AO 455 (Rev. 01/09) Waiver of an Indictment
UNITED STATES DISTRICT COURT
for the
__________ District of __________
United States of America )
v. ) Case No.
)
)
Defendant )
WAIVER OF AN INDICTMENT
I understand that I have been accused of one or more offenses punishable by imprisonment for more than one
year. I was advised in open court of my rights and the nature of the proposed charges against me.
After receiving this advice, I waive my right to prosecution by indictment and consent to prosecution by
information.
Date:
Defendant’s signature
Signature of defendant’s attorney
Printed name of defendant’s attorney
Judge’s signature
Judge’s printed name and title
