Imperial — Probable Cause Declaration Form

Source: https://www.imperial.courts.ca.gov/system/files/probable_cause_updated_enabled_2.pdf

Superior Court of California, County of Imperial Declaration and Probable Cause Determination

ARRESTEE’S NAME (LAST.FIRST,MIDDLE) DOB BOOKING NUMBER

RESIDENCE ADDRESS AGENCY CASE #

BOOKING CHARGES REASON SUPPLEMENTAL HOLDS

DATE/TIME OF ARREST O.R. RECOMMENDED 48 HOURS EXPIRATION (DATE/TIME)

ARRESTING AGENCY/DIVISION ARRESTING OFFICER(S)

ELEMENTS OF CRIME

VICTIM’S AGE VICTIM’S RELATIONSHIP TO ARRESTEE:

VICTIM’S INJURIES:

I deem that there is probable cause to believe that the crime(s) have been committed by the arrestee as described.

Additional page attached for additional information (Two (2) page limit)

I DECLARE UNDER PENALTY OF PERJURY THAT THE FOREGOING IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND BELIEF. EXECUTED ON ________________________AT IMPERIAL COUNTY, CALIFORNIA,

DATE

SIGN
BY ____________________________________ ________________________________
SIGNATURE BADGE/EMPLOYEE NUMBER

ON THE BASIS OF THE OFFICER’S DECLARATION REPORTS REVIEWED, I HEREBY

DETERMINE THAT THERE IS IS NOT PROBABLE CAUSE TO BELIEVE THIS ARRESTEE HAS
COMMITTED A CRIME.

SIGN

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DATE TIME SIGNATURE OF JUDICIAL OFFICER

Probable Cause Revised 08-15-13 P.C. 817