REQUEST FOR INVESTIGATION
Number:
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Date Req. Received:_______________ Date Req. Presented to MCGJ:
Req. Assigned to:
Advice to MCGJ from

Requestor

Date Req. Assigned:
Investigation proper? Yes

No

information:

Name of Requesting Agent and Agency:
Mailing Address:________________________ City/State/Zip:
Telephone(s): Voice

The Multicounty Grand Jury has statutory authority to investigate the crimes listed at 22 O.S. 2001, § 353, as amended
effective November 1, 2003, and Constitutional authority to investigate criminal activities affecting more than one county, Article 2, § 18,
Oklahoma Constitution. Include information below in your description of the matter to be investigated showing the grand jury’s authority
to investigate pursuant to your request.

Description ofA liegations/Offense(s) to be Investigated (attach existing investigation reports and/or pages as
necessary):

Have criminal charges been filed?
Yes
No
Do you anticipate seeking a Grand Jury Indictment in this matter?
Yes
No
I understand and agree that the lawful cost of any transcript(s) or record(s) obtained pursuant to this Request/or Investigution will be borne by the
agency of the undersigned requesting commissioned law enforcement officer.

Requesting Law Enforcement Officer

 SUBPOENA REQUEST FORM
SUBPOENA NUMBER__________
MCGJ Investigation Number (if assigned): MCGJ
Requesting Officer/Agency:
Address: City/State/Zip:

I understand that by making this Subpoena Request that all information obtained by my agency in compliance with this subpoena
may only be used for the enforcement of the criminal laws of this State, and any public disclosure of such information for any other purpose
may be punished as a contempt of court, 22 0.S. 2001, § 355. I further understand that if tangible evidence is delivered to me by the witness
in lieu of the witness appearing and giving the evidence to the Multicounty Grand Jury, I will be responsible for reporting to the grand jury
about the production of the evidence either by personal testimony or by supplying a verified Report on Evidence Obtained by Subpoena form
to the Attorney General.

INFORMATION FOR ISSUANCE OF SUBPOENA
Name:
(Name of perstin to

be subpoenaed together with entTh’ represented if relevant)

Address: City/State/Zip:
Telephone: Voice Fax:
Type of Subpoena to issue: Witness to give testimony
Witness to provide business records
Witness to provide other object(s)
Time period to request for business records: From:
Description of records or objects to be produced:

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Sub. Req. Received:
Sub. Appear. Date:

To be served by: Requesting Agency
Another Agency
Cert. R.R. Mail
fax

Date Subpoena Referred for Service:
Date of Subpoena Return:
Date for Report to MCGJ by Requesting Officer:

 REPORT ON EVIDENCE OBTAINED BY SUBPOENA

Investigation Number:
In re: MCGJ Subpoena Number:

TO THE MULTICOUNTY GRAND JURY OF OKLAHOMA, GREETINGS:
The undersigned, after being first sworn on my oath to tell the whole truth, deposes and states
as follows:
Name and agency of person reporting:
Name(s) of person(s) under investigation:
Offense(s) under investigation:
Description of things sought by this subpoena:
Description of things obtained by this subpoena including the number of separate items:
What did you learn from the things you obtained (how is the evidence useful to the investigation)?:
Attach additional pages as necessary to fully answer the question.)

Do you anticipate requesting other MCGJ Subpoenas be issued?
Yes
No
Signature:
Printed Name:

State of Oklahoma
County of Oklahoma

)
)

ss.

Subscribed and sworn to before me this
My Commission No.
Expires:

day of

Notary Public

,

20