Sign and Release DateTime Released Officer Badge # Arresting Agency Last Name Suffix Middle Name First Name Current Address State City Zip Code DOB Race DL State Drivers License # Gender M F Phone-Home Phone-Work Phone-Cell Email address Language AKA Interpreter Needed Yes No Warrant Number Charges on Warrant Issued Date Warrant Number 2 Warrant 2 Issued Date Charges on Warrant 2 Court File Number * You are required to appear in court: Court File Number Court Division DIV 1 DIV 2 DIV 3 DIV 4 OTHER COURT Other Court LocationCourt Date Court Hearing Time Subject SignatureOfficer SignatureSend To Email Text/SMS Email Phoneexample: +19525555555Officer Email