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In many (but not all) U.S. jurisdictions which still retain the grand jury system, prosecutors often have a choice between seeking an indictment from a grand jury, or filing a charging document directly with the court. Such a document is usually called an information, accusation, or complaint, to distinguish it from a grand jury indictment.

To protect the suspect's due process rights in felony cases (where the suspect's liberty is at stake), there is usually a preliminary hearing where a judge determines if there is probable cause that the charged crime was committed by the suspect in custody. If the judge finds such probable cause, he or she will bind or hold over the suspect for trial.

As far as what alternatives are available to a Grand Jury when they are being presented a case -- if they believe probable cause exists to continue with the prosecution they can return a "True Bill "of indictment. If they do not believe that probable cause exists, they can return a decision of "No true bill."

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