Warrant/Summons Number State of Alabama
Unified Judicial System
Form CR-57 (front) Rev.8/98
DEPOSITION
Case Number
IN THE_____________________________________COURT OF______________________________________, ALABAMA
(Circuit, District, or Municipal) (Name of Municipality or County)
STATE OF ALABAMA
MUNICIPALITY OF _________________________________v._______________________________________________
Defendant
INSTRUCTIONS: COMPLETE THE FOLLOWING INFORMATION ON THE ACCUSED
Name of Accused (or Alias) Telephone Number
Social Security Number Driver’s License Number Date of Birth Age Race Sex
Height Weight Hair Eyes Complexion
Address of Accused (or Alias) City State Zip Code
Name of Employer Employer’s Telephone Number
Address of Employer City State Zip Code
INSTRUCTIONS: COMPLETE THE FOLLOWING INFORMATION ON THE OFFENSE
Offense:__________________________________________________________________________________________________________________________
Date and Time of Offense:____________________________________________________________________________________________________________
Place of Occurrence: ________________________________________________________________________________________________________________
Person Attacked or Property Damaged:__________________________________________________________________________________________________
How Attached: _____________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________________________
Was accused under the influence of alcohol or a controlled substance? Yes No
Any law enforcement agency contracted? Yes No
If yes, which one?
________________________________________________________________________________________________________________
Did Accused Posses or Use a Weapon?
Yes No Types: __________________________________________________________
_________________________________________________________________________________________________________________________________
Did you go to the hospital? Yes No
Damage Done or Injuries Received:
________________________________________________________________________________________________
Value of Property: ________________________________________________________________________________________________________________
Details of Offense:________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________________________
Check if additional pages are necessary.
Form CR-57 (back) Rev.8/98
DEPOSITION
Any Law Enforcement Agency Contacted? Yes No
If yes, which one? ________________________________________________________________________________
I make this statement for the purpose of securing a WARRANT/SUMMONS against the named of accused. I understand that I am instituting a criminal
proceeding and cannot dismiss this case. I further understand that if any of the foregoing facts are untrue, I may, in addition to any other punishment
provided by law, be taxed with court costs in the proceeding.
Sworn to and Subscribed before me this
_____________________________________________________________
__________________________ day of Complaint
--------------------------------------------------, _____________________________________________________________
____________. Social Security Number
_______________________________________ _____________________________________________________________
Judge/Clerk/Magistrate Address
WITNESSES
Name Address Telephone Number
___________________________________ _____________________________________________ ________________________
___________________________________ _____________________________________________ ________________________
___________________________________ _____________________________________________ ________________________
___________________________________ _____________________________________________ ________________________
___________________________________ _____________________________________________ ________________________
___________________________________ _____________________________________________ ________________________
___________________________________ _____________________________________________ ________________________
___________________________________ _____________________________________________ ________________________
___________________________________ _____________________________________________ ________________________
___________________________________ _____________________________________________ ________________________
___________________________________ _____________________________________________ ________________________
___________________________________ _____________________________________________ ________________________
___________________________________ _____________________________________________ ________________________
___________________________________ _____________________________________________ ________________________
___________________________________ _____________________________________________ ________________________
MAGISTRATE NOTES
Warrant or Summons issued? Yes No Warrant Number: __________________________________________
_________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________