Other Contact

Client D.O.B Address Post Code Telephone Other Contact Duty/Own Email NI Number DSCC Ref Police Station Date of Attendance Fee Earner FROM TO Arrive 1 Depart 1 Arrive 2 Depart 2 Arrive 3 Depart 3 Attendance Waiting Travel Mileage/Fares Custody Record Seen ID Procedure Fingerprints Taken Photographs DNA Taken Other Sample

Custody Number Sergeant Offence(s) OIC Dealing Time of Arrest Arrival Source of Instructions Condition on Arrival Description on Arrival Dr Required

APPROPRIATE ADULT YES/NO JUVENILE / MENTAL HEALTH Name Relationship Address

Telephone number Have Police Made Contact? Adult Present? INTERPRETER YES/NO Name Telephone Number Company INFORMATION FROM THE POLICE PERSONS PRESENT TAPED DISCLOSURE? WRITTEN DISCLOSURE?

Has anyone else been arrested / is anyone else being sought? Name? Solicitor? Alleged Role? Do they implicate client?

PROSECUTION WITNESS/OPPONENT

Has client kept silent/made statement Was access to client delayed? Reason/Extent of Delay Representations made

Any previous interview? If yes details

Has there been a search of premises? Authority? Items Recovered

Has an intimate or non-intimate body sample been taken/ intendent to be taken? Legal authority for taking sample

Has consent been obtained? Confirmed? Is there to be an intimate or non-intimate search Legal authority for search Has consent been obtained Has evidence been gathered as a result CHARGE AND REMAND IN CUSTODY – TREAT AS URGENT DIARISE Y/N DATE TIME COURT OFFENCE REASON FOR REMAND BAIL PROFORMA COMPLETED? YES/NO LA APP COMPLETED? YES/NO CHARGE AND BAIL CONDITIONS- YES/NO? POLICE STATION DATE OFFENCES COURT DATE TIME CONDITIONS DIARISE YES/NO PSAC YES/NO SUMBIT L/A YES/NO DSS PROOF YES/NO REBAIL – CONDITIONS? YES / NO POLICE STATION DATE OFFENCES NEXT DATE TIME POLICE STATION CONDITIONS DIARISE YES/NO PSAC YES/NO SUBMIT L/A YES/NO DSS PROOF YES/NO CAUTIONED POLICE STATION DATE OFFENCE TYPE OF CAUTION ADULT / JUV. REPRIMAND / JUV. FINAL WARNING REFUSED CHARGE POLICE STATION DATE