DA COMPLAINT WORKSHEET/REFERRAL - Milwaukee
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|MILWAUKEE COUNTY DISTRICT ATTORNEY |USE ONE FORM FOR EACH DEFENDANT |
|COMPLAINT WORKSHEET / REFERRAL | |
|(ONE WORKSHEET PER IR#/AGENCY CASE #) (REFERRAL SHEET MUST BE TYPED OR WILL BE RETURNED TO |DA CASE NO. |
|AGENCY AND WHICH MAY DELAY YOUR CASE PROCESSING) | |
| |DEF. NO. OF CO-DEFS. |
|REFERRAL DATE |REFERRAL TYPE Booked by Milwaukee County Sheriff’s Dept. |MAIN INVESTIGATING OFFICER (PRIMARY OFFICER) |
| |Order In Date: Time: In Custody | |
| |In Custody Warrant Summons Victim Waiting Domestic | |
| | |REFERRING AGENCY |
| | | |
| ARREST MADE |ARREST DATE: |INCIDENT # / AGENCY CASE # (1 WORKSHEET PER IR#/AGENCY CASE #) |
| | | |
|ARRESTING OFFICER |ARRESTING AGENCY/BOOKING DISTRICT |MUNICIPALITY (Indicate under each Charge if more than one ) |
| | | |
| |
|DEFENDANT |
|DEFENDANT NAME (Last, First, Middle, Suffix) |DOB |STATE ID / CIB # |
| | | |
|ALIAS | | |
| | | |
| |DL# |DL STATE |DL EXP DATE |
| | | | |
|DEFENDANT ADDRESS HOME TEMPORARY |FBI # |WI DOC / INMATE # |
|STREET | | |
|CITY STATE ZIP | | |
| |MASTER CJIS # |B of I # (MPD ONLY) |
| | | |
|HOME PHONE |RELATIONSHIP TO THE VICTIM |EMPLOYER City |
| | | |
|WORK PHONE |OCCUPATION |EMPLOYER ADDRESS |STATE / ZIP |
| | | | |
|CELL PHONE |
| |
|INCIDENT DETAILS |
| CHARGE #1 | | |CHARGE #2 |
|INCIDENT ADDRESS INCIDENT DISTRICT (MPD) |INCIDENT ADDRESS INCIDENT DISTRICT (MPD) |
|LINE 1 |LINE 1 |
|CITY, STATE, ZIP |CITY, STATE, ZIP |
|* VICTIM NAME / DOB (Last, First, Mid., Suffix) | CITATION # |* VICTIM NAME / DOB (Last, First, Mid., Suffix) | CITATION # |
| | | | |
|REFERRED CHARGE (Description) |REF CHARGE STATUTE # |REFERRED CHARGE (Description) |REF CHARGE STATUTE # |
| | | | |
|ENHANCER/MODIFIER (Description) |ENH/MOD STATUTE # |ENHANCER/MODIFIER (Description) |ENH/MOD STATUTE # |
| | | | |
|CHARGE #3 | | |DA OFFICE USE ONLY |
| | | | |
|INCIDENT DATE & TIME |MUNICIPALITY (City/Town/Village of offense) |REVIEWING DA / ADA: |
| | | |
|INCIDENT ADDRESS INCIDENT DISTRICT (MPD) |ASSIGNED DA / ADA: |
|LINE 1 | |
|CITY, STATE, ZIP | |
| |UNIT: |
|* VICTIM NAME / DOB (Last, First, Mid., Suffix) | CITATION # |NO PROSECUTION NOTES: VICTIM NOTIFIED (if No Processed) |
| | |By Letter By Phone In Person |
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| | |* See attached Victim/Witness Data Sheet for detailed Victim/Witness information |
|REFERRED CHARGE (Description) |REF CHARGE STATUTE # | |
| | | |
|ENHANCER/MODIFIER (Description) |ENH/MOD STATUTE # | |
| | | |
| | |Revised: 05/11/2021 |
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