Criminal Complaint Form
body
{
margin: 3% 6%;
color: #37371E;
padding-left: 6px;
font-family: verdana, arial, sans-serif;
font-size: 10pt;
background-color: #F0E3A4;
/*background: url('body_background_outer.gif') 0% 0% repeat-x;*/
}
input.xforms-type-date {
display: inline;
}
span.xforms-date-display {
display: none;
}
.hidden .xforms-value {
display:none;
}
div#wholebody
{
border:5px double gray;
padding:2%;
width:1000px;
}
h1 {
font-family: Arial; size: 100px;
color: #000000;
font-weight: bold;
position:relative;
left:200px;
background-color:#999999;
}
.Arrestee_Information,.Vehicle_Information, .Offense_Report,.Complaint_Information,.dasup,.ls,
.affidavit_information,.otn,.affidavit_information-1
{
margin-bottom: 1em;
border-width: 0px 0px 0px 0px;
border-spacing: 0px;
border-style: outset outset outset outset;
border-color: white white white white;
border-collapse: separate;
background-color: white;
border:1px solid #000;
font-size:100%;
}
.Arrestee_Information .xforms-label,.Vehicle_Information .xforms-label,.Offense_Report .xforms-label,
.Complaint_Information .xforms-label,.dasup .xforms-label,.ls .xforms-label,.Confidential_Data_Sheet .xforms-label
{
font-weight:bold;
float:left;
width: 200px;
margin-right:0.5em;
padding-top: 5px;
text-align:right;
display: block;
clear:left;
}
.Arrestee_Information .form-td,
.Vehicle_Information .form-td,
.Offense_Report .form-td,
.affidavit_information .form-td,
.otn .form-td,
.affidavit_information-1 .form-td
.Confidential_Data_Sheet .form-td
{
width; 1000px;
/*padding: .2em;*/
border-width: 0px 0px 0px 0px;
padding: 1px 1px 1px 1px;
border-style: none none none none;
border-color: gray gray gray gray;
background: whitesmoke;
-moz-border-radius: 0px 0px 0px 0px;
}
.charge-code-dropdown-table .form-td
{
width: 1000px;
}
.ls .form-td, .dasup .form-td
{
width: 13em;
padding: .5em;
}
/* each label within an input is a cell in the input row */
div#offense_report-inputs-wrapper
{
padding-left:2px;
padding-bottom: 2px;
padding-right:1px;
width:400px;
background-color:#FFFFCC;
color:#333333;
font-weight:bold;
text-transform:uppercase;
border-width: 1px 1px 1px 1px;
border-color:#330066;
border-style:none;
display: block;
filter:alpha(opacity=60);
opacity:0.6;
}
div#Arrestee_Information-inputs-wrapper
{
padding-left:1px;
padding-bottom: 2px;
padding-right:1px;
width:500px;
background-color:#FFFFCC;
color:#333333;
font-weight:bold;
text-transform:uppercase;
border-width: 1px 1px 1px 1px;
border-color:#330066;
border-style:none;
display: block;
filter: alpha(opacity=70);
opacity: 0.6;
}
div#Vehicle_Information-inputs-wrapper
{
padding-left:2px;
padding-bottom: 2px;
padding-right:1px;
width:400px;
background-color:#FFFFCC;
color:#333333;
font-weight:bold;
text-transform:uppercase;
border-width: 1px 1px 1px 1px;
border-color:#330066;
border-style:none;
display: block;
filter:alpha(opacity=70);
opacity:0.6;
}
div#Vehicle_Information-inputs-wrapper .xforms-input
{
display:block;
}
.xforms-group .Arrestee_Information .form-td .xforms-input input,
.Vehicle_Information .form-td .xforms-input input,
.Offense_Report .form-td .xforms-input input,
.Complaint_Information .form-td .xforms-input input,
.dasup .form-td .xforms-input input,
.ls .form-td .xforms-input input,
.otn .xforms-input input,
#container4 .xforms-input input,
.container-affidavit-info .xforms-input input,
.Confidential_Data_Sheet .xforms-input input
{
width: 20em;
font-family: Arial, Helvetica, sans-serif;
font-weight: bold;
width: 150px;
background-color: #FFFF99;
margin:9px 0px 0px 0px;
border-style: solid solid solid solid;
border-color:#bbbf58;
color:#323415;
font-size:100%;
display:block;
float:left;
padding:2px;
border-top: 3px inset;
border-left: 3px inset;
font-size:140%;
}
/*fieldset .container1
{
border: 1px solid #000000;
display: inline;
width:1000px;
height:700px;
-moz-border-radius: 5px;
border-style: solid;
border-color: #D6D5D9;
border-width: 1px;
}*/
.xforms-group .container1
{
border: 1px solid #000000;
/**overflow: auto;*/
display: inline;
width:1000px;
height:700px;
padding: 5px;
}
#button
{
width: 150px;
border-right: 1px solid #000;
padding: 0 0 1em 0;
margin-bottom: 1em;
font-family: 'Trebuchet MS', 'Lucida Grande', Arial, sans-serif;
font-size: 90%;
background-color: #90bade;
color: #333;
}
#button ul
{
list-style: none;
margin: 0;
padding: 0;
border: none;
}
#button li
{
border-bottom: 1px solid #90bade;
margin: 0;
}
#button li a
{
display: block;
padding: 5px 5px 5px 0.5em;
border-left: 10px solid #1958b7;
border-right: 10px solid #508fc4;
background-color: #2175bc;
color: #fff;
text-decoration: none;
width: 100%;
}
html>body #button li a
{
width: auto;
}
#button li a:hover
{
border-left: 10px solid #1c64d1;
border-right: 10px solid #5ba3e0;
background-color: #2586d7;
color: #fff;
}
#floatCenter
{
float: center;
margin: 4px;
}
/*we will align the triggers themselves*/
#Offense-Information-Triggers
{
width:92%; /* And it's going to have a 500px width */
background:#D9D9D9;
}
/*we will align the columns in which these triggers reside*/
.create-offenses,.refresh-offenses
{
float: left; /* Our column is going to be left aligned. */
width: 260px; /* Our total width - content width is 260px */
background: #8A8AE6;
color:#050;
font-family:'trebuchet ms',helvetica,sans-serif;
font-size:84%;
font-weight:bold;
background-color:#fed;
border:1px solid;
border-top-color:#696;
border-left-color:#696;
border-right-color:#363;
border-bottom-color:#363;
filter:progid:DXImageTransform.Microsoft.Gradient
(GradientType=0,StartColorStr='#ffffffff',EndColorStr='#ffeeddaa');
}
.triggers-hov
{
border-top-color:#c63;
border-left-color:#c63;
border-right-color:#930;
border-bottom-color:#930;
}
.xforms-select1
{
width: 300px;
background-color:#CCFF99;
margin-top: 1px;
margin-bottom: 4px;
margin-left: 4px;
}
.ChargeCode-main-table,.ChargeCode-main-table-2
{
border: solid 2px #ffcc66;
width: 700px;
background:#FFFF66;
}
/*.ChargeCode-main-table th p { text-align: center; vertical-align: top }*/
.ChargeCode-main-table td, .ChargeCode-main-table-2 td{ white-space: nowrap }
.ChargeCode-action-table td, .ChargeCode-action-table-2 td { white-space: nowrap; vertical-align: middle }
.ChargeCode-action-table input, .ChargeCode-action-table-2 input { vertical-align: middle }
.ChargeCodeTable { border-collapse: collapse; width: 700px; margin-left: 1em; margin-right: 1em }
.ChargeCodeTable th { background-color: #CC6666; text-align: center; padding: .3em; border: 1px solid #f93 }
/*.ChargeCodeTable td { padding: .3em; border: 1px solid #f93; margin: 0; cursor: pointer; vertical-align: middle }*/
.ChargeCodeTable .xforms-label { display: none }
.ChargeCodeTable-2 { border-collapse: separate; width: 700px; margin-left: 1em; margin-right: 1em; border-color: blue }
.ChargeCodeTable-2 th { background-color: FFFF99; text-align: center; padding: .3em; border: 2px solid #f93 }
.xforms-repeat {background:#eee; float:left; width:370px;}
.xforms-repeat .xforms-value {margin:3px 0;}
.xforms-repeat .xf-repeat-item {border:1px solid #eee;}
.xforms-repeat-index {
background-color: blue;
}
.xforms-repeat-selected-item-1 .charge-code-form-td-2
{
background: #CCCCFF;
cursor: default;
}
.xforms-repeat-selected-item-1 .charge-code-form-td ,.codefendant-form-td
{
background: #ffc;
cursor: default;
}
.xforms-repeat-selected-item-2 td { cursor: default; }
.ChargeCode-action-table .xforms-label { font-weight: bold }
.ChargeCodeTable .xforms-label { font-weight: bold }
fieldset .container-offense
{
border: 1px solid #000000;
overflow: auto;
width:1000px;
height:500px;
}
fieldset .container-last-section
{
border: 1px solid #000000;
overflow: auto;
width:1000px;
height:200px;
}
fieldset .container-da
{
border: 1px solid #000000;
overflow: auto;
width:1000px;
height:400px;
}
fieldset .container-sup
{
border: 1px solid #000000;
overflow: auto;
width:1000px;
height:300px;
}
fieldset .container-complaint
{
border: 1px solid #000000;
overflow: auto;
width:1000px;
height:500px;
/*background-image: url("shopbg.gif");*/
}
.charge-code-dropdown-table
{
background-color:#FFFF99;
border: solid #000 3px;
width: 700px;
}
fieldset#container-affidavit-info
{
border: 1px solid #000000;
overflow: auto;
width:1000px;
height:700px;
/*background-image: url("shopbg.gif");*/
}
.affidavit_information-1 .xforms-label
{
font-weight:bold;
float:left;
width: 400px;
margin-right:0.5em;
padding: 3px 5px;
text-align:right;
display: block;
}
.charge-description-textarea-table
{
background-color:#FFFFFF;
border: solid #000 3px;
width: 1000px;
}
textarea#x-large-textarea
{
color: #9b2220;
font-size: 12px;
font-family: Courier, sans-serif;
scrollbar-3d-light-color: #ff8000;
scrollbar-arrow-color: #000080;
scrollbar-base-color: #000080;
scrollbar-dark-shadow-color: #24369C;
scrollbar-face-color: #99B3CC;
scrollbar-highlight-color: #FFFFFF;
scrollbar-shadow-color: #24369C;
width:1000px;
height:600px;
overflow:-moz-scrollbars-vertical;
padding:.2em;
border:inset 2; background-color:#F0F0F0
}
textarea#Crim_Inc_Loc_Textarea
{
color: #9b2220;
font-size: 12px;
font-family: Courier, sans-serif;
scrollbar-3d-light-color: #ff8000;
scrollbar-arrow-color: #000080;
scrollbar-base-color: #000080;
scrollbar-dark-shadow-color: #24369C;
scrollbar-face-color: #99B3CC;
scrollbar-highlight-color: #FFFFFF;
scrollbar-shadow-color: #24369C;
width:1000px;
height:50px;
overflow:-moz-scrollbars-vertical;
padding:.2em;
border:inset 2; background-color:#F0F0F0
}
textarea#Arrest_Loc_Textarea
{
color: #9b2220;
font-size: 12px;
font-family: Courier, sans-serif;
scrollbar-3d-light-color: #ff8000;
scrollbar-arrow-color: #000080;
scrollbar-base-color: #000080;
scrollbar-dark-shadow-color: #24369C;
scrollbar-face-color: #99B3CC;
scrollbar-highlight-color: #FFFFFF;
scrollbar-shadow-color: #24369C;
width:1000px;
height:50px;
overflow:-moz-scrollbars-vertical;
padding:.2em;
border:inset 2;
background-color:#F0F0F0
}
#control-id span
{
display: -moz-inline-box;
display: block;
border-width:6px;
width:1000px;
height:4em;
padding:1px 15px 1px 5px;
}
#control-id-affidavit-info span
{
display:-moz-inline-box;
display:block;
width:800px;
height:4em;
padding:5px;
color: #000033;
font-size: 11pt;
font-weight:bold;
border-top: 2px ridge beige;
border-left: 2px ridge beige;
border-right: 2px ridge #ffd;
border-bottom: 2px ridge #ffd;
outline:1;
}
textarea#complaint-info-textarea-1
{
color: #9b2220;
font-size: 12px;
font-family: Courier, sans-serif;
scrollbar-3d-light-color: #ff8000;
scrollbar-arrow-color: #000080;
scrollbar-base-color: #000080;
scrollbar-dark-shadow-color: #24369C;
scrollbar-face-color: #99B3CC;
scrollbar-highlight-color: #FFFFFF;
scrollbar-shadow-color: #24369C;
width:600px;
height:100px;
overflow:-moz-scrollbars-vertical;
padding:.2em;
border:inset 5;
background-color:#F0F0F0
}
textarea#complaint-info-textarea-2
{
color: #9b2220;
font-size: 12px;
font-family: Courier, sans-serif;
scrollbar-3d-light-color: #ff8000;
scrollbar-arrow-color: #000080;
scrollbar-base-color: #000080;
scrollbar-dark-shadow-color: #24369C;
scrollbar-face-color: #99B3CC;
scrollbar-highlight-color: #FFFFFF;
scrollbar-shadow-color: #24369C;
width:600px;
height:100px;
overflow:-moz-scrollbars-vertical;
padding:.2em;
border:inset 5; background-color:#F0F0F0
}
.Complaint_Information .form-td
{
width; 600px;
padding: .5em;
}
textarea#Affidavit_Info_1
{
color: #9b2220;
font-size: 12px;
font-family: Courier, sans-serif;
scrollbar-3d-light-color: #ff8000;
scrollbar-arrow-color: #000080;
scrollbar-base-color: #000080;
scrollbar-dark-shadow-color: #24369C;
scrollbar-face-color: #99B3CC;
scrollbar-highlight-color: #FFFFFF;
scrollbar-shadow-color: #24369C;
width:1000px;
height:100px;
overflow:-moz-scrollbars-vertical;
padding:.2em;
border:inset 3; background-color:#F0F0F0
}
textarea#Affidavit_Info_2
{
color: #9b2220;
font-size: 12px;
font-family: Courier, sans-serif;
scrollbar-3d-light-color: #ff8000;
scrollbar-arrow-color: #000080;
scrollbar-base-color: #000080;
scrollbar-dark-shadow-color: #24369C;
scrollbar-face-color: #99B3CC;
scrollbar-highlight-color: #FFFFFF;
scrollbar-shadow-color: #24369C;
width:1000px;
height:100px;
overflow:-moz-scrollbars-vertical;
padding:.2em;
border:inset 3; background-color:#F0F0F0
}
textarea#Affidavit_Info_3
{
color: #9b2220;
font-size: 12px;
font-family: Courier, sans-serif;
scrollbar-3d-light-color: #ff8000;
scrollbar-arrow-color: #000080;
scrollbar-base-color: #000080;
scrollbar-dark-shadow-color: #24369C;
scrollbar-face-color: #99B3CC;
scrollbar-highlight-color: #FFFFFF;
scrollbar-shadow-color: #24369C;
width:1000px;
height:100px;
overflow:-moz-scrollbars-vertical;
padding:.2em;
border:inset 3; background-color:#F0F0F0
}
textarea#Affidavit_Narrative
{
color: #9b2220;
font-size: 12px;
font-family: Courier, sans-serif;
scrollbar-3d-light-color: #ff8000;
scrollbar-arrow-color: #000080;
scrollbar-base-color: #000080;
scrollbar-dark-shadow-color: #24369C;
scrollbar-face-color: #99B3CC;
scrollbar-highlight-color: #FFFFFF;
scrollbar-shadow-color: #24369C;
width:1000px;
height:150px;
overflow:-moz-scrollbars-vertical;
padding:.2em;
border:inset 3; background-color:#F0F0F0
}
.xforms-label
{
font-weight:bold;
float:left;
width: 600px;
margin-right:0.5em;
padding: 3px 5px;
text-align:left;
display: block;
display: -moz-inline-box;
display: inline-block;
min-width: 9em ;
}
ul#CC-topmenu{
margin:0;
padding:0;
list-style-type:none;
width:auto;
position:relative;
display:block;
height:36px;
text-transform:uppercase;
font-size:12px;
font-weight:bold;
/*background:transparent url('OFF.gif') repeat-x top left;*/
font-family:Helvetica,Arial,Verdana,sans-serif;
border-bottom:4px solid #336666;
border-top:1px solid #C0E2D4;
}
ul#CC-topmenu li{
display:block;
float:left;
margin:0;
pading:0;}
ul#CC-topmenu li a{
display:block;
float:left;
color:#874B46;
text-decoration:none;
font-weight:bold;
padding:12px 20px 0 20px;
height:24px;
/*background:transparent url('DIVIDER.gif') no-repeat top right;*/
}
/**ul#CC-topmenu li a:hover{
background:transparent url('HOVER.gif') no-repeat top right;
}*/
.xforms-group,
.xforms-output
{
display: block;
margin-bottom: 10px;
}
.valid
{
border: 2px solid #FFF;
}
.invalid
{
border: 2px solid red;
}
.xforms-group .ssn_field
{
margin-right: 3px;
}
/*.xforms-group .xforms-input .ssn_field .input-value
{
width: 40px;
}
#grp_input .xforms-group .ssn-label
{
width: 150px;
}*/
.xforms-help-panel
{
width: 600px;
}
.Codefendant-main-table,.Codefendant-main-table-2
{
border: solid 2px #ffcc66;
width: 700px;
background:#FFFF66;
}
/*.ChargeCode-main-table th p { text-align: center; vertical-align: top }*/
.Codefendant-main-table td, .Codefendant-main-table-2 td{ white-space: nowrap }
.Codefendant-action-table td, .Codefendant-action-table-2 td { white-space: nowrap; vertical-align: middle }
.Codefendant-action-table input, .Codefendant-action-table-2 input { vertical-align: middle }
.Codefendant-action-table .xforms-label { font-weight: bold }
.CodefendantTable { border-collapse: collapse; width: 700px; margin-left: 1em; margin-right: 1em }
.CodefendantTable th { background-color: #CC6666; text-align: center; padding: .3em; border: 1px solid #f93 }
/*.ChargeCodeTable td { padding: .3em; border: 1px solid #f93; margin: 0; cursor: pointer; vertical-align: middle }*/
.CodefendantTable .xforms-label { display: none }
/**div#table-container
{
display: -moz-inline-box;
display: block;
border-width:6px;
width:1000px;
height:4em;
padding:1px 15px 1px 5px;
}
div#table-cell span
{
display: -moz-inline-box;
display: block;
display: table-cell;
vertical-align: bottom;
}*/
.xforms-input input:focus
{
background-color: #656D78;
border: 1px solid #333333;
color: #FF6600;
font-family: Verdana, Arial, Helvetica, sans-serif;
font-size: 10px;
}
.Confidential_Data_Sheet1,.Confidential_Data_Sheet2
{
table-layout: fixed;
}
#control-id span
{
display: -moz-inline-box;
display: block;
border-width:6px;
width:1000px;
height:4em;
padding:1px 15px 1px 5px;
}
/*.xforms-select-full span {
display:block;
}*/
#cautionsNCIC-control-1 span
{
display: -moz-inline-box;
display: block;
border-width:6px;
width:250px;
height:4em;
padding:1px 5px 1px 5px;
}
#cautionsNCIC-control-2 span
{
display: -moz-inline-box;
display: block;
border-width:6px;
width:250px;
height:4em;
padding:1px 15px 1px 5px;
}
#cautionsNCIC-control-3 span
{
display: -moz-inline-box;
display: block;
border-width:6px;
width:250px;
height:4em;
padding:1px 15px 1px 5px;
}
#scarMarkTattoo-control-1 span
{
display: -moz-inline-box;
display: block;
border-width:6px;
width:300px;
height:4em;
padding:1px 15px 1px 5px;
}
#scarMarkTattoo-control-2 span
{
display: -moz-inline-box;
display: block;
border-width:6px;
width:300px;
height:4em;
padding:1px 15px 1px 5px;
}
#scarMarkTattoo-control-3 span
{
display: -moz-inline-box;
display: block;
border-width:6px;
width:300px;
height:4em;
padding:1px 15px 1px 5px;
}
.xforms-caption .scars,.xforms-caption .ncic
{
text-align:left;
font-weight:bold;
color:white;
background-color:blue
}
.errors-table
{
border: 2px solid red; margin: 1em
}
.errors-table .xforms-repeat-selected-item-1
{
background: transparent
}
.errors-table th
{
text-align: right
}
th.error-title
{
background: red;
color: white;
text-align: left
}
.no-errors-table
{
border: 2px solid green;
margin: 1em
}
th.no-error-title
{
background: green;
color: white;
text-align: left
}
.controls-table { border: 2px solid black; margin: 1em }
.xforms-input input { width: 20em; }
.xforms-secret { width: 20em; }
.xforms-textarea { height: 6em; width: 20em; }
#isHazmat-control span
{
display: -moz-inline-box;
display: block;
border-width:6px;
width:350px;
height:4em;
padding:1px 25px 1px 5px;
background-color: mauve;
}
#isCommercialVehicle-control span
{
display: -moz-inline-box;
display: block;
border-width:6px;
width:350px;
height:4em;
padding:1px 25px 1px 5px;
background-color: mauve;
}
#isSchoolVehicle-control span
{
display: -moz-inline-box;
display: block;
border-width:6px;
width:200px;
height:4em;
padding:1px 25px 1px 5px;
background-color: mauve;
}
#VehicleMakeCode-control span
{
display: -moz-inline-box;
display: block;
border-width:6px;
width:200px;
height:4em;
padding:1px 25px 1px 5px;
background-color: mauve;
}
#div-1a-additional span
{
float:left;
width:200px;
padding:8px;
background-color:#dc8;
}
#div-1b-additional span
{
float:right;
width:200px;
padding:8px;
background-color:#dda
}
#div-1c-additional span
{
margin-right:215px;
margin-left:215px;
padding:8px;
background-color:#eec;
}
#div-1d-footer span
{
clear:both;
background-color:#CCC08F;
padding:8px;
}
#div-left
{
float:left;
width:400px;
padding:8px;
background-color:#dc8;
}
#div-center
{
width:200px;
margin-right:255px;
margin-left:250px;
padding:8px;
background-color:#dc8;
}
#div-right
{
float:right;
width:200px;
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selectone
I accuse the above named defendant
10
I accuse the defendant whose name is unknown to me but who is described as
11
I accuse the defendant whose name is popular designation or nick name are unknown to me and whom I have with..
12
BERKS
selectone
I accuse the above named defendant
I ACCUSE THE ABOVE NAMED DEFENDANT
I accuse the defendant whose name is unknown to me but who is described as
IACCUSETHEDEFENDANTWHOSENAMEISUNKNOWNTOMEBUTWHOISDESCRIBEDAS
I accuse the defendant whose name is popular designation or nick name are unknown to me and whom I have with..
IaccusethedefendantwhosenameispopulardesignationornicknameareunknowntomeandwhomIhavewith
Berks County
Source is presumed reliable, i.e. other Police Officer, Eyewitness, Victim of Crime, etc.
Source has given information in the past which has led to arrest and/or conviction
Defendant's reputation for criminal activity
This source made declaration against his/her penal interest to the above offense
Affiant and/or other Police Officers corroborated details of the information
NCIC Cautions and Medical Conditions:
NCIC Cautions and Medical Conditions
Armed and Dangerous
00
Violent Tendencies
05
Martial Arts Expert
10
Explosives Expert
15
Known to Abuse Drugs
20
Escape Risk
25
Other Medical Conditions:
49
Heart Condition
50
Alcoholic
55
Allergies
60
Epilepsy
65
Suicidal
70
AIDS Carrier (Subject to inclusion by NCIC)
75
Medication Required
80
Hemophiliac
85
Diabetic
90
Other
99
Scar, Marks, Tattoos
Artificial Body Parts and Aids
1
Caution and Medical Indicators
2
Deafness
3
Deformities
4
Drugs of Abuse
5
Eye Disorders
6
Fractured Bones
7
Medical Conditions And Diseases
9
Medical Devices And Body Implants
10
Missing Body Parts And Organs
11
Moles
12
Needle (Track) Marks
13
Other Physical Characteristics
14
Scars
15
Skin Discolorations
16
Tattoos
17
Removed Tattoos
18
Therapeutic Drugs
19
Criminal Compliant ID:
Hazardous Material Involved
Yes
1
No
0
Commercial Vehicle Indicator
Yes
1
No
0
School Vehicle Indicator
Yes
1
No
0
Manufacturer Make Code
AERO
Aircraft
ASVE
Assembled vehicle without a manufacturer VIN (not for
manufacturer-assembled replica or kit cars)
HOMD
Homemade motorcycle
HMDE
Homemade trailer
RCON
Reconstructed trailer or motor home
RECO
Reconstructed motorcycle
SNOW
Snowmobile
SPEC
Dune buggy, go-cart, golf cart, motorized wheelchair, or
motorized ride-on toy
Style Code
AM
Ambulance
CH
Coach
CV
Convertible
CP
Coupe
HT
Hardtop
2T
Hardtop 2-door1
4T
Hardtop 4-door1
HB
Hatchback/Fastback
HB
Hatchback/Fastback
2H
Hatchback 2 door
HB
Hatchback/Fastback
4H
Hatchback 4-door
HR
Hearse
LM
Limousine
RH
Retractable Hardtop
RD
Roadster
SD
Sedan
2D
Sedan 2-door
4D
Sedan 4-door
SW
Staion Wagon
TO
Touring Car
Manufacturer Model Code
BLM
Blimp
HEL
Helicopters and other Rotor Wing
HOT
Jet Propelled
JET
Reconstructed motorcycle
PRO
Propeller Driven
SAL
Sailplane (Glider)
ULT
Ultralights
Select Gender
SG
Male
M
Female
F
Select Ethnic Origin
SEO
Hispanic
H
Not Hispanic
N
Unknown
Unknown
U
Select Race Code
SRC
White
W
Black
B
American Indian or Alaskan Native
I
Asian or Pacific Islander
A
Unknown
U
Select Build
SB
Small (Thin)
S
Medium (Average)
M
Large (Stocky)
L
Unknown
U
Select MNU Code
SMC
AF
AIR FORCE SERIAL NUMBER
CG
NATIONAL GUARD SERIAL NUMBER
CI
CANADIAN SOCIAL INSURANCE NUMBER
MD
MARINERS DOCUMENT OR IDENTIFICATION NUMBER
MP
ROYAL CANADIAN MOUNTED PID OR FPS NUMBER
NS
NAVY SERIAL NUMBER
0A
CODE MANUAL
PI
PERSON IDENTIFICATION NUMBER
PP
PERSON IDENTIFICATION NUMBER
PI
PASSPORT NUMBER
PS
PORT SECURITY CARD NUMBER
SS
SELECTIVE SERVICE NUMBER
VA
VETERANS ADMINISTRATION CLAIM NUMBER
Select DNA Location
SDL
ALLEGHENY
Allegheny County
GREENSBURG
Greensburg Regional
PHILADELPHIA
Philadelphia City
Select Suitable Option
SSO
Yes
Y
No
N
Refused
R
39-3-03 Honorable Alloway
14
15-1-02 Honorable (Vacant) Anthony
15
28-3-03 Honorable (Vacant) Boyer
16
12-3-05 Honorable (Vacant) Bridges
17
05-2-40 Honorable (vacant) Bubash
18
19-2-01 Honorable (Vacant) Kessler
20
36-1-01 Honorable (Vacant) Knafelc
21
22-3-02 Honorable (Vacant) Lewis
22
14-1-01 Honorable (Vacant) Machesky
23
32-1-31 Honorable (Vacant) Mallon
24
05-3-09 Honorable (Vacant) Martin
25
10-2-02 Honorable (Vacant) McCutcheon
26
19-3-01 Honorable (Vacant) Meisenhelter
27
27-1-01 Honorable (Vacant) Spence
28
50-3-04 Honorable (Vacant) Streib
29
31-1-03 Honorable (Vacant) Varricchio
30
14-3-02 Honorable Randy S. Abraham
31
24-3-03 Honorable Paula M. Aigner
32
10-2-10 Honorable James E. Albert
33
05-0-04 Allegheny County Arraignment Court
34
06-3-02 Honorable Gerard J. Alonge
35
11-1-01 Honorable William Henry Amesbury
36
38
53-1-01 Honorable Melissa A. Amodie
39
<name>Select One...</name>
<value>1</value>
<name>3</name>
<value>3</value>
<name>4</name>
<value>4</value>
<name>10</name>
<value>10</value>
<name>16</name>
<value>16</value>
<name>18</name>
<value>18</value>
<name>19</name>
<value>19</value>
<name>22</name>
<value>22</value>
<name>23</name>
<value>23</value>
<name>24</name>
<value>24</value>
<name>25</name>
<value>25</value>
<name>30</name>
<value>30</value>
<name>31</name>
<value>31</value>
<name>32</name>
<value>32</value>
<name>34</name>
<value>34</value>
<name>35</name>
<value>35</value>
<name>40</name>
<value>40</value>
<name>42</name>
<value>42</value>
<name>47</name>
<value>47</value>
<name>61</name>
<value>61</value>
<name>62</name>
<value>62</value>
<name>63</name>
<value>63</value>
<name>65</name>
<value>65</value>
<name>70</name>
<value>70</value>
<name>72</name>
<value>72</value>
<name>73</name>
<value>73</value>
<name>75</name>
<value>75</value>
<name>77</name>
<value>77</value>
Select One...
1
Artificial Body Parts And Aids
Artificial Body Parts And Aids
Deafness
Deafness
Deformities
Deformities
Drugs Of Abuse
Drugs Of Abuse
Eye Disorders
Eye Disorders
Fractured Bones
Fractured Bones
Healed Fractured Bones
Healed Fractured Bones
Medical Condition And Diseases
Medical Condition And Diseases
Medical Devices And Body Implants
Medical Devices And Body Implants
Missing Body Parts And Organs
Missing Body Parts And Organs
Needle ("Track") Marks
Needle ("Track") Marks
Moles
Moles
Other Physical Characteristics
Other Physical Characteristics
Scars
Scars
Skin Discolorations (Including Birthmarks)
Skin Discolorations (Including Birthmarks)
Tattoos
Tattoos
Removed Tattoos
Removed Tattoos
Therapeutic Drugs
Therapeutic Drugs
Process will terminate once you click 'Complete'!
Operation failed.
Operation failed.
Operation failed.
Operation failed.
Operation failed.
Operation failed.
Operation failed.
Operation failed.
Hair Submission completed successfully.
Hair Submission error!
DEFENDANT IDENTIFICATION INFORMATION SECTION
Arrest Classification
Select an Arrest Classification
Default
ADULT CASE
AC
ACT 33 CASE
A33C
Arrestee First Name:
Arrestee Last Name:
Arrestee Middle Name:
Arrestee Suffix Name:
Arrestee Date of Birth:
Defendant Age:
Arrestee Place of Birth:
Additional Date of Birth:
Alias Last Name:
Alias Middle Name:
Alias Given Name:
Alias Suffix
Social security no.
Area number SSN field must be in the range 000-772
Group number SSN field must be two digits long in the range 00-99
Serial number SSN field must be two digits long in the range 0000-9999
Additional Social security no.
Area number SSN field must be in the range 000-772
Additional SSN Group No.
Group number SSN field must be two digits long in the range 00-99
Serial number SSN field must be two digits long in the range 0000-9999
Driver License Number:
Licensure State:
Select Licensure State
SLS
PA
PA
MI
MI
CA
CA
AZ
AZ
VA
VA
SD
SD
TN
TN
UT
VT
PA
PA
WA
WA
WV
WV
WI
WI
WY
WY
SC
SC
RI
RI
OR
OR
Driver License Expiration Date:
Height
Weight:
DNA Sample Collected?
DNA Location At:
FBI Number:
MNU Code:
Fingerprint Classification:
Eye Color Code:
Select Eye Color
SEC
Black
Black
Blue
Blue
Grey
Grey
Brown
Brown
Green
Green
Grey
Grey
Hazel
Hazel
Amber
Amber
Violet and Red
Violet and Red
Build:
Hair Color Code:
what happened to my submission!!
xforms:itemset data exists, changed value
Street Address 1:
Street Address 2:
PO Box:
City:
County:
State:
Zip:
Country:
Telephone No:
Race Code:
Ethnicity Code:
Gender Code:
State Identification Number:
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