NO WARRANT FACT SHEET
(STATEMENT OF PROBABLE CAUSE FOR A WARRANTLESS ARREST)

On _____ (month) _____ (day) _____ (year) at __________ hours I arrested
the following person, even though I had no warrant.

Recommended charges:

17Charge

18Code#

19Bail Schedule

070522

1Name

AKA’s

2Date of birth

4Street address

5City

3Age

6State

7Zip

8How long at this address? 

9G Male

10G Female

11Social security #

12Telephone #

13Driver license: State 

 Number

G Bail should be different than the bail schedule.

Statement of probable cause (Tell what you heard, saw, said or did):

It should be  $__________ 20because:

14The arrest was made at (address or location):

County:

15 I went to or was at this location  because (examples: “dispatch sent me” “I was on patrol”

  “I received a telephone call” “I heard a loud noise or scream”)

I swear the above is true. Please approve and order continued detention.

Total

Badge #

Case #

16This is what I heard, saw, said or did:

Sworn to on __________________________________________________

  Date

 Notary  / Deputy Clerk / Magistrate / Peace Officer

Notary Seal

1.

2.

3.

4.

5.

X

Agency

Magistrate’s Order

G Approved. Continued detention is ordered until $____________ bail is
posted and a written promise to return  is signed. G Bail is cash only.

Bail is different than the bail schedule because:

G Not approved. Release the person immediately.

G I need further information. Release the person at (time) __________ 

_______________ unless further detention is approved.  I will reconsider, but
only if a Response Form is presented. (Make no further marks on this paper.)

Notes

I arrested the person because of what I heard, saw, said or did.

(Use Continuation Sheet if necessary)

____________________________________________________
Date

Magistrate G by telephone by officer #

Time

Response Form

070522

I am responding to the Magistrate’s Order of release. I request further consideration and supply the following
information.

Name of person arrested

My response to the Magistrate’s notes is

I swear that the above is true to the best of my knowledge. Please approve this arrest and order continued detention.

______________
Date

______________________________

Arresting Officer

__________
Badge #

Sworn to before me on ______________ ___________________________________________

Notary / Deputy Clerk / Magistrate / Peace Officer

G There was probable cause for this arrest. It is approved. The Sheriff is ordered to continue to hold the person in
custody until further order of the Court or until bail of $_______________ is posted and a written promise to
return to court is signed.  G Bail is cash only.

Magistrate’s Order

Bail is different than the bail schedule because:

G There was not probable cause for the arrest. The Sheriff is ordered to release the person.

Date: _______________

Time: __________

____________________________________

Magistrate G by telephone by officer #

Continuation Sheet
IF NECESSARY, attach to NO WARRANT FACT SHEET
(STATEMENT OF PROBABLE CAUSE FOR A WARRANTLESS ARREST)

070522

Name of person arrested

Date of birth

Date of arrest

Time of arrest

Write paragraph number and any continuation information.