late 14c., accusacioun, "charge of wrongdoing," from Old French acusacion "charge, indictment" (Modern French accusation) or directly from Latin accusationem (nominative accusatio) "formal complaint, indictment," noun of action from past-participle stem of accusare "call to account, make complaint against," from ad causa, from ad "with regard to" (see ad-) + causa "a cause; a lawsuit" (see cause (n.)). The meaning "that which is charged (against someone)" is from early 15c.