COMPLETETHEATTACHEDFORMUSEASEPERATEFORMFOREACHCASEALONGWITHACOPYOFTHEFOLLOWING
ITEMS:STATEMENTOFCHARGES
DEFENDANTTRIALSUMMARYDOCUMENTSSUPPORTINGYOURCLAIMDONOTSENDORIGINALS
THEYWILLNOTBERETURNED
INSTRUCTIONS
- ThisformisforseizureofmoneyinconnectionwithCDSorGambling.
- Allotherseizurescontacttheseizing/arrestingPoliceOfficer.
- InformationthatdoesnotapplytoyouorthatyoudonotknowleaveitblankormarkitN/A.
- Mostoftheinformationcanbefoundonyourchargepapers.Ifyoudonothaveacopyofyourchargespapersyoumayobtainacopyfromthecourtinwhichyourcasewasheard.
EMAILCOMPLETEDFORMTO
RMAILFORMTOBALTIMOREPOLICEDEPARTMENT
LEGALAFFAIRSDIVISION–FORFEITUREUNIT242W.29THSTREET
BALTIMORE,MARYLAND21211
(HAND-DELIVEREDFORMSWILLNOTBEACCEPTED)
BALTIMORE CITY POLICE DEPARTMENT OFFICE OFLEGAL AFFAIRS
ForfeitureInformationSheet
READTHEINSTRUCTIONSBEFOREYOUBEGINPLEASEPRINT
DateSubmitted: ______
Name:DateofBirth:
Current Address (including zip):
______
E-mail Address: ______
TelephoneNumber: _
Police Report/Complaint Number(CC#): ______
Property Number: ______
Date of Seizure/Arrest: ______
Amount of Money Seized: ______
Name(s) of Other Person(s) Arrested: ______
______
Criminal Charges Filed:______
Criminal Case Number: ______
Trial Date: ______
Outcome: ______
Additional Information: ______
______
Please allow up to 90 days for review.
Monies seized within 30 days prior to this request may require additional time.
Form may be returned by e-mail or mailed to Office of Legal Affairs, Forfeiture Unit, 242 W. 29th Street, Baltimore, MD 21211
Office of Legal Affairs Use Only:
Date Received: ______
Date Resolved: ______
Outcome: ______
Attached Documents:
___ Police Report
___ Statement of Charges
___ Maryland Judiciary Case Search printout or other Court Disposition documents
Revised 11/2017