( RCr 7.04 )

(Caption)

To All Peace Officers in the Commonwealth of Kentucky:

You are hereby commanded to arrest _______________ (Name) and bring him before ____________________________ (Name of court or magistrate) for the reason that he failed to appear after having been served with subpoena to appear to testify in the above entitled proceeding on the day of ______, 19__.

You are further commanded to detain him in your custody until he is discharged by the court.

Issued at ______, ______ County, Kentucky, this ______ day of ______, 19______.

________________________

Judge, ______ Court

______ County