FORM 1. (RULE 3, N.D.R.Crim.P.)

[Name of complainant], being first duly sworn, charges:

That on or about the _______ day of _______, 19__, in [place] [City] [County] the above-named Defendant committed the offense of: [name the offense] in violation of Section _______ [N.D.C.C.] [Ordinances of the City of _______], by then and there [Insert statement of evidentiary facts constituting the offense based upon personal knowledge of complainant.] Against the peace and dignity of the [State of North Dakota] [City of _______].

THEREFORE, COMPLAINANT asks that the Defendant be arrested and dealt with according to law.

__________________________________
Complainant

Subscribed and sworn to before me this _______ day of _______, 19__.

____________________________________

Officer authorized to admister oath

Penalty Section_______________________

Complaint Approved,

______________________________________
Prosecuting Attorney

*City of _______.

COMPLAINT
Criminal No. _________

_______________________________
Magistrate