Maryland > Statewide > District Court > Criminal
Confidential Supplement DC-CR 1S - Maryland
| Confidential Supplement Form. This is a Maryland form and can be used in Criminal District Court Statewide . |
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CIRCUIT COURT DISTRICT COURT OF MARYLAND FOR City/County Located at STATE OF MARYLAND Court Address Case No. vs. Defendant CONFIDENTIAL SUPPLEMENT (Request for Shielding of Information) Victim Requests Shielding Due to: Complainant Requests Shielding Witness Requests Shielding Threats to Safety Made by Defendant or Person(s) on Defendant's Behalf Act of Violence by Defendant or Person(s) on Defendant's Behalf Other Victim/Complainant/Witness (Please print.) Victim/Complainant/Witness (Please print.) Address Address Telephone Number Telephone Number Victim/Complainant/Witness (Please print.) Victim/Complainant/Witness (Please print.) Address Address Telephone Number Telephone Number I solemnly affirm that the contents of this confidential supplement request are true to the best of my knowledge, information, and belief. Date Victim/Complainant/Witness Signature Approved Denied Commissioner/Judge I.D. No. Date NOTICE: Remote access to the name, address, telephone number, date of birth, e-mail address and place of employment of a victim or non-party witness is blocked. (Md Rule ยง 16-1008 (a)(3)(B)) CC-DC/CR 1S (Rev. 12/2006) American LegalNet, Inc. www.FormsWorkflow.com
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