Uniform Crime Reports Offense Form

UNIFORM CRIME REPORTS OFFENSE FORM

AGENCY NAME AGENCY ORI REPORTING PERIOD

CLASSIFICATION OF TOTAL TOTAL CLEARANCESTOTAL VALUE WEAPON RELATIONSHIP OF VICTIM TO OFFENDER Offenses Arrests OFFENSES NUMBER OF PROPERTY Knife/ Cutting Other Hands, Fists, Other OFFENSES Arrest Exception Adult Juvenile STOLEN Firearm Inst. Dangerous Feet Spouse Parent Child Sibling Family Cohabit. Other

Criminal Homicide

MURDER Manslaughter

Rape, Committed Rape, Attempted SEX Sodomy* 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Fondling

Highway

Commercial Other

Gas/Service Station

Convenience ROBBERY Residence

Bank

Miscellaneous

Aggravated

ASSAULT Aggravated Stalking D O M V I O L E N C E S T I C E TOTAL VIOLENT (Excluding Manslaughter) 0 0000 0 0000 000000000

Simple

Threat/Intimidation SIMPLE Simple Stalking

TOTAL DOMESTIC VIOLENCE 0 00000000

Prepared By FOR FDLE USE ONLY

Telephone

Date Page 1 of 2 UNIFORM CRIME REPORTS OFFENSE FORM TOTAL TOTAL TOTAL CLEARANCES ARSON CLASSIFICATION VALUE NUMBER OF CLEARANCES PROPERTY TOTAL TOTAL TOTAL OF OFFENSES OFFENSES Arrests Exception Adult Juvenile LOCATION ATTEMPTED STOLEN INHABITED ABANDONED DOLLAR LOSS Adult Juv

Forcible Entry Single Occup. Residence

Unlawful Entry Other Residence Attempted Storage

Residence Industrial/Manufacturing

Night Commercial

Day Community/Public

BURGLARY Unknown All Other Structures

Non-Residence Motor Vehicles

Night Other Mobile

Day Other Unknown TOTAL 000 000

Pocket Picking PROPERTY INFORMATION/VALUES STOLEN RECOVERED TYPE PROPERTY Purse Snatching VALUE VALUE Shoplifting Currency, Note, Etc. Vehicle Recovery From Motor Vehicle Jewelry, Precious Metals

Motor Vehicle Parts Clothing & Furs Bicycles Motor Vehicles Number Auto LARCENY From Building From Coin Oper. Dev. Trucks & Buses Stolen Locally and All Other Motorcycles Recovered Locally

$200 & Over Other Vehicles

$50 - $200 Office Equipment Stolen Locally and Under $50 TV's, Radios, Stereos Recovered by Other Auto Firearms Jurisdiction Trucks & Buses Household Goods

Motorcycles Consumable Goods Stolen in Other

MOTOR VEH. THEFT Other Vehicles Livestock Jurisdiction and TOTAL NON-VIOLENT 0 0000 0Miscellaneous Recovered Locally TOTAL OFFENSES 0 0000 0TOTAL PROPERTY 00

Page 2 of 2 UNIFORM CRIME REPORTS ARREST FORM

TOTAL JUVENILES ADULTS RACE OFFENSE ARRESTED ======TOTAL MALE FEMALE TOTAL MALE FEMALE WHITE BLACK INDIAN ASIAN HOMICIDE 00000000000 MURDER MANSLAUGHTER FORC. SEX OFFENSE 00000000000 RAPE SODOMY* 0 0 0 0 0 0 0 0 0 0 0 FONDLING ROBBERY AGGRAVATED ASSAULT AGGRAVATED STALKING BURGLARY LARCENY/THEFT 00000000000 POCKET PICKING PURSE SNATCHING SHOPLIFTING FROM MOTOR VEH. THEFT OF MV PARTS/AC THEFT OF BICYCLE FROM BLDG. FROM COIN MACHINE ALL OTHER MOTOR VEHICLE THEFT KIDNAP/ABDUCTION ARSON SIMPLE ASSAULT SIMPLE STALKING DRUGS/NARC OFF 00000000000 DRUG/NARC. DRUG/EQUIP

AGENCY NAME AGENCY ORI REPORTING PERIOD UCR-008 UNIFORM CRIME REPORTS ARREST FORM

TOTAL JUVENILES ADULTS RACE OFFENSE ARRESTED ======TOTAL MALE FEMALE TOTAL MALE FEMALE WHITE BLACK INDIAN ASIAN BRIBERY EMBEZZLEMENT FRAUD 00000000000 FALSE PRET/SWIND CREDIT CARD/ATM IMPERSONATION WELFARE WIRE COUNTERFEIT/FORGERY EXTORTION/BLACKMAIL INTIMIDATION PROSTITUTION NON-FORC. SEX OFF. 00000000000 SEX OFFENSE OBSCENITY

STOLEN PROPERTY DUI DESTRUCT/DAMAGE GAMBLING WEAPONS VIOLATIONS LIQUOR LAW VIOLATIONS MISCELLANEOUS

TOTAL 00000000000

AGENCY NAME AGENCY ORI REPORTING PERIOD UCR-008 UNIFORM CRIME REPORTS LAW ENFORCEMENT OFFICER KILLED OR ASSAULTED REPORT SUPPLEMENT

AGENCY NAME AGENCY ORI REPORTING PERIOD

Incident Type Officer Activity Type of Assignment 1. Officer Killed, Felonious 01. Responding to Disturbance 04. Attempting Other Arrests 08. Investigating Suspicious 1. One Person Vehicle, Alone 5. Detective or Special Assignment, Assisted 2. Officer Killed, Accident or 02. Breaking and Entering in 05. Civil Disorder Persons/Circumstances 2. One Person Vehicle, Assisted 6. Traffic, Motorcycle Officer Negligence Process or Pursuing B&E Suspect 06. Domestic Disturbance 09. Ambush, No Warning 3. Two Person Vehicle 7. Other, Alone 3. Officer Assaulted, No Injury 03. Robbery in Process or Pursuing 07. Handling, Transporting, 10. Assailant Mentally Deranged 4. Detective or Special Assignment, 8. Other, Assisted 4. Officer Assaulted, Minor Injury Robbery Suspect Custody of Prisoners 11. Traffic Pursuit or Stop Alone 5. Officer Assaulted, Serious Injury 12. Other

CODES Weapon Armor Prevent 0. Not Body Armor? Firearm Discharged by Extend of Offender Sex Race Cleared? 00. N/A 05. Knife/Cutting Instrument 10. Fire/Incendiary Injury? Applicable Officer's Weapon Offender? Injuries? M- Male W- White Y- Yes 01. Handgun 06. Blunt Object 13. Drugs Officer Aware of 1. Yes Used? 0. Not 3. Serious F- Female B- Black N- No 02. Rifle 07. Hands/Fist/Feet 88. Unknown Weapon? 2. No Firearm Discharged by 1. Yes Applicable 4. Fatal U-Unknown I- American Indian 03. Shotgun 08. Poison 99. Other 8. Unknown Officer? 2. No 1. Minor (Offender O- Asian 04. Firearm 09. Explosives Offender Injured? 8. Unknown 2. Moderate Only) U- Unk(Offndr Only) Report Number Incident Officer Type Weapon Was Did Body Did Was Officer Was A Distance In Was A Was Extent of Time Officer's Officer's Offender's Cleared? Type Activity Assignment Type Officer Armor Offender Aware Firearm Feet (Est.) Firearm Offender Injuries Experience Wearing Prevent Use Offender Discharged Discharged Injured? in Years Body Serious Officer's had a By The By The Age Sex Race Age Sex Race Armor? Injury? Weapon? Weapon? Offender? Officer?

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