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The form number AO 191, the edition (Rev. 01/09) and the title Report of a Grand Jury's Failure to Concur in an Indictment.
AO 191
Report of a Grand Jury's Failure to Concur in an Indictment
AO 191, Report of a Grand Jury's Failure to Concur in an Indictment, is a one-page U.S. Courts form for a criminal case in a United States District Court. The U.S. Courts page lists it under Law Enforcement, Grand Jury, and Prosecution Forms, effective on January 1, 2009, and the PDF prints the edition (Rev. 01/09).
The form names the foreperson of the grand jury as the person who reports and signs it. It has no part for the defendant or the public. The foreperson fills in where and when the grand jury session was held, and the printed report reads that 12 or more grand jurors did not concur in finding an indictment in this case. The form says that under Fed. R. Crim. P. 6(c), this record is being filed with the court clerk and will not be made public unless the court orders otherwise.
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.

The form number AO 191, the edition (Rev. 01/09) and the title Report of a Grand Jury's Failure to Concur in an Indictment.
United States District Court for the district named and United States of America v. the defendant. The PDF prints no Case No. line.
Blanks for where and on what date the session of the grand jury of this court was held.
A printed statement that 12 or more grand jurors did not concur in finding an indictment in this case. There is no blank for an exact count.
A printed line that under Fed. R. Crim. P. 6(c), the record is being filed with the court clerk and will not be made public unless the court orders otherwise.
A date line and a line headed Foreperson's signature.
Enter the district on the line that reads ___ District of ___.
Enter the defendant's name below United States of America v.
Fill in where and on what date the session of the grand jury was held.
The form already prints that 12 or more grand jurors did not concur in finding an indictment. It has no blank for a different number.
The foreperson dates the form and signs on the Foreperson's signature line.
You get the real form, filled in a browser tab, with nothing standing between you and the finished PDF.
The form says that under Fed. R. Crim. P. 6(c), this record is being filed with the court clerk.
The form says the record will not be made public unless the court orders otherwise.
The form does not print a fee.
The PDF prints Rev. 01/09. The U.S. Courts page lists the form under Law Enforcement, Grand Jury, and Prosecution Forms, effective on January 1, 2009.
The report is written in the foreperson's words, "As the foreperson of the grand jury of this court... I report", and the foreperson dates and signs it.
The form says that under Fed. R. Crim. P. 6(c), the record is being filed with the court clerk.
The form says the record will not be made public unless the court orders otherwise.
The caption reads United States of America v. the defendant. The defendant is named there, but the form has no part for the defendant to fill in.
The form names these people and offices.
The agency’s own page for Form AO 191.
The official blank form, to print or fill by hand.
No tool matches that search.
The foreperson of the grand jury. The form has one signature line, headed Foreperson's signature, and a date line.
The form says that under Fed. R. Crim. P. 6(c), this record is being filed with the court clerk and will not be made public unless the court orders otherwise.
No. The defendant is named in the caption, but the form has no part for the defendant. The report is made by the grand jury foreperson.
It prints that 12 or more grand jurors did not concur in finding an indictment in this case. It has no blank for an exact count.
The PDF caption names the district and United States of America v. the defendant, but prints no Case No. line.
The U.S. Courts forms list has AO 190, Record of the Number of Grand Jurors Concurring in an Indictment, a separate form that the foreperson also signs.
No. This page explains the form in plain words and is not legal advice.