Complainant being duly sworn states that                                                 , the defendant herein, at                                                                , Hamilton County, Ohio on or about                           , 19   ,

said actions constituting a violation of the special conditions of the appearance bond set by Judge                                          pursuant to Criminal Rule 46 (C)(5) and Local Rule 12.

Sworn to and subscribed before me by __________________________ on_____________, 19___.

WARRANT ON COMPLAINT

To ___________________________________________

A complaint, above, has been filed in this court charging a violation of the special conditions of the appearance bond set by Judge _________________  pursuant to Criminal Rule 46 (C)(5),

You are ordered to arrest ________________________ and bring him/her before this court without unnecessary delay.

Instructions to the Clerk: Upon the return of this warrant, this matter shall be scheduled at the next regularly scheduled arraignment docket pursuant to Local Rule 12. Please notify the Department of Pretrial Services - Electronic Monitoring Unit (946-6150).

This Warrant was executed on                                .

This Warrant was not executed because_________________________________

The defendant herein was physically arrested / issued a summons to appear on                          

The defendant did / did not receive a copy of the complaint.

APPENDIX A, LIST OF FORMS