Here is the text we could read:
STATEMENT OF FACTS
IN SUPPORT OF
APPLICATION FOR CRIMINAL COMPLAINT
APPLICATION NO. (court use only)
PAGE
___ OF ___
Trial Court of Massachusetts
District Court Department
The undersigned alleges the following as a 9 full or 9 partial statement
of the factual basis for the offense(s) for which a criminal complaint is sought.
COURT DIVISION
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
PRINTED NAME
SIGNATURE
I AM A:
DATE SIGNED
(Use additional sheets if necessary)
9 LAW ENFORCEMENT OFFICER
9 CIVILIAN COMPLAINANT OR WITNESS
ADDITIONAL FACTS FOUND BY CLERK-MAGISTRATE / ASST. CLERK / JUDGE BASED ON ORAL TESTIMONY
X
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
REMARKS
SIGNATURE OF CLERK-MAGISTRATE / ASST.CLERK / JUDGE
DATE SIGNED
DC-CR-34 (7/04)
X
Statement of Facts
This info page is part of the LIT Lab's Form Explorer project. It is not associated with the Massachusetts state courts.
To learn more about the project, check out our about page.
Downloads: You can download both the original form (last checked 2023-03)
and the machine-processed form with normalized data fields.
About This Form:
- Sourced from www.mass.gov (2023-03)
- Page(s): 1
- Fields(s): 26
- Average fields per page: 26
- Reading Level: Grade 10
- LIST Grouping(s):
GO-00-00-00-00, DI-00-00-00-00.
Use our Rate My PDF tool to learn more.
Go beyond the above insights and learn more about this or any pdf form at
RateMyPDF.com, includes: counts of difficult words used,
passive voice decetion, and suggestions for how to make the form more usable.
Identified Data Fields:
We have done our best to automaticly identify and name form fields according to our naming conventions.
When possible, we've used names tied to our question library. See e.g., user1_name.
If we think we've found a match to a question in our library, it is highlighted in green. Novel names are auto generated. So, you will probably need to edit some of them if you're trying to stick to the convention.
Here are the fields we could identify.
criminal_complaint_sought
was of_the_factual_basis_for_the_offense_s__for_which_a_criminal_complaint_is_sought (0.55 conf)page_field__1
was page_0_field_1 (0.31 conf)page_field__2
was page_0_field_2 (0.31 conf)page_field__3
was page_0_field_3 (0.31 conf)page_field__4
was page_0_field_4 (0.31 conf)page_field__5
was page_0_field_5 (0.31 conf)page_field__6
was page_0_field_6 (0.31 conf)page_field__7
was page_0_field_7 (0.31 conf)page_field__8
was page_0_field_8 (0.31 conf)page_field__9
was page_0_field_9 (0.31 conf)page_field__10
was page_0_field_10 (0.31 conf)page_field__11
was page_0_field_11 (0.31 conf)page_field__12
was page_0_field_12 (0.31 conf)page_field__13
was page_0_field_13 (0.31 conf)page_field__14
was page_0_field_14 (0.31 conf)page_field__15
was page_0_field_15 (0.31 conf)use_additional_necessary
was use_additional_sheets_if_necessary (0.38 conf)page_field__16
was page_0_field_17 (0.31 conf)additional_facts_magistrate
was additional_facts_found_by_clerk_magistrate_asst__clerk_judge_based_on_oral_testimony (0.42 conf)page_field__17
was page_0_field_19 (0.31 conf)page_field__18
was page_0_field_20 (0.31 conf)remarks
was remarks (0.42 conf)page_field__19
was page_0_field_22 (0.31 conf)x
was x (0.34 conf)application_criminal_complaint
was application_for_criminal_complaint (0.38 conf)page_check
was page_0_check_1 (0.33 conf)
We've done our best to group similar variables togther to avoid overwhelming the user.
Suggested Screen 0:
criminal_complaint_sought
Suggested Screen 1:
page_field__1
page_field__2
page_field__3
page_field__4
page_field__5
page_field__6
page_field__7
page_field__8
page_field__9
page_field__10
page_field__11
page_field__12
page_field__13
page_field__14
page_field__15
page_field__16
page_field__17
page_field__18
page_field__19
Suggested Screen 2:
Suggested Screen 3:
additional_facts_magistrate
Suggested Screen 4:
Suggested Screen 5:
Suggested Screen 6:
application_criminal_complaint
Suggested Screen 7:
Create an Interactive Version of this Form:
The Weaver creates a draft guided interview from a template form, like the one provided here. You can use the link below to open this form in the Weaver.
To learn more, read "Weaving" your form into a draft interview.
Launch Form in Weaver