Grand Jury Attendance
a waiver of immunity
in exchange for being allowed to testify at the grand jury.
Foreman of Grand Jury
City, State Zip
With this letter, I request permission to appear before the Grand Jury and give testimony in my own behalf.
I would appreciate your advising me when I shall appear if this matter should be submitted to the Grand Jury.
Very truly yours,
State of ____
HEREBY WAIVE ALL IMMUNITY AND PRIVILEGES conferred upon me by the Constitutions of the United States of America and of the Commonwealth/State of _______________ and by all statutes whatsoever and/or which I would otherwise obtain, from indictment, prosecution, trial, punishment, penalty, and forfeiture, for, by reason of, on account of and in any wise relating directly or indirectly to any transaction, matter, or thing whatsoever done and performed, and concerning which I may testify and/or produce evidence, documentary or in any form or otherwise, before the Grand Jury of the County of ___________ in the action and proceeding, before any Judge, Justice, Court, Grand Jury, individual body and tribunal whatsoever, lawfully authorized to conduct and/or conducting any inquiry, investigation, proceeding, action, and trial, relating to, concerning, touching upon, and involving my own acts and the acts of others.
AND I DO HEREBY FURTHER CONSENT to
me, of the testimony and other evidence so adduced, upon and in any
inquiry, investigation, proceeding, action, trial, and prosecution
and wheresoever the same may and shall be begun and conducted, whether
within the County of _______ or elsewhere, and without regard to
or not the same can, shall, and/or may be deemed and considered to be
inquiry, investigation, proceeding, action, and prosecution independent
of and apart from that in which my foregoing waiver of immnunity is
executed, acknowledged, and filed.