(June 2015) CRIMINAL SAMPLE VERDICT SHEETS Disclaimer: The Supreme Court Committee on Model Criminal Jury Charges has created sample verdict sheets. It should be noted that these verdict sheets are samples only. The court and parties should review and adapt the verdict sheet to the facts of their case. VERDICT SHEET WORD VERSION Aggravated Assault on Law Enforcement Officer word copy Aggravated Assault-Serious Bodily Injury and Lesser Offenses word copy Aggravated Assault- Serious Bodily Injury and Lesser Offenses With Separate Attempt Questions Aggravated Assault Significant Bodily Injury and Lesser Offense word copy Aggravated Assault Significant Bodily Injury and Lesser Offense With Separate Attempt Questions Aggravated Sexual Assault and Sexual Assault word copy Assault By Auto or Vessel word copy Bath Salts word copy Burglary/Criminal Trespass word copy Conspiracy to Commit Aggravated Assault word copy Criminal Restraint/False Imprisonment word copy Eluding/Resisting Arrest word copy Endangering Welfare of a Child word copy Hindering One’s Own Apprehension or Prosecution word copy Kidnapping/Criminal Restraint/False Imprisonment word copy Kidnapping of a Child Under 16 word copy Murder/Affirmative Defense - Duress word copy Murder/Insanity word copy Murder (Own Conduct), Passion/Provocation and Aggravated/Reckless Manslaughter word copy Possession of CDS – Cocaine/Distribute word copy Possession of CDS – Heroin/Distribute/School Zone word copy Possession of CDS – Marijuana/Distribute word copy Resisting Arrest word copy Robbery/Theft word copy word copy word copy CRIMINAL MODEL CHARGES FILES VERDICT SHEET WORD VERSION Sexual Assault/Criminal Sexual Contact word copy Terroristic Threats/Harassment word copy Unlawful Use of Body Vest word copy Page 2 of 2