This section to be completed by the Police Department
TO: DA Complaint Room

Office#: 404-224-3230

FAX#: 404-224-3260	# FAX Pages

of	Complaint #:

Defendant’s Name:

Date of Birth:

[ ] MALE

[ ] FEMALE
Primary Offense:

Detail: __________Yes ______ No
Arresting Officer (Name & ID#):

Squad/Zone#:

Phone # (at present location):

This section to be completed by District Attorney staff
Time Case Received Complete from Police and assigned to Legal Assistant/Records & Documents Clerk:

(Always include staff initials)
Screening ADA:

Time Case Received by ADA:

(Always include staff initials)
Interview Start Time w/Officer:

Interview Complete/Officer Release Time:
Time Case Returned to LA/Rec&Doc Clerk:

(Always include staff initials)	Time Case Completed by LA/Rec&Doc Clerk:

(Always include staff initials)	Time Case Copied for FC Clerk by LA/Rec&Doc Clerk:

(Always include staff initials)	Time Case Filed in FC Clerk’s Office:

(Always include staff initials)
1st Appearance Calendar Date/Time:

All Purpose Calendar Date/Time:	Grand Jury Date/Time:
Victim/Witness Notification:

Lisa Hendricks (OFFICE: 404-730-4404 or PAGER: 404-650-4879)

Nikki Berger (OFFICE: 404-730-4977 or PAGER: 404-283-7944)

Atlanta Police Department

Atlanta Public Safety Headquarters

226 Peachtree Street, SW, Atlanta, GA 30303

FAX: (404) _____________ /OFFICE: (404) _____________

Complaint Room – Office of the Fulton County District Attorney

236 Forsyth Street, Suite 400- Garnett Station Building

Atlanta, GA 30303

Police Fax Cover Sheet

vlivsey

2010-03-03

FCDA-Complaint Room