFFIDAVIT IN SUPPORT OF ISSUANCE OF ARREST WARRANT

AFFIDAVIT IN SUPPORT OF ISSUANCE OF ARREST WARRANT
STATE OF OHIO, DARKE COUNTY, SS:
Affiant being duly sworn according to law, deposes and says that on Month, Day* 20 Year 2 digit at Time o'clock Affiant arrested First Name Last Name for the following criminal offenses:
Offenses
which occurred in Darke County, Ohio on or about Month, Day* , 20 Year 2 digit . Affiant has good cause to believe and does believe the following facts are true, and offers the following on support of this request for a determination of probable cause for such arrest, the issuance of an arrest warrant, and the continued detention of said individual:
Statement of Facts*
See Attached Statement of Facts
Court Requested Arrest Information
Officer Name
Officer Email
example@example.com
Defendant's name, address, phone / contact number*
Has the defendant lived in Darke County for the last three years?*

YesNO
Has the Defendant used any illegal drugs or drank alcohol to intoxication in the last 3 months?*

YesNO
If yes, describe frequency, drug / alcohol type, and any current treatment providers:
Is the Defendant currently employed?*

YesNo
What is the Defendant's criminal history? Any arrest for violent conduct?*
Does the Defendant have a history in the past 2 years of failure to appear for court appearances?*

YesNo
Describe any physical injuries to the alleged victim.*
Did the victim complete the Rights Notification / Waiver form?*

YesNo
Was the victim notified the Defendant may be released after booking?*

YesNo
Is the Defendant a veteran of US Military or currently on active duty?*

YesNo
Since Criminal Rule 4 prefers issuing a summons, explain the request that this Defedant be held in jail as pretrial detention?*
Open Victims Rights Form
Should be Empty:

AFFIDAVIT IN SUPPORT OF ISSUANCE OF ARREST WARRANT

STATE OF OHIO, DARKE COUNTY, SS:

Court Requested Arrest Information