Arraignment Date scheduled by the MDJ _____________
YORK COUNTY WAIVER OF ARRAIGNMENT
Revised 6/30/2020
COMMONWEALTH OF PENNSYLVANIA
VS
_____________________________________________ OTN: _________________________
Defendant’s Name as Docketed
______________________________________________________________ Charges: ______________________________________________
Defendant’s Alias, if any
_______________________________________________________________
______________________________________________________________
___________________ ____________________ _____________ Inmate Number _________________
City State Zip
____________ ________ _____ ______ ______ ______
Phone Number DOB Race Sex Ethnicity Height Weight Hair Eyes
RACE: B-Black, A-Asian, I-Native American/Pacific Islander, W-White, U-Unknown ETHNICITY: H-Hispanic, N-Not Hispanic
Has the defendant served in the military? Y/ N
Active / Discharged / Reservist/Natnl Guard / Retired Branch? ________________
Does the defendant need an interpreter? Y / N Language _______________________________
Judge Assigned ______________________ Docket: CP-67-CR-_______________________
Defendant’s permanent mailing address
Is the Defendant incarcerated? Y / N where?__________________
I am represented by an attorney who is in concurrence with this waiver. I have been advised and understand that I
have been charged with the offenses listed above.
Please select ONE
I hereby enter a plea of NOT GUILTY to these charges and waive my right to formal arraignment by a Judge of
the Court of Common Pleas of York County
I waive my right to formal arraignment by a Judge of the Court of Common Pleas of York County and would like
to request a plea date
I have been advised and understand that I or my attorney have the following rights:
To request a Bill of Particulars within the next 7 days
To request Discovery from the District Attorney within the next 14 days
To file an Omnibus Pre-trial Motion within the next 30 days
To apply to the ARD program within the next 30 days
To file a motion requesting transfer to Juvenile proceeding
Entry of Appearance has previously been filed by:
_____________________________________ ________ ___________________________________________ ________
Attorney’s Signature Date Defendant’s Signature Date
*Pro-Se Defendant Cannot File without Counsel
______________________________________________
Attorney’s Printed Name
______________________ _________________________________________
Supreme Court ID Defendant’s email address
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