Aopc 412A Form PDF Details

The AOPC 412A form serves a crucial role within the judicial framework of the Commonwealth of Pennsylvania, providing a structured format for the filing of police criminal complaints. It is a meticulously designed document that facilitates the capture of detailed information pertaining to alleged criminal activities, ensuring that the judicial system operates with a high degree of specificity and accuracy. This form delineates diverse categories of information, ranging from the identification of the accused, including name and address, to the nature of the offenses charged, incorporating both statutory references and succinct descriptions of the alleged criminal acts. Furthermore, the AOPC 412A specifies the type of extradition code applicable, reflecting the seriousness of the offense and the potential for interstate law enforcement collaboration. Ethnographic and identification details about the defendant, such as gender, race, and physical characteristics, are systematically recorded to aid in the accurate and efficient processing of complaints. Additionally, this document outlines procedural steps, such as the request for an arrest warrant or summons, accompanied by an affirmation of the truthfulness of the information provided under penalty of law. It details a variety of possible offenses, each associated with specific statutory violations, and describes the actions purportedly taken by the defendant, hence supporting the judicial process in its initial stages. The form reflects a comprehensive approach to legal documentation in criminal proceedings, illustrating both procedural rigor and an emphasis on clarity and precision in the initial legal assessment of criminal behavior.

QuestionAnswer
Form NameAopc 412A Form
Form Length12 pages
Fillable?No
Fillable fields0
Avg. time to fill out3 min
Other namesaopc 412a form pa, pa criminal complaint form, nity, criminal complaint template

Form Preview Example

COMMONWEALTH OF

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

POLICE CRIMINAL COMPLAINT

 

 

 

 

 

PENNSYLVANIA

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

COMMONWEALTH OF PENNSYLVANIA

 

 

 

 

COUNTY OF BUCKS

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

VS.

 

 

 

 

 

 

 

 

 

 

 

 

Magisterial District Number: 07-1-04

 

 

 

 

 

DEFENDANT:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(NAME AND ADDRESS):

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

MDJ: Hon.

ROBERT L. WAGNER, JR.

 

 

 

 

 

 

JERMAINE

 

 

 

 

MICHAEL

 

 

 

 

JACKSON

 

 

 

 

 

 

 

 

 

 

 

 

7325 NEW FALLS ROAD

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

FIRST NAME

 

 

 

 

 

 

 

MIDDLE NAME

 

 

 

 

LAST NAME

 

 

 

 

 

 

 

 

GEN

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Address:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

LEVITTOWN, PA 19055

 

 

 

 

 

360

 

 

PENNINGTON AVE

 

 

 

 

 

 

APT 404

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Telephone:

(215) 943-9414

 

 

 

 

 

 

 

 

 

 

 

 

 

TRENTON

 

 

 

 

 

 

 

 

 

 

NJ

 

 

 

 

 

 

08618

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

NCIC Extradition Code Type

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

1-Felony Full

 

 

 

 

 

 

4-Felony No Ext

 

 

 

 

B-Misdemeanor Limited

 

 

E-Misdemeanor Pending

2-Felony Ltd.

 

 

 

 

 

 

5-Felony Pend.

 

 

 

 

C-Misdemeanor Surrounding States

 

Distance:

 

 

 

 

 

 

 

3-Felony Surrounding States

A-Misdemeanor Full

 

 

 

 

D-Misdemeanor No Extradition

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DEFENDANT IDENTIFICATION INFORMATION

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Docket Number

 

 

 

 

Date Filed

 

OTN/LiveScan Number

 

Complaint/Incident Number

 

 

 

 

 

SID:

 

 

Request Lab Services?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

11-27375

 

 

 

 

362-30-64-9

 

YES NO

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

GENDER

DOB

05/09/1992

 

 

POB

 

 

 

 

NJ

 

 

 

 

 

 

 

Add'l DOB

 

 

 

 

 

 

 

Co-Defendant(s)

Male

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

AKA

 

First Name

 

 

 

 

 

 

 

 

 

 

 

 

Middle Name

 

 

 

 

 

 

 

Last Name

 

 

 

 

 

 

 

 

 

 

 

Gen.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Female

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

RACE

White

 

 

 

Asian

 

 

 

Black

 

 

 

 

 

 

Native American

 

Unknown

 

 

 

 

 

 

 

ETHNICITY

Hispanic

 

 

 

 

 

 

 

 

 

 

 

Non-Hispanic

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Unknown

 

 

 

 

 

 

 

 

 

 

 

HAIR COLOR

 

GRY (Gray)

RED (Red/Aubn.)

SDY (Sandy)

BLU (Blue)

 

 

 

 

PLE (Purple)

 

BRO (Brown)

 

 

 

BLK (Black)

ONG (Orange)

WHI (White)

XXX (Unk/Bald) GRN (Green)

 

PNK (Pink)

 

 

 

 

 

 

 

BLN (Blonde / Strawberry)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

EYE COLOR

 

BLK (Black)

 

 

BLU (Blue)

 

 

 

BRO (Brown

 

GRN (Green)

 

 

GRY (Gray)

 

 

 

 

 

 

 

HAZ (Hazel)

 

 

MAR (Maroon)

 

PNK (Pink)

 

MUL (Multicolored)

XXX (Unknown)

Driver License

 

State

 

PA

 

 

 

License Number

 

 

29991593

 

 

 

 

Expires:

 

 

 

 

WEIGHT (Lbs.)

DNA

 

YES NO

 

 

DNA Location

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

165

 

 

 

 

 

 

FBI Number

 

 

 

 

746651KD8

 

 

 

MNU Number

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

FT.

HEIGHT

IN.

Defendant Fingerprinted:

 

YES NO

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

5

11

 

 

 

Fingerprint Classification:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DEFENDANT VEHICLE INFORMATION

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Plate #

 

 

 

State

 

Hazmat

 

Registration

 

 

 

Comm'l Veh.

 

School

 

 

 

 

Oth. NCIC

 

 

 

 

 

Reg.

 

 

 

 

 

 

 

 

 

 

Sticker (MM/YY)

 

 

 

 

 

 

Ind.

 

 

Veh.

 

 

 

Veh. Code

 

 

 

 

 

same

VIN

 

 

 

 

 

 

 

Year

 

 

Make

 

 

 

 

 

 

 

 

Model

 

 

 

 

 

 

 

 

Style

Color

 

 

 

as Def.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Office of the attorney for the Commonwealth

Approved

Disapproved Because: __________________________________

(The attorney for the Commonwealth may require that the complaint, arrest warrant affidavit, or both be approved by the attorney for the Commonwealth Prior to filing. See Pa.R.Crim.P. 507).

(Name of the attorney for the Commonwealth-Please Print or Type) (Signature of the attorney for the Commonwealth)(Date)

 

I,

BEIDLER, GREG - MO10395A

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

MO10395A

32

 

 

 

 

 

 

(Name of the Affiant-Please Print or Type)

 

 

 

 

PSP/MPOETC -Assigned Affiant ID Number and Badge #

 

 

of

BRISTOL TWP POLICE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

PA0090300

 

 

 

 

 

(Identify Department or Agency Represented and Political Subdivision)

 

 

 

(Police Agency ORI Number)

 

 

do hereby state: (check appropriate box)

 

 

 

 

 

 

 

 

 

 

 

 

 

1.

I accuse the above named defendant who lives at the address set forth above

 

 

 

 

 

 

 

 

I accuse the defendant whose name is unknown to me but who is described as

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

I accuse the defendant whose name and popular designation or nickname are unknown to me and whom I have

 

 

 

 

 

therefore designated as John Doe or Jane Doe

 

 

 

 

 

 

 

 

 

 

 

 

 

with violating the penal laws of the Commonwealth of Pennsylvania at [

101

 

]

BRISTOL TOWNSHIP

 

 

 

 

 

 

 

 

 

(Subdivision Code)

 

(Place-Political Subdivision)

 

 

 

 

17 CRABTREE DRIVE, LEVITTOWN, BUCKS CO.

 

 

 

 

 

 

 

 

 

 

in

 

BUCKS

County [

09 ] on or about

 

 

 

DEC. 28, 2011 2206 HRS

 

 

 

 

 

 

 

 

(County Code)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

AOPC 412A - Rev. 07/10

Page ___ of ___