MODELO FICHA DE ENTREVISTA CRIMINAL

FICHA DE ENTREVISTA CRIMINAL

Data ____/____/_______ Pasta nº __________ Responsável Dr.(a) _____________________

I- CLIENTE

Nome _______________________________________________________________________

Nome da Mãe ________________________________________________________________

Nome do Pai _________________________________________________________________

Endereço ____________________________________________ Bairro __________________

Cidade __________________________ CEP ____________________ Fone ______________

Local de trabalho ______________________________________________________________

Nacionalidade _________________ Estado Civil ______________ Profissão ______________

Nascimento ______________ RG ____________________ CPF ________________________

II – VITIMA / IDADE ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

III – FATO OCORRIDO ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

IV – REINCIDÊNCIA: ( ) SIM ( ) NÃO

QUAL DELITO? ______________________________________________________________

V - DATAS

1º Data do ocorrido ____/____/____ 2º Data da prisão ____/____/____

3º Data da citação ____/____/____ 4º Data do Denuncia ____/____/____

VI - LOCAL DO FATO

Endereço ____________________________ Cidade ________________ CEP ____________

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VII - OUTRAS INFORMAÇÕES DE IMPORTÂNCIA

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Reconheço como corretas as informações prestadas neste formulário.

São Paulo, 5 de dezembro de 2017

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Assinatura do Cliente

VIII – FASE PROCESSUAL

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IX – TIPO DE AÇÃO PENAL

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X – CRIME

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XI – PENA

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XII – COMPETÊNCIA / LOCAL DO FATO

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XIII – PEÇA

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XIV – RITO

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XV – SURSI – PENAL OU

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