Sample Crime/Incident Report

Crime/Incident Report

Related Reports Addn’l Property Addn’l Offenses Page Case Number C Y N Y N Listed in Narr. R Y N A Of I Code Section and Description (one incident only) Month Day Year Day of Week Time M HC OV OAK E Location of Incident (or address) City Seat District

V SP W-type Victim’s Name (Last, First, Middle/or organization) Residence Address City State Zip V W DC I RP C Residence Phone See race code Race Sex Date of Birth ID type ID Number Interpreter Relation to T legend on top of required? victim/suspect I back page Y N M Status Employer (rank if military) Business or military address City State Zip Days off Work hrs.

/ Business Phone Additional Information (Victim vehicle info, if applicable)

W I V SP W-type Victim’s Name (Last, First, Middle/or organization) Residence Address City State Zip

T W DC N RP E Residence Phone See race code Race Sex Date of Birth ID type ID Number Interpreter Relation to S legend on top of required? victim/suspect S back page Y N Status Employer (rank if military) Business or military address City State Zip Days off Work hrs.

Business Phone Additional Information (Victim vehicle info, if applicable)

Total # of witnesses at Witness type: Arresting officer Other lay witness Narc chemist Status: Employed Student crime Other expert Investigator Other police Unemployed Non-salaried Worker Place of attack: Business Vehicle Street/Alley Lot/Park/Yard Vessels Other Description of Surrounding area: Residential Business Industrial/Mftg. Recreational Institutional Open Space School Marine/Water Other Force Tool Weapon Specify: How Used:

M Force Tool Weapon Specify: How Used: O

Type of Structure N/A Point of Entry Security Used Suspect Actions I N N/A NA F Non-residential Residential Unknown Alarm Unknown hideout Took only O ATE/Drank technique TV/ Stereo / R Front Bars/Grate Bank/S&L/CU Apt/Condo on premises Inflected Camera M Garage Dog injury Took A Business office Duplex/ Blindfold Rear Exit lights property from T Commercial vehicle Townhouse victim Offered Back Guard assistance person I Convenience Hotel/Motel Bound victim Ground Level Int. Lights Offered Took O Dept Houseboat Cased area N Upper Level Locked doors drugs property from Drug/Medical Single Detach Child molest vehicle Door Locked Offered Entertainment/ Trailor Child neglect Duct/Vent windows gambling Took vech. Recreation ______Conceled PTS access Roof/Floor Neighbor/watch Offered sex Fast Food goods Took victim’s Target(s) Truck/Hood Operation ID Other sex Finance company Defeated vehicle Photo/Camera acts Wall secruity Used Gas/Serv. Station Picked Attic Window Security fence Defecated demand note Hotel/Motel pocket Basement ______Weapon Demanded Used left Jewelry/ Coin / Pawn Prepared Bedroom ______cash hand Liquor Exit Den Type Lock Attacked Demanded Used lockout MFG/Construction Purse snatch Entire house jewelry Used Pushed/ Public bldg NA Disabled matches Family room Shoved victim Restaurant/Bar Alarm operated phone Used phone Garage Put cash in Retail goods Deadbolt Fired Kitchen bad or purse Used right School Padlock weapon hand Living room Raped Services Spring latch Followed/ Used stolen Person Shoplifted Supermarket Slide latch/chain stalked vehicle Storage area Smoked on Wholsale Vehicle lock Forced entry Used threats ______premises Forced Used victim’s ______Window latch Tampered victim to lay on tool ______floor with vehicle Target(S) Vandalized Forced Made threats Vehicle victim to move Took Cash register drawer needed to animals Display items Fraud/ False remove property pretense Took cash Other Office from register Gang related ______Person personally Hide/ Safebox Took only concealed on Pretended to jewelry Storage area face/ wore mask be: ______Took only ______money Took only tools Item Stolen Identification Brand/Make or Model Name and Miscellaneous Description Value P No. Article Name Received Numbers Manufacturer Model Number R 1 O P 2 E R 3 T Y 4

A Victim injured Y N D Reporting officer ID # Division Approved by ID # Detective(s) assigned ID # Division M I Date and time of report Case station Agency Crime type N Mo. Day Year Time Race code legend: A – Other Asian B – Black C – Chinese D – Cambodian F – Filipino G – Guamanian H – Hispanic I – Indian Case # J – Japanese K – Korean L – Laotian O – Other P – Pacific Islander S - Samoan U - Hawaiian V – Vietnamese W – White Z – Asian Indian Arrested Suspect #1 (Last, First, Race Sex Age DOB Height Weight Build Hair Eye Y N Middle, Nickname/AKA color color

Suspect’s address City State Zip Phone ID type ID Number

Additional information/Further suspect description (i.e., glasses, tattoos, teeth, birthmarks, jewelry, scars, etc. S U Suspect’s clothing S P Arrested Suspect #2 (Last, First, Race Sex Age DOB Height Weight Build Hair Eye E Y N Middle, Nickname/AKA color color C T Suspect’s address City State Zip Phone ID type ID Number S Additional information/Further suspect description (i.e., glasses, tattoos, teeth, birthmarks, jewelry, scars, etc.

Suspect’s clothing

Hair Hair Style Facial Hair Complexion General Demeanor Speech Voice Length/Type Appearance 1 Suspect 2 1 Suspect 2 1 Suspect 2 1 Suspect 2 1 Suspect 2 1 Suspect 2 1 Suspect 2 1 Suspect 2 Unknown Unknown Unknown unknown Unknown unknown Unknown Unknown Bald Afro/nat. Causal Angry Accent Disguised Braided Clean shave Acne Dirty Apologetic Lisp High Pitch Collar Bushy Dark Disguse Mumbles Loud Full beard Flashy Calm Offensive Low pitch Long Greasy Freckled Quiet Medium Fu Manchu Disorganized Neck Military good-looking Rapid Monotone Light Ponytail Slow Nasal Short Goatee Irrational Processed Military Stutters Pleasant Medium Shoulder Straight Unkempt Lower lip Nervous Raspy Unusual odor Talkative Soft Coarse Mustache Pale Polite Wavy/curly Fine None/ fuzz Pocked Professional Wig Well groomed Other Other Sideburns Rudy Thick Stupor Thinning Other Unshaven Tanned Other Other Van Dyke Other Other

Suspect Year Make Model Color/Color Type License No. Lic. State Vehicle Additional vehicle identifiers (damage, chrome wheels, etc.) Vehicle Impound Towing Company Y N E Evidence obtained: None Fingerprints Other prints Weapon/Tools Vehicle Photos Hair Stains Blood/Semen V Other I Disposition of evidence: Tag Nos. Addn’l persons Witness check D listed Y N Y N N Headings; Crime description; Victim(s) statement; Officer’s statement/investigation; Evidence disposition; Witness statement/Witness checks; A Injuries/Property damage R R A T I V E Officer assault: Activity when assault occurred One-officer vehicle 415 Susp CIR/person 5150 Two-officer vehicle 489 Transporting All other Detective or special assignment 211 Traffic stop Alone Other arrest Pursuit Assisted Civil disorder Ambush Number officers with personal injury Number officers without personal injury A Arson type: Single residential Other residential Storage Industrial/manufacturing Other commercial Community/Public R All other structures Motor vehicles Other mobile property Crops, timber, fences, signs, etc. S Description: Content loss $: Structural loss $: O Abandoned Y N Continued N