FORM
UNITED STATES DISTRICT COURT
FOR THE EASTERN DISTRICT OF PENNSYLVANIA
UNITED STATES OF AMERICA Criminal No. ______________
vs.
_____________________________
I, _____________________________(Defendant), have consulted with my counsel
concerning my right under the Speedy Trial Act and my right to a speedy trial under the Sixth
Amendment to the U.S. Constitution. I do not oppose a continuance of my trial, now scheduled
for _____________________, 20___ and the Hearing on Motions Scheduled for
_____________________, 20___, and agree that the ends of justice served by a continuance
outweigh the best interest of the public and myself in a speedy trial. I understand that the time
between the filing of a Motion to continue and the new trial date to be set by the Court will be
excluded for purposes of computing the time within which my trial must commence under the
Speedy Trial Act, and I also agree that this delay will not deprive me of my speedy trial rights
under the Sixth Amendment. I understand that if I do not wish to sign this document, the Court
will hold a hearing at which I will be present.
______________________________ ____________________________
Witness Signature Defendant Signature
____________________________
Date