DA COMPLAINT WORKSHEET/REFERRAL - Milwaukee



| |Page       of       |

|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 |

| | | |

| | | |

| | | |

| | | |

| | | |

| | | |

| | |* 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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