Rule 3. The Complaint

(a) The complaint is a written statement of the essential

facts constituting the offense charged. A citation issued for the

commission of a class C felony, misdemeanor, or violation

shall have the same force and effect as a complaint and shall be

filed as a complaint; provided, that the citation satisfies the

requirements of a valid complaint as provided by these rules. A

complaint or citation shall be made upon oath or affirmation

before any person authorized by law to administer oaths or

affirmations, or signed with a certification under penalty of

perjury that the complaint or citation is true.

(b) A copy of the complaint shall be served upon the

defendant at the time of service of the summons, and whenever

practicable, upon execution of the warrant.

(c) Defendant and Offense Information To Be

Included in Complaint. The complaint must include the

following information in the form shown in the sample

published at the end of this rule:

(1) the defendant’s full name, including middle name or

initial, if known;

(2) the defendant’s date of birth, if known;

(3) the defendant’s Alaska Public Safety Information

Network (APSIN) identification number;

(4) the defendant’s driver’s license number or state

identification number, if known, including the issuing state and

whether the license is a commercial driver’s license;

(5) the arrest tracking number (ATN) on the Criminal

Case Intake and Disposition (CCID) form for the incident;

(6) the three-digit charge tracking number assigned on

the CCID form to each offense;

(7) the statute, regulation, or ordinance that the defendant

is alleged to have violated, as identified in the Uniform

Offense Citation Table.** Regulations not listed in the

Uniform Offense Citation Table must be cited by the

regulation number;

(8) if a motor vehicle offense is charged, whether the

offense occurred in a traffic safety corridor or a highway work

zone as provided in AS 28.90.030; and

atute, regulation, or ordinance that the defendant

is alleged to have violated, as identified in the Uniform

Offense Citation Table.** Regulations not listed in the

Uniform Offense Citation Table must be cited by the

regulation number;

(8) if a motor vehicle offense is charged, whether the

offense occurred in a traffic safety corridor or a highway work

zone as provided in AS 28.90.030; and

(9) if a motor vehicle offense is charged involving the

use of a commercial motor vehicle as defined in AS 28.90.990,

whether the commercial vehicle weighs more than 26,000 lbs,

is designed to transport more than 15 passengers, or is used in

the transportation of hazardous materials.

(d) Crimes Involving Domestic Violence. If a defendant

is charged with an offense listed in AS 18.66.990, the

complaint must indicate whether the prosecuting authority

intends to claim that the alleged offense is a crime involving

domestic violence as defined in AS 18.66.990(3) and (5).

(e) Search Warrant Information. A complaint must

include a listing of the numbers of any search warrants issued

in relation to the case, as required by Criminal Rule 37(e)(2).

(f) Information Not To Be Included in Complaint.

The defendant’s social security number may not appear on a

complaint. This subsection applies to complaints filed on or

after October 15, 2006.

** The Uniform Offense Citation table was developed by

the Department of Public Safety. Changes to the table must be

approved by either the Department of Law or the appropriate

municipal

prosecuting

authority.

It

is

available

at

http://www.dps.alaska.gov/statewide/uoct/.

SAMPLE OF CRIMINAL COMPLAINT FORM

IN THE DISTRICT COURT FOR THE STATE OF ALASKA

AT _____________________

COMPLAINT

Related Search Warrant(s):

State of Alaska,

Plaintiff,

vs.

John Clifford Moody

aka J.C. Moody,

Defendant 1 of 2.

Date of Birth: 01/01/1964

APSIN: 123456789

Operator License Number: 0123456

State:

AK

______ CDL?

Yes

No

Mailing Address: 1113 Front Street

CASE NO

ct/.

SAMPLE OF CRIMINAL COMPLAINT FORM

IN THE DISTRICT COURT FOR THE STATE OF ALASKA

AT _____________________

COMPLAINT

Related Search Warrant(s):

State of Alaska,

Plaintiff,

vs.

John Clifford Moody

aka J.C. Moody,

Defendant 1 of 2.

Date of Birth: 01/01/1964

APSIN: 123456789

Operator License Number: 0123456

State:

AK

______ CDL?

Yes

No

Mailing Address: 1113 Front Street

CASE NO. ____________________

City: Anchorage

State: AK

ZIP: 99501

State of Alaska,

Plaintiff,

vs.

Samantha Anne Singleton,

Defendant 2 of 2.

Date of Birth:

11/11/1969

APSIN: 987654321

Operator License Number: 7755443

State:

AK

______ CDL?

Yes

No

Mailing Address: 1113 Front Street

CASE NO. _____________________

City: Anchorage

State: AK

ZIP: 99501

- page 1 -

THE DISTRICT ATTORNEY CHARGES:

COUNT I

Defendant(s)

ATN

CTN

Date Offense

Offense Location

John Clifford Moody

5656787

001

1/1/13

Anchorage

Statute/Reg/Ordinance (from

UOCT)

Offense Title

Modifier

AS 11.41.500(a)(1)

Robbery 1- Armed w/Deadly

Weapon

Attempt - AS 11.31.100

Solicitation - AS 11.31.110

Conspiracy - AS 11.31.120

Gang-Related - AS

12.55.137

Class: B Felony

DV Related:

Yes

No

Motor Vehicle Used in Commission of Offense – AS 28.15.181(a)

If Traffic Offense:

Highway Work Zone

Traffic Safety Corridor

Commercial Vehicle?

Yes

No If Yes, type:

>26,000 lbs.

>15 passengers

Hazardous

Materials

(TEXT DESCRIPTION OF COUNT I OFFENSE)

COUNT II

Defendant(s)

ATN

CTN

Date Offense

Offense Location

John Clifford Moody

5656787

002

1/1/13

Anchorage

Samantha Anne Singleton

1112222

001

1/1/13

Anchorage

Statute/Reg/Ordinance (from UOCT)

Offense Title

Modifier

AS 11.61.195(a)(1)

Misconduct w/ Weapons 2 - Re

Drug Crime

Attempt - AS 11.31.100

Solicitation - AS 11.31.110

Conspiracy - AS 11.31.120

Gang-Related - AS

12.55.137

Class: B Felony

DV Related:

Yes

No

Motor Vehicle Used in Commission of Offense – AS 28.15.181(a)

If Traffic Offense:

Highway Work Zone

Traffic Safety Corridor

Commercial Veh

rdinance (from UOCT)

Offense Title

Modifier

AS 11.61.195(a)(1)

Misconduct w/ Weapons 2 - Re

Drug Crime

Attempt - AS 11.31.100

Solicitation - AS 11.31.110

Conspiracy - AS 11.31.120

Gang-Related - AS

12.55.137

Class: B Felony

DV Related:

Yes

No

Motor Vehicle Used in Commission of Offense – AS 28.15.181(a)

If Traffic Offense:

Highway Work Zone

Traffic Safety Corridor

Commercial Vehicle?

Yes

No If Yes, type:

>26,000 lbs.

>15 passengers

Hazardous

Materials

(TEXT DESCRIPTION OF COUNT II OFFENSE)

[After all charges, insert probable cause statement.]

[Insert VRA Certification pursuant to Criminal Rule 44(f) above signature.]

Date

Signature

___________________________

Type or Print Name

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