Official Kansas Standard Offense Report Form in PDF Access Editor Now

Official Kansas Standard Offense Report Form in PDF

The Kansas Standard Offense Report is a critical document used by law enforcement agencies to record details about criminal incidents. This form captures essential information, including the nature of the offense, involved parties, and circumstances surrounding the event. Proper completion of this report is vital for accurate record-keeping and effective law enforcement.

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Documents used along the form

When dealing with legal matters, it's important to have the right forms and documents in place. The Kansas Standard Offense Report form is just one piece of the puzzle. Here are some additional forms that are often used alongside it, each serving a specific purpose in the reporting and investigation process.

  • Incident Report: This document provides a detailed account of the events surrounding an incident. It includes information about the time, location, and nature of the incident, as well as the parties involved. This report is crucial for understanding the context of the offense.
  • Witness Statement Form: This form collects testimony from individuals who witnessed the incident. Their accounts can be vital in establishing facts and corroborating details in the case.
  • Boat Bill of Sale: This form is essential for transferring ownership of a boat in New York and ensures that the transaction is legally recognized. For more details, you can visit https://nydocuments.com/.
  • Victim Impact Statement: This document allows victims to describe how the crime has affected them personally. It can be used during legal proceedings to help convey the emotional and psychological toll of the offense.
  • Evidence Log: This form tracks all evidence collected during an investigation. It includes descriptions of items, where they were found, and who collected them. Proper documentation is essential for maintaining the chain of custody.
  • Arrest Report: If an arrest is made, this report provides details about the suspect, the charges, and the circumstances of the arrest. It is an important record for law enforcement and the judicial system.
  • Search Warrant: In cases where evidence needs to be collected from a location, a search warrant is required. This legal document authorizes law enforcement to search a specified place for evidence related to a crime.
  • Charge Sheet: This document outlines the specific charges being brought against a suspect. It is filed with the court and serves as an official notice of the allegations.

Understanding these forms and their purposes can help you navigate the legal landscape more effectively. Each document plays a crucial role in ensuring that justice is served and that all parties involved have their rights protected.

FAQ

  1. What is the Kansas Standard Offense Report form?

    The Kansas Standard Offense Report form is a document used by law enforcement agencies in Kansas to record details about criminal offenses. It serves as an official record of the incident and includes information such as the date and time of the offense, the location, and details about the suspects and victims involved.

  2. Who uses the Kansas Standard Offense Report form?

    This form is primarily used by police officers and law enforcement personnel when responding to incidents. It helps them document the circumstances of the offense, which can be crucial for investigations and legal proceedings.

  3. What information is required on the form?

    The form requires various details, including:

    • Name of the agency and case number
    • Date and time of the offense
    • Location of the incident
    • Descriptions of the offense and any suspects
    • Information about the victim(s)
    • Details about any property involved
  4. Is the Kansas Standard Offense Report form a public record?

    Yes, this form is considered an open public record. However, certain sensitive information may be redacted to protect the privacy of individuals involved, especially in cases involving minors or ongoing investigations.

  5. How is the form submitted?

    Once completed, the form is typically submitted to the appropriate law enforcement agency's records division. It may also be entered into a database for tracking and analysis purposes.

  6. What happens if an error is found on the form?

    If an error is discovered after the form has been submitted, it can often be corrected through an amendment process. The officer who filed the report should contact their agency's records department for guidance on how to make corrections.

  7. Can the public access these reports?

    Yes, members of the public can request access to these reports, as they are public records. However, the process for obtaining a copy may vary by agency, and some information may be withheld to protect privacy or ongoing investigations.

  8. What is exceptional clearance, and how is it noted on the form?

    Exceptional clearance refers to situations where a case is closed without an arrest being made. This can occur for various reasons, such as the death of the offender or the victim refusing to testify. These circumstances are noted on the form to provide context for the case's status.

  9. How does the form help in criminal investigations?

    The Kansas Standard Offense Report form provides a structured way to document all relevant details about an incident. This information can be critical for investigations, as it helps law enforcement track patterns of criminal behavior, identify suspects, and gather evidence for prosecution.

Misconceptions

  • Misconception 1: The Kansas Standard Offense Report form is only for serious crimes.
  • This form is actually used for a wide range of offenses, not just the most severe. It covers everything from minor incidents to major crimes, ensuring that all offenses are documented appropriately.

  • Misconception 2: The form is not accessible to the public.
  • In fact, the Kansas Standard Offense Report is an open public record. Anyone can request access to these reports, which helps maintain transparency in law enforcement.

  • Misconception 3: Only law enforcement can fill out the form.
  • While law enforcement agencies primarily use the form, victims and witnesses can provide information that may be included. Their input can be vital for a complete report.

  • Misconception 4: The form is overly complicated and hard to understand.
  • The design of the Kansas Standard Offense Report is straightforward. It includes clear sections for all necessary information, making it easier for officers to complete and for the public to understand.

  • Misconception 5: The form is only used in Kansas.
  • While it is specific to Kansas, similar forms exist in other states. Each state may have its own version, but the purpose remains the same: to document offenses accurately and consistently.

File Specs

Fact Name Description
Public Record Status The Kansas Standard Offense Report is classified as an open public record, ensuring transparency and accessibility to the public.
Agency Identification Each report includes a unique agency ORI number, which identifies the law enforcement agency responsible for the report.
Incident Details Key details such as incident date, times, and location are required to provide a comprehensive overview of the offense.
Exceptional Clearance Options The report allows for various exceptional clearance reasons, such as prosecution denial or victim refusal to testify, which can affect case outcomes.
Governing Laws This form is governed by Kansas Statutes Annotated (K.S.A.) 22-2401, which outlines the requirements for reporting criminal offenses.

Similar forms

The Kansas Incident Report is similar to the Kansas Standard Offense Report form in that both documents are used by law enforcement to document specific events related to criminal activity. The Incident Report provides a detailed account of the circumstances surrounding an incident, including the time, location, and individuals involved. Like the Standard Offense Report, it captures essential data that helps in the investigation and prosecution of crimes. Both forms serve as official records that can be accessed by the public and are crucial for law enforcement agencies in tracking crime patterns and statistics.

The Uniform Crime Reporting (UCR) Program is another document that shares similarities with the Kansas Standard Offense Report. The UCR collects data on crime reported to law enforcement agencies across the United States. This program categorizes offenses, much like the Kansas form, allowing for a standardized approach to crime reporting. Both documents aim to compile accurate crime statistics, which can inform policy decisions and resource allocation for public safety. They serve as vital tools for understanding crime trends at local, state, and national levels.

The police report is a document that also parallels the Kansas Standard Offense Report. This report is generated by officers after responding to a call or investigating a crime. It includes details such as the nature of the incident, descriptions of suspects, and witness statements. Similar to the Standard Offense Report, the police report is an official record that can be used in court proceedings. Both documents aim to provide a comprehensive overview of criminal events, ensuring that all relevant information is documented for future reference.

The Victim Impact Statement is another relevant document that complements the Kansas Standard Offense Report. While the Standard Offense Report focuses on the details of the crime, the Victim Impact Statement allows victims to express how the crime has affected their lives. This document is often used during sentencing to provide the court with insight into the emotional and psychological impact of the offense. Both documents are essential in the criminal justice process, as they highlight the human element behind the statistics and legal proceedings.

Understanding the nuances of legal documents is essential for ensuring proper representation and decision-making. Parents looking to delegate authority for their children should consider the importance of having a reliable Power of Attorney in place. For instance, the californiapdf.com/editable-power-of-attorney-for-a-child/ offers a practical solution for those navigating challenging situations where immediate parental oversight isn't feasible.

Finally, the Arrest Report is similar to the Kansas Standard Offense Report in that it details the circumstances surrounding an arrest made by law enforcement. This report includes information about the suspect, the charges filed, and the evidence collected. Like the Standard Offense Report, it serves as an official record that can be referenced in court. Both documents play critical roles in the legal process, ensuring that all pertinent information is available for prosecution and defense alike.

Preview - Kansas Standard Offense Report Form

¸ INITIAL

 

¸ DELETE

 

 

 

 

 

 

 

 

KANSAS STANDARD OFFENSE REPORT

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

THIS PAGE IS AN OPEN PUBLIC RECORD

 

 

 

 

 

 

 

 

 

 

 

 

 

PAGE

 

OF

¸ MODIFY

 

¸ ADD

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

¸ ON VIEW

 

¸ DISPATCHED

 

NAME OF AGENCY

 

 

 

 

 

 

 

 

 

KS AGENCY ORI NUMBER

 

 

 

 

 

 

 

CASE NUMBER

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

¸ CITIZEN

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

INCIDENT

DATE OFFENSE STARTED (MMDDCCYY)

 

 

TIME (HHMM)

 

 

 

 

DATE OFFENSE ENDED (MMDDCCYY)

 

TIME (HHMM)

 

 

 

 

DATE OF REPORT (MMDDCCYY)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

EXCEPTIONAL CLEARANCE DATE (MMDDCCYY)

 

EXCEPTIONAL

 

 

 

A. ¸ DEATH OF OFFENDER

 

 

 

 

B. ¸ PROSECUTION DENIED

C. ¸ EXTRADITION DENIED

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

CLEARANCE

 

 

 

D. ¸ VICTIM REFUSES TO TESTIFY

 

E. ¸ JUVENILE - NO CUSTODY

N. ¸ NOT APPLICABLE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

LOCATION OF OFFENSE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

REPORT AREA

 

 

 

 

 

 

 

TIME REPORTED

 

 

 

TIME ARRIVED

 

 

 

TIME CLEARED

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

CHAPTER

 

SECTION

 

 

 

 

SUB 1

SUB 2

 

 

 

 

 

 

 

 

 

 

 

 

 

CHAPTER

SECTION

 

SUB 1

 

SUB 2

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

¸ ATTEMPTED

 

¸ AID / ABET

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

¸ ATTEMPTED

 

¸ AID / ABET

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

¸ COMPLETED

 

¸ CONSPIRACY

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

¸ COMPLETED

 

¸ CONSPIRACY

 

DESCRIPTION

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DESCRIPTION

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

¸ SOLICITATION

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

¸ SOLICITATION

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

PREMISE

 

# OF PREM.

 

HATE/BIAS

 

CAMPUS CODE

METHOD OF ENTRY

 

 

 

PREMISE

# OF PREM.

HATE/BIAS

 

CAMPUS CODE

 

METHOD OF ENTRY

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

F. ¸ FORCE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

F. ¸ FORCE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

N. ¸ NO FORCE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

N. ¸ NO FORCE

 

TYPE OF THEFT

 

 

 

 

 

 

 

 

 

 

 

 

 

TYPE OF FORCE / WEAPON

 

 

 

TYPE OF THEFT

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

TYPE OF FORCE / WEAPON

_____

M. ¸ COIN MACHINE

 

 

 

E. ¸ EMBEZZLEMENT

 

 

11.

¸ FIREARM

¸ AUTO

_____

 

M. ¸ COIN MACHINE

E. ¸ EMBEZZLEMENT

 

 

11.

¸ FIREARM

¸ AUTO

B. ¸ FROM BUILDING

 

 

 

T. ¸ POSS. STOLEN PROP.

 

B. ¸ FROM BUILDING

T. ¸ POSS. STOLEN PROP.

 

 

 

 

12. ¸ HANDGUN

¸ AUTO

 

 

12. ¸ HANDGUN

¸ AUTO

A. ¸ M V PARTS & ACC.

 

 

 

V. ¸ MOTOR VEHICLE

 

 

 

A. ¸ M V PARTS & ACC.

V. ¸ MOTOR VEHICLE

 

 

L. ¸ SHOPLIFTING

 

 

 

F. ¸ THEFT FROM M V

 

 

13. ¸ RIFLE

¸ AUTO

 

L. ¸ SHOPLIFTING

F. ¸ THEFT FROM M V

 

 

13. ¸ RIFLE

¸ AUTO

#

P. ¸ POCKET-PICKING

 

 

 

O. ¸ ALL OTHER

 

 

14.

¸ SHOTGUN

¸ AUTO

#

 

P. ¸ POCKET-PICKING

O. ¸ ALL OTHER

 

 

 

 

 

14.

¸ SHOTGUN

¸ AUTO

S. ¸ PURSE SNATCHING

 

N. ¸ NOT APPLICABLE

 

 

 

S. ¸ PURSE SNATCHING

N. ¸ NOT APPLICABLE

 

 

 

 

 

15. ¸ OTHER FIREARM

 

 

 

15.

¸ OTHER FIREARM

OFFENSE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

OFFENSE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

¸ AUTO

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

¸ AUTO

 

OFFENDER SUSPECTED OF USING (SELECT UP TO 3)

 

 

 

 

 

OFFENDER SUSPECTED OF USING (SELECT UP TO 3)

 

 

 

 

 

20.

¸ KNIFE / CUT INSTR.

 

 

 

20.

¸ KNIFE / CUT INSTR.

A. ¸ ALCOHOL

 

 

 

 

D. ¸ DRUG / NARCOTICS

 

A. ¸ ALCOHOL

 

 

 

D. ¸ DRUG / NARCOTICS

 

 

 

 

 

 

30.

¸ BLUNT OBJECT

 

 

 

 

 

 

30.

¸ BLUNT OBJECT

C. ¸ COMPUTER EQUIP.

 

N. ¸ NOT APPLICABLE

 

C. ¸ COMPUTER EQUIP.

N. ¸ NOT APPLICABLE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

35. ¸ MOTOR VEHICLE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

35. ¸ MOTOR VEHICLE

TYPE OF CRIMINAL ACTIVITY (SELECT UP TO 3)

 

 

 

TYPE OF CRIMINAL ACTIVITY

 

(SELECT UP TO 3)

 

 

 

 

 

 

 

40.

¸ PERSONAL WEAPON

 

 

 

 

 

 

 

40.

¸ PERSONAL WEAPON

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

B. ¸ BUYING / RECEIVING

 

 

T. ¸ TRANS / TRANSMIT /

50. ¸ POISON

 

 

 

 

 

B. ¸ BUYING / RECEIVING

 

T. ¸ TRANS / TRANSMIT /

 

50. ¸ POISON

 

 

C. ¸ CULT / MANU / PUBL

 

 

 

IMPORT

 

 

60.

¸ EXPLOSIVE

 

 

 

C. ¸ CULT / MANU / PUBL

 

 

IMPORT

 

 

 

 

 

60.

¸ EXPLOSIVE

 

D. ¸ DIST / SELLING

 

 

 

 

U. ¸ USING / CONSUMING

 

 

 

D. ¸ DIST / SELLING

 

U. ¸ USING / CONSUMING

 

 

 

 

 

65. ¸ FIRE / INCID / DEVICE

 

 

 

 

65. ¸ FIRE / INCID / DEVICE

 

E. ¸ EXPLOIT. CHILDREN

 

 

J. ¸ JUVENILE GANG

 

 

 

E. ¸ EXPLOIT. CHILDREN

 

J. ¸ JUVENILE GANG

 

 

 

O. ¸ OPER / PROMOTE /

 

 

G. ¸ OTHER GANG

 

 

70. ¸ DRUGS / NARC.

 

 

 

O. ¸ OPER / PROMOTE /

 

G. ¸ OTHER GANG

 

 

70. ¸ DRUGS / NARC.

 

ASSIST

 

 

 

 

 

N. ¸ NO GANG

 

 

85.

¸ ASPHYXIATION

 

 

 

 

ASSIST

 

 

 

 

N. ¸ NO GANG

 

 

 

 

 

85.

¸ ASPHYXIATION

 

P. ¸ POSSESS / CONCEAL.

 

 

 

INVOLVEMENT

 

 

 

 

 

P. ¸ POSSESS / CONCEAL.

 

 

INVOLVEMENT

 

 

 

 

 

 

 

 

90. ¸ OTHER

 

 

 

 

 

 

 

 

 

90. ¸ OTHER

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

LOCAL CODE

 

 

 

 

 

 

 

 

 

 

 

 

 

95. ¸ UNKNOWN

 

 

 

LOCAL CODE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

95. ¸ UNKNOWN

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

99. ¸ NONE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

99. ¸ NONE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

TYPE OF VICTIM

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

VICTIM OF OFFENSE NUMBER ( CIRCLE )

 

 

 

 

 

 

I. ¸ INDIVIDUAL

S. ¸ SOCIETY / PUBLIC

R. ¸ RELIGIOUS ORGANIZATION O. ¸ OTHER

 

 

1.

 

2.

 

3.

4.

5.

 

6.

 

 

7.

8.

 

9.

10.

 

B. ¸ BUSINESS

F. ¸ FINANCIAL INSTITUTION

G. ¸ GOVERNMENT

 

U. ¸ UNKNOWN

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

NAME:

 

 

LAST

 

 

 

 

 

 

 

 

 

 

 

 

 

FIRST

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

MIDDLE

 

 

 

 

 

 

 

_____

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ADDRESS:

 

 

STREET

 

 

 

 

 

 

 

 

 

 

 

 

 

CITY

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

STATE

 

 

 

 

 

 

 

 

 

ZIP

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

#

TELEPHONE NUMBER (HOME )

 

 

 

RACE

 

SEX

ETHNICITY

RES. / N- RES.

 

 

AGE

DATE OF BIRTH (MMDDCCYY)

 

 

 

HEIGHT

 

WEIGHT

 

HAIR

EYES

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

VICTIM

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DRIVERS LICENSE NUMBER

 

 

 

 

 

 

 

 

 

D L STATE

EMPLOYER / SCHOOL

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

TELEPHONE NUMBER (WORK/SCHOOL)

ADDRESS:

STREET

 

 

 

 

 

 

 

 

 

 

 

CITY

 

 

 

 

 

 

 

 

STATE

 

 

 

 

 

 

 

 

 

 

ZIP

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

CIRCUM. AGG ASLT/BATTERY (MAX 2)

VICTIMS RELATIONSHIP TO CORRESPONDING SUSPECT NUMBER (INDICATE ALL SUSPECTS)

 

 

TYPE OF INJURY ( MAX 5)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

1.

 

 

2.

 

3.

 

 

4.

5.

 

6.

 

 

7.

8.

 

9.

 

 

10.

 

 

1.

 

2.

 

3.

 

 

4.

5.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

/ W / O

NAME:

LAST

 

 

 

 

 

 

FIRST

 

 

 

MIDDLE

 

 

ADDRESS:

STREET

 

 

 

 

 

 

 

CITY

 

 

 

 

 

STATE

 

ZIP

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

TELEPHONE NUMBER ( HOME)

 

 

 

RACE

 

SEX

ETHNICITY

RES./N- RES.

 

 

AGE

DATE OF BIRTH (MMDDCCYY)

 

 

 

HEIGHT

 

WEIGHT

 

HAIR

EYES

/ DC

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

RP

EMPLOYER / SCHOOL

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ADDRESS:

 

STREET

 

CITY

 

 

 

STATE

 

 

 

ZIP

 

TELEPHONE NUMBER (WORK/SCHOOL)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

PROP. DESCRIPTION

TYPE PROPERTY LOSS

1 = NONE 2 = BURNED 3 = COUNTERFEITED / FORGERY

4 = DESTROYED / DAMAGED / VANDALIZED

 

5 = RECOVERED

 

6 = SEIZED

 

7 = STOLEN

8 = UNKNOWN

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

TYPE LOSS

 

PROPERTY /

 

DESCRIPTION / SUSPECTED DRUG TYPE

 

 

 

 

 

 

 

 

ESTIMATED

FRACTION

 

 

TYPE DRUG MEASURE

 

VALUE

 

 

 

 

 

 

 

DATE RECOVERED

 

 

DRUG CODE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

QUANTITY

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

REPORTING OFFICER

 

 

 

 

BADGE / ID

 

DATE

 

 

COPIES TO:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

PROPERTY TOTAL

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

REVISED 9 / 02 - CJISKSOR.PM6 - KB

CRIMINAL INVESTIGATION RECORD / NOT AN OPEN PUBLIC RECORD

AGENCY ORI NUMBER

CASE NUMBER

DATE OF REPORT (MMDDCCYY)

PAGE OF

METHOD OF OPERATION

SUSPECT # _____

SUSPECT # _____

INSTRUMENT USED FOR ENTRY

 

 

 

 

 

POINT OF ENTRY

 

POINT OF EXIT

 

 

PREMISE NEIGHBORHOOD

1.

¸ KEY

 

5.

¸ BOLT CUTTER

9.

¸ THROWN OBJECT

9.

¸ NOT APPLICABLE

 

9.

¸ NOT APPLICABLE

R. ¸ RURAL / FARM / AGRICULTURE

2.

¸ PRY TOOL

 

6.

¸ CHOPPING TOOL

10.

¸ OTHER

 

 

1.

¸ FRONT

2.

¸ REAR

1.

¸ FRONT

2.

¸ REAR

S. ¸ SUBURBAN / RESIDENCE

3.

¸ SAW / DRILL

7.

¸ VISE GRIPS

 

11.

¸ NOT APPLICABLE

3.

¸ SIDE

4.

¸ ROOF

3.

¸ SIDE

4.

¸ ROOF

B. ¸ URBAN / BUSINESS / COMMERCIAL

4.

¸ HAMMER

 

8.

¸ PHYSICAL FORCE

 

 

 

 

 

 

 

 

 

 

 

 

 

U. ¸ UNINHABITED

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

N. ¸ NOT APPLICABLE

SAFE ENTERED

 

 

 

 

 

 

 

 

 

 

 

 

INCIDENT ACTIVITY

 

 

 

 

1.

¸ YES

3.

¸ ATTEMPTED

5. ¸ PEELED

7.

¸ COMBINATION KNOWN

 

C. ¸ DOMESTIC VIOLENCE CHILDREN PRESENT

J. ¸ CAR JACKING

2.

¸ NO

4.

¸ REMOVED

6. ¸ EXPLODED

9.

¸ NOT APPLICABLE

 

 

D. ¸ DOMESTIC VIOLENCE

 

N. ¸ NOT APPLICABLE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

NAME:

LAST

 

 

FIRST

MIDDLE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ADDRESS:

STREET

 

 

CITY

STATE

 

 

ZIP

 

 

 

 

 

 

 

 

 

 

 

 

 

TELEPHONE NUMBER (HOME )

RACE

SEX

ETHNICITY

RES. / N-RES.

AGE

DATE OF BIRTH (MMDDCCYY)

HEIGHT

WEIGHT

HAIR

 

EYES

 

 

 

 

 

 

 

 

 

 

 

 

EMPLOYER / SCHOOL

 

 

 

ADDRESS

 

 

TELEPHONE NUMBER (WORK/SCHOOL)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

MONIKERS / ALIAS

ADDITIONAL SUSPECT DESCRIPTORS

SUSPECT VEHICLE:

MAKE

 

 

YEAR

MODEL

 

COLOR

VEHICLE STYLE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

LICENSE NUMBER

 

 

YEAR

 

STATE

VEHICLE IDENTIFICATION NUMBER

 

 

OTHER

 

 

 

 

 

NAME:

LAST

 

 

 

 

 

 

 

FIRST

 

 

MIDDLE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ADDRESS:

STREET

 

 

 

 

 

 

 

CITY

 

 

STATE

 

 

 

ZIP

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

TELEPHONE NUMBER (HOME )

 

RACE

 

 

SEX

 

ETHNICITY

RES. / N-RES.

AGE

DATE OF BIRTH (MMDDCCYY)

HEIGHT

WEIGHT

HAIR

 

EYES

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

EMPLOYER / SCHOOL

 

 

 

 

 

 

 

 

ADDRESS

 

 

 

 

TELEPHONE NUMBER (WORK/SCHOOL)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

MONIKERS / ALIAS

ADDITIONAL SUSPECT DESCRIPTORS

SUSPECT VEHICLE:

MAKE

YEAR

MODEL

COLOR

VEHICLE STYLE

 

 

 

 

 

 

LICENSE NUMBER

YEAR

STATE

VEHICLE IDENTIFICATION NUMBER

OTHER

EVIDENCE INFORMATION

 

 

 

 

 

 

¸ NONE

¸ SUBMITTED

¸ RETAINED BY VICTIM

¸ RETAINED BY OFFICER

¸ RETAINED BY INVESTIGATIVE AGENCY

¸ TRANSFER TO OTHER AGENCY

¸ OTHER

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

EVIDENCE OBTAINED

 

 

 

 

 

 

¸ LATENT PRINTS

¸ WEAPONS / TOOLS

¸ SEXUAL ASSAULT KIT

¸ STAINS

¸ SEMEN

¸ DRUGS

¸ OTHER PRINTS

¸ PHOTOS

¸ HAIR

¸ BLOOD

¸ DOCUMENTS

¸ ALCOHOL

¸ OTHER

EVIDENCE COLLECTOR

LOCATION STORED

DESCRIBE BRIEFLY HOW OFFENSE WAS COMMITTED