AO 110

Subpoena to Testify Before Grand Jury

Agency
U.S. Courts
Revision
Rev. 06/09
Fillable fields
26
Pages
2
Official source
U.S. Courts form page
Checked
October 20, 2026
Fill AO 110 online
Page 1 of form AO 110

AO 110: Subpoena to Testify Before Grand Jury

AO 110, Subpoena to Testify Before Grand Jury, is a United States District Court form from the U.S. Courts. The U.S. Courts page lists it under Subpoena Forms, effective on June 1, 2009, and the PDF prints the edition AO 110 (Rev. 06/09).

It is a subpoena the court issues, signed by the Clerk or Deputy Clerk, at the request of the United States attorney or assistant United States attorney whose name, address, e-mail and telephone number appear on page 1. It commands the person named to appear at a place, date and time to testify before the court's grand jury, and may list documents, electronically stored information or objects to bring. Page 2 is the Proof of Service, completed by the person who serves it. It is not a form a member of the public files.

This page explains the form in plain words and is not legal advice. You can fill it out free in your browser on this page and download the result without an account.

Top of page 1 of AO 110: Subpoena to Testify Before Grand Jury, as printed by COURTS

What's on AO 110

Caption and To line

The United States District Court and district, the title Subpoena to Testify Before a Grand Jury, and the name of the person the subpoena is addressed to.

Command to appear

The command to appear in the United States district court at the time, date and place shown to testify before the court's grand jury. The form says that on arrival the person remains at the court until the judge or a court officer allows them to leave.

Place, date and time

Boxes for the place and the date and time of the appearance.

Items to bring

Space for documents, electronically stored information or objects to bring, left blank if not applicable.

Clerk and requesting attorney

The date, the Clerk or Deputy Clerk's signature, and the contact details of the United States attorney or assistant United States attorney who requests the subpoena.

Page 2: Proof of Service

Who the subpoena was for and the date received, whether it was served by delivering a copy to the named person or returned unexecuted and why, the server's declaration and signature, and space for additional information about attempted service.

How AO 110 is filled out

  1. 1

    Caption and person named

    The district is entered at the top and the name of the person the subpoena is addressed to goes on the To line.

  2. 2

    Place, date and time

    The place and the date and time of the grand jury appearance are filled in.

  3. 3

    Items to bring, if any

    Any documents, electronically stored information or objects to bring are listed. The form says to leave the space blank if not applicable.

  4. 4

    Clerk signs, attorney listed

    The Clerk or Deputy Clerk dates and signs, and the requesting United States attorney or assistant United States attorney's name, address, e-mail and telephone number are entered.

  5. 5

    Server completes the Proof of Service

    The server fills in who the subpoena was for and when it was received, checks served or returned unexecuted with the details, and signs the declaration under penalty of perjury with a printed name, title and address.

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Court, service and formats

Court

The subpoena is captioned for a United States District Court, with the district named at the top, and the appearance is before that court's grand jury.

Service

Page 2 records service by delivering a copy to the named person, or that the subpoena was returned unexecuted and why. The server declares under penalty of perjury that the information is true.

Fees

The form does not print a fee.

Formats

The U.S. Courts page offers AO 110 as a PDF (271.04 KB). The PDF has Print, Save As, Add Attachment and Reset buttons.

Who uses AO 110?

  • Clerk of court

    Page 1 has the date and the CLERK OF COURT block with the Signature of Clerk or Deputy Clerk.

  • United States attorneys

    Page 1 lists the name, address, e-mail and telephone number of the United States attorney, or assistant United States attorney, who requests the subpoena.

  • The person named

    The subpoena is addressed to the person on the To line, who the form commands to appear and testify before the court's grand jury.

  • The server

    Page 2 is completed by the person who received the subpoena for service, who signs under penalty of perjury with a printed name and title and an address.

The form names who signs it, who requests it, who receives it and who serves it.

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Questions about Form AO 110

Who issues AO 110?

The form is signed by the Clerk or Deputy Clerk under CLERK OF COURT, and page 1 lists the United States attorney or assistant United States attorney who requests the subpoena. It is not a form a member of the public files.

What does AO 110 ask the person named to do?

The form commands the person named to appear in the United States district court at the time, date and place shown to testify before the court's grand jury, and says that on arrival they remain at the court until the judge or a court officer allows them to leave.

Does AO 110 ask for documents?

It can. Page 1 has a space for documents, electronically stored information or objects to bring, and the form says the space is blank if not applicable.

Who can be contacted about the subpoena?

Page 1 lists the name, address, e-mail and telephone number of the United States attorney, or assistant United States attorney, who requests the subpoena.

What is the Proof of Service on page 2?

It is where the person who received the subpoena for service records whether it was delivered to the named person or returned unexecuted, and signs a declaration under penalty of perjury that the information is true.

Is this page legal advice?

No. This page explains the form in plain words and is not legal advice. The page does not say what a person named in a subpoena should do.