_____________________,
your name Plaintiff, v. ________________________, officer's name Badge # _________________, Defendant. |
) ) ) ) ) ) ) |
Civil No.
FALSE ARREST, KIDNAPING, FALSE IMPRISONMENT, ASSAULT, BATTERY, TRESPASS JURY TRIAL DEMANDED |
( ) D told P there was a warrant for P’s arrest.
( ) P asked to see warrant & affidavit. D refused. ( ) D claimed "probable cause," no warrant. ( ) P asked "specific articulable facts." D refused. ( ) D restrained P's liberty by words and acts that P feared to disregard. ( ) P asked D's business card & ID. D refused. IMPORTANT! -> ( ) D did not witness P commit felony or breach of peace. ( ) D arrested, handcuffed, & transported Plaintiff without P’s consent. |
( ) Defendant did not read Plaintiff his rights.
( ) D transported P to _________________ where P was ( ) fingerprinted ( ) photographed. After ____ hours, P was ( ) released ( ) brought before a magistrate. Restraint of P’s liberty caused other damages: ( ) bodily pain ( ) inconvenience/discomfort ( ) loss of time ( ) mental suffering ( ) injury to reputation ( ) distress/anguish ( ) humiliation ( ) shame ( ) public ridicule ( ) invidious publicity ( ) public disgrace ( ) other _______________________. |
DATED: _______________
date signed |
/s/____________________________
your signature |