PSP Data Sheet Information
Defendant Information: ______
First Middle Last Suffix (Jr, Sr,)
Defendant’s Alias: ______
Defendant’s Sex: Male / Female Home Phone: ______
Defendant’s Race: Caucasian / African American / Hispanic / Latino /
Asian American / Pacific Islander / Other ______
Defendant’s Date of Birth: ______Age: ______Month Day Year (20___)
Defendant’s Address (if known): ______
City/State/Zip______
Defendant’s State of Birth: ______
Defendant’s Skin Tone: Fair / Light / Medium / Dark / Other ______
Defendant’s Height (approx.): ______Defendant’s Weight (in pounds):______
Defendant’s Eye Color: ______Defendant’s Hair Color: ______
Defendant’s Scars, Marks, Tattoos: ______
Defendant’s Social Security Number:______
FBI Number: ______
Defendant’s Miscellaneous Number:______
Defendant Spends Time (Bars, Friends, etc.): ______
Defendant’s Operator’s License Number: ______
Defendant’s Operator’s License State: ______Operator’s License Year: ______
Defendant’s Vehicle Registration Number: ______
Defendant’s Vehicle Registration State: ______
Defendant’s Vehicle Registration Year: ______
Defendant’s Vehicle Registration Type: ______
Defendant’s Vehicle Identification Number: ______
Defendant’s Vehicle Year: ______
Vehicle Model: ______
Defendant’s Vehicle Style: ______
First Color of Vehicle: ______
Second Color of Vehicle: ______
Miscellaneous Information (vehicle): ______
______
Defendant’s Place of Employment:______
Employer’s Address: ______City / State / Zip Code
Employer’s Telephone Number:______Shift worked______
Does Defendant have access to any weapons? Yes / No
Is this an eviction? Yes / No Hearing Date: ______
Plaintiff Information:
______
First Middle Last Suffix (Jr, Sr, etc.)
Sex: Male / Female Race: Caucasian / African American / Hispanic / Latino /
Asian American / Pacific Islander / Other ______
Date of Birth: _____/_____/______
Plaintiff Telephone Number:______
____ Address is confidential
Address is: ______
City /State /Zip Code
Attorney Name: ______Phone No.: ______
Other Protected Person(s):
1. ______
First Middle Last Suffix (Jr, Sr, etc.)
Sex: Male / Female Race: Caucasian / African American / Hispanic / Latino /
Asian American / Pacific Islander / Other ______
Date of Birth: _____/______/______
Telephone Number:______
______Same Address of Person Above
Address: ______
City / State / Zip Code
2. ______
First Middle Last Suffix (Jr, Sr, etc.)
Sex: Male / Female Race: Caucasian / African American / Hispanic / Latino /
Asian American / Pacific Islander / Other ______
Date of Birth: _____/______/______
Telephone Number:______
____Address is same as the Person above.
Address: ______
City / State / Zip Code