Commonwealth of Pennsylvania Court of Common Pleas County of Adams 51st Judicial District
Adams County Courthouse
117 Baltimore Street
Gettysburg, PA 17325
PH: 717-337-9846
Waiver of Jury Trial
Commonwealth of Pennsylvania v. ___
DefendantName1
CP-01-CR-_____-20___
Year
Docket Number
Docket No:
I, ___, the defendant, hereby waive my right to a jury trial and elect to have a judge try the case without a jury.
Defendant Name
___
Signature of Defendant ___
___ Date ___
Signature of Attorney for the Defendant
Data I was
Date
Date
Date
Date
I, Adams County District Attorney's Office, the attorney for the Commonwealth, hereby waive the Commonwealth's right to a jury trial and elect to have a judge try the case without a jury.
___
Date
Signature of Attorney for the Commonwealth Date
The Court, having ascertained on the record that the defendant, knowingly and intelligently waives the right to a jury trial, he reby APPROVE / DISAPPROVE this waiver.
Defendant Name
DISAPPROVE this waiver.
compt
Judge
___
Data
Date
Date