proposition has been announced recently to help reduce the deficit
and to "Take A Bite Out Of Crime." If
you witness a crime, it is your civic duty to report the crime to
the police. When a crime is committed, you have the right to make a "Citizen's Arrest". Thus, if YOU commit a crime, it would be extremely helpful for you to perform a Citizen's
out the form, to complete your Citizen's Self-Arrest.
Fill out this form, answering all questions completely.
the following statement aloud:
"I am under arrest. I have a right to remain silent. Anything I say
can and will be used against me in a court of law. I have the right to
talk to a lawyer and have him/her present with me while I question
myself. If I cannot afford to hire a lawyer, one will be appointed to
represent me, if I wish one, before I question myself. If I decide to
make a statement, I may stop at any time."
understand each of these rights I have just read to myself?
rights in mind, do I wish to talk to myself now?
(If YES to both, use the space below for your full
or other statement you may wish to make.)
Memorize the following
Do not leave your house. If you are not home now, go home
Put any firearms or other potential weapons out of reach.
Remove your belt and shoelaces.
If others are present in your house, send them away. You may,
however, talk to yourself.
You are not to allow yourself any visitors.
Conjugal visits are not permitted.
Consumption of alcohol or use of any other non-prescription drugs
is not permitted.
Do not try to escape from your home.
If you do attempt an escape, use all reasonable force to stop
Report any escape attempts promptly, by phone, to the local
Do not disturb any evidence present in your home.
Remain in your home until the police arrive.
To ensure your Citizen's Self-Arrest is received, mail a copy of
this form to your local police department, in accordance with the
Print out this form.
Using a stamp-pad or ink-soaked sponge/tissue, provide a
preliminary set of fingerprints on the printed copy of the
If you have a recent passport-size photograph, enclose it with
this form. If you do not have a photo but do possess some artistic
skill, do a rough sketch of your appearance on a separate sheet of
paper. (Do NOT sketch yourself wearing dark glasses.
Do not add a beard or mustache if you do not normally
If you do not have a printer, type or carefully draw a
facsimile of this form on a blank piece of paper and fill in the
appropriate information. Submission of a neat and complete
form will be pointed out favorably to the DA's office.
for mail-arrests only)
Sign and date this form and mail it to your local police
You are authorized to make one
trip to a mailbox for this purpose.
The small patch below contains a remarkable
offshoot of military technology: An entire miniature Bible,
produced by laser microprinting. Place your left hand on the
spot and raise your right hand and say "I swear that all of the
information I have given on this form is true, so help me,
XXXXX <---- (Bible)
To make your self-arrest official, press this button: