<p>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</p><p>Custody Number Sergeant Offence(s) OIC Dealing Time of Arrest Arrival Source of Instructions Condition on Arrival Description on Arrival Dr Required</p><p>APPROPRIATE ADULT YES/NO JUVENILE / MENTAL HEALTH Name Relationship Address</p><p>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?</p><p>Has anyone else been arrested / is anyone else being sought? Name? Solicitor? Alleged Role? Do they implicate client?</p><p>PROSECUTION WITNESS/OPPONENT</p><p>Has client kept silent/made statement Was access to client delayed? Reason/Extent of Delay Representations made</p><p>Any previous interview? If yes details</p><p>Has there been a search of premises? Authority? Items Recovered</p><p>Has an intimate or non-intimate body sample been taken/ intendent to be taken? Legal authority for taking sample </p><p>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 </p>