Cellular or Pager
What other nation is involved?
Name of agency making the arrest
Arresting Officer's Name and Badge
Place of Arrest
What were you arrested for (include Code section if known)?
If your matter involves an extradition request, state the reason for the request
Have you been convicted of a similar crime before?
If yes, when?
Have you been convicted of other offenses?
If yes, what and when?
Are you on probation or parole?
Do you have any other cases pending?
Was anyone else arrested?
If so, name(s) of all persons arrested
What statements do you remember making to the police about the alleged crime?
Describe the order of events leading up to the arrest
Have you discussed the alleged crime with anybody else?
If so, who did you discuss it with and what did you tell them?
Were there any witnesses to the alleged crime?
If yes, provide names and contact information if known
What is the amount of the bond you posted
Are there any special bond conditions
Were you referred by somebody else
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