SECTION: 1002 MIRANDA RIGHTS

SECTION: 1002

TITLE: MIRANDA RIGHTS

EFFECTIVE DATE: February 15, 2019

MIRANDA RIGHTS

NAME: _____________________________ DOB___________________ OLN:___________________

ADDRESS: _______________________________CITY/STATE/ZIP___________________________

AGE: ______HIGHEST GRADE COMPLETED:__________ TELEPHONE:_____________________

We want to question you about: ________________________________________________________________________________________________________________________________________________________________________

Before we ask you any questions, we want you to understand your rights:

You have the right to remain silent.
Anything you say can and will be used against you in a court of law.
You have the right to seek legal advice before answering of any questions and you may also have an attorney present during any questioning.
If you desire to have an attorney, but cannot afford one, one will be appointed before any questioning if you wish.
If you desire to answer questions without an attorney present, you have the right to stop answering questions at any time until you speak to an attorney.

DATE:_______________________ START TIME: ______________ END TIME: _______________

PLACE:___________________________________________________________________________

DO YOU UNDERSTAND YOUR RIGHTS? YES ____ NO ____

ARE YOU WILLING TO ANSWER QUESTIONS NOW WITHOUT AN ATTORNEY PRESENT?

YES______ NO _______

HAVE ANY THREATS OR PROMISES BEEN MADEE TO YOU OR HAS ANY PRESSURE OF ANY KIND BEN USED TO GET YOU TO ANSWER QUESTIONS OR TO GIVE UP ANY OF YOUR RIGHTS? YES _______ NO_______

INTERVIEWEE: _____________________________ SIGNATURE:___________________________

INVESTIGATOR: ____________________________ SIGNATURE: ___________________________

WITNESS PRESENT:__________________________ SIGNATURE:___________________________