Subpoena Request - Template

Date: [Insert Date]

Report Number: [Insert Incident Report Number]

Applicant's Name: [Insert Name]

Position/Title: [Insert Position or Title e.g Officer]

Agency: [Insert Law Enforcement Agency Name e.g LSPD/BSCO]

State ID: [Insert Address]

Phone NO: [Insert Phone Number]

SUBJECT INFORMATION

Full Name: [Insert Subject’s Full Name]

Date of Birth: [Insert Date of Birth]

Address: [Insert Address of the Subject]

[Insert Agency] requests the issuance of a subpoena for the following:

Any and all mobile devices registered to or in the possession of [subjects name], including but not limited to:

[Insert what you are looking to subpoena, phone records, bank records e.g]

JUSTIFICATION FOR REQUEST:

[Insert justification for the subpoena]

Officer Signature: Date:

Judge’s Signature (Upon Approval): Date: