REPORT WRITING

FOR
POLICE OFFICERS
(2nd ed.)

(∃x)P(x) ≠ (∀x)P(x)
P⇒Q ≠ Q⇒P

by

Wayne L. Davis, Ph.D.

Preface
This book is designed for criminal justice instructors. This book requires the instructors to
help students work through the various police reports. The reports are intentionally left
incomplete and they require students to work through them. Some reports may seem to ask
confusing questions, which may lead to unreliable responses. This is to be used as a learning
lesson: responses that are not reliable create statistics that are not valid. Managers need to
improve the forms in order to obtain valid data.

This book first discusses communication theory and how it applies to police officers and
prosecutors in the courtroom. Information presented in the courtroom by police officers has
a significant impact upon the jurors. Indeed, police officers communicate both verbally and
nonverbally in the courtroom and this affects their credibility on the stand. Furthermore, by
employing persuasion theories, prosecutors can align the officers’ testimonies to the jurors’
particular communication preference. Second, this book discusses truth as it relates to
probable cause and beyond a reasonable doubt. Finally, because report writing is a
significant part of police work, this book presents a variety of police forms that will engage
students in written communication.

ii
 Author

Wayne L. Davis, Ph.D.

Wayne L. Davis holds a Bachelor of Science in Electrical Engineering from the University of
Michigan-Dearborn, a Master of Science in Business Administration from Madonna
University in Livonia, Michigan, and a Ph.D. in Criminal Justice from Capella University in
Minneapolis, Minnesota. In addition, Dr. Davis has earned a helicopter pilot license, an
advanced open water scuba diver certification, a technician plus amateur radio license
(N8ZFG), and a basic emergency medical technician certificate from the State of Michigan.

Dr. Davis has graduated from three different law enforcement academies (city, state, and
federal): Schoolcraft College in Livonia, Michigan, the Indiana Law Enforcement Law
Academy, and the Federal Law Enforcement Training Center. He has over 20 years of law
enforcement experience with city, state, and federal law enforcement agencies.

While he worked as a product design engineer at Ford Motor Company, Dr. Davis introduced
the electronic engine control module into the pleasure boat industry. This included writing a
product specification manual and performing test-to-failure statistical research. As a result,
Dr. Davis was nominated for the Ford Motor Company Electronics Division Worldwide
Leadership Excellence Award. Subsequently, this led to his research paper called, A Study of
Factors Affecting a Supply Decision by the Ford Motor Company International Division for
Original Equipment.

Dr. Davis has received numerous awards and publications. Dr. Davis has received the U.S.
Customs & Border Protection Commissioner’s Award, the U.S. Customs & Border
Protection Scholastic Award, and he was appointed to a field-training officer by the Indiana
State Police. In addition, Dr. Davis has conducted an exploratory research study called, A
Correlational Study of Childhood Religiosity, Childhood Sport Participation, and Sport-
Learned Aggression among African American Female Athletes. Subsequently, Dr. Davis has
published several textbooks, which include a) Critical Thinking: Totality of Circumstances,
b) Police-Community Relations: Different Lenses & Perception of Truth, c) Interviewing,
Interrogation, and Communication for Law Enforcement, and d) Terrorism, Homeland
Security, and Risk Assessment through Research Proposal.

Recently, Dr. Davis has created table top police scenes for which he has filed a patent. In
addition, he has served as the Academic Coordinator for the Criminal Justice and Human
Services Programs at Aiken Technical College in Aiken, SC. With the support of local law
enforcement agencies, Dr. Davis has created an application-based criminal justice program
that meets the needs of the local community.

iii
 Table of Contents

List of Tables ……………………………………………………………. v

List of Figures ……………………………………………………………. vi

POLICE REPORTS WITHIN THIS TEXTBOOK ……………………………… vii

CHAPTER 1. COMMUNICATION THEORY …………………….…………… 1

CHAPTER 2. TRUTH ……………………………………………………………. 12

CHAPTER 3. REPORT WRITING ………………………………….…………… 23

CHAPTER 4. POLICE REPORTS ……………………………………….............. 36

Administrative Reports …………………………………… 37

Public Service Reports ……………………………………. 49

Traffic Investigation Reports …………………………….. 60

Incident Reports (non-criminal) …………....……………. 108

Criminal & Juvenile Reports …………………………….. 122

APPENDIX ……………………………………………………………………… 212

REFERENCES……………………………………………………………………. 234

iv
 List of Tables

Table 1. Interpretation of Sport Statement………………………………… 14

Table 2. Interpretation of Weather Statement……………………………... 14

Table 3: Interpretation of Witness Statement……………………………… 15

Table 4. Interpretation of Law: A nonimmigrant cannot enter

the U.S. without a passport…………………………………………20

Table 5: Similarity between a Southern State and a Northern State.……….29

v
 List of Figures

Figure 1: Acceptable chance of wrongful conviction…………………….. 22

vi
 POLICE REPORTS WITHIN THIS TEXTBOOK

ADMINISTRATIVE REPORTS………………………………….. 37
Police Department Assignment Card…………………………………… 38
Police Daily Activity Report ……………………………………. …….. 39
Police Employee Personal Illness or Injury Report……………………. 40
Police Vehicle and Equipment Form …………………………………. 41
Affidavit of Citizen Complaint ……………………………………….. 42
Commendation/Complaint Form ……………………………………... 43
Supervisor Investigation Report ……………………………………… 45
Employee Disciplinary Report ……………………………………….. 47
Field Training Officer (FTO) Daily Observations ……………………. 48

PUBLIC SERVICE REPORTS……………………………………. 49

Public Speaker – Community Relations Form …………………………. 50
Police Service Report ………………………………………………….. 51
Police Courtesy Notification …………………………………………… 52
Abandoned Vehicle Notice ……………………………………………. 53
Break-up Permit ………………………………………………………. 54
Police Officer Affidavit for Title ……………………………………… 55
Law Enforcement Demand for Driver Re-Examination ……………… 56
Salvation Army Voucher ……………………………………………… 57
Permit for Possession of Deer ………………………………………… 58
Courtesy Summons …………………………………………………… 59

TRAFFIC INVESTIGATION REPORTS ……………………………. 60

Police Complaint – Information Summons……………………………. 61
Traffic Violations – Court Notice……………………………………… 62
Police Traffic Warning ……………………………………………….. 63
Crash Definitions/Rules for Reference ……………………………….. 64
Police Crash Report ………………………………………………….. 67
Vehicle Crash Proof of Insurance Form ……………………………… 76

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Crash Information Exchange Form …………………………………… 78
Vehicle Crash Summary Involving Serious Injury or Fatality… …….. 79
Police Vehicle Crash Form …………………………………………… 80
Report of Police Car Crash or Equipment Loss ……………………… 82
Interview Statement ………………………………………………….. 83
Voluntary Statement …………………………………………………. 84
Police Department Public Safety Checkpoint Plan ………………….. 85
Special Activity Report ……………………………………………… 88
DUI Investigative Notes ……………………………………………… 89
Implied Consent Warning ……………………………………………. 98
DataMaster Evidence Ticket ………………………………………….. 99
Affidavit for Probable Cause: Driving While Intoxicated ……………. 100
Charging Form for Driving While Intoxicated ……………………….. 104
Monthly Alco-sensor Report ………………………………………… 105
Mobile Video Tape Log ……………………………………………….. 106
I-94 Arrival/Departure Record ……………………………………….. 107

INCIDENT REPORTS (NON-CRIMINAL)…………. …………. 108

Incident Report (non-criminal)…………………………………… 109
Supplemental Incident Report …………………………………… 111
Application for 72 Hour Medical Detention ……………………… 112
Police Department’s Animal Bite Report ………………………… 113
Vehicle Impound Rules (Department Policy)……………………. 115
Vehicle Impound Form …………………………………………… 116
Vehicle Impound Incident Report………………………………… 118
Notice of Vehicle Confiscation & Request for Confiscation Hearing..120
Automatic Electric Defibrillator (AED) Use Report ….…………... 121

CRIMINAL & JUVENILE REPORTS…………………………… 122

Police Complaint – Information Summons ………………………. 125
Miranda Warning …………………………………………………. 126
Voluntary Statement ……………………………………………… 128

viii
Interview Statement ………………………………………………. 129
Consent to Search ………………………………………………… 130
Example 1: Affidavit for Search Warrant ………………………… 131
Example 1: Order for Search Warrant …………………………… 132
Example 1: Search Warrant ………………………………………. 133
Example 2: Affidavit for Search Warrant ………………………… 134
Example 2: Search Warrant ………………………………………. 135
Affidavit for Search Warrant …………………………………….. 136
Order for Search Warrant ………………………………………… 137
Search Warrant …………………………………………………… 138
Field Interview Card ……………………………………………… 139
Police Department – Intelligence Report ………………………… 140
Suspect Report …………………………………………………….. 141
Case Report Checklist Attachments ………………………………. 143
Investigative Checklist ……………………………………………. 144
Lead Sheet ……………………………………………………….. 145
Case Report (criminal)………………………….………………… 146
Supplemental Case Report ………………………………………. 148
Final Disposition of Case ………………………………………… 149
Affidavit for Probable Cause (General) …………………………. 150
Information for Violation of Law ………………………………… 152
Application for Criminal Arrest Warrant ………………………… 154
Arrest Warrant …………………………………………………… 155
Arrest Warrant Service Report …………………………………... 158
Example of MUG Sheet …………………………………………. 159
Consular Notification ……………………………………………. 160
Jail Intake Form ………………………………………………….. 162
Custody Order/Custody Hold…………………………………….. 163
Temporary Hold Form – Detention Division …………………… 164
Fingerprint Card Information …………………………………… 165
Example – Latent Print Card …………………………………….. 166

ix
Latent Print Card ………………………………………………… 167
Probable Cause Declaration – Bail Setting Information ………… 168
Narcotics or Intoxication Report ………………………………… 169
Correctional Medical Survey …………………………………… 170
Crime Scene Entry Log …………………………………………. 171
Photography Log Sheet …………………………………………. 172
Evidence Bag Example …………………………………………. 173
Police Property Record & Receipt Form – Chain of Custody …… 174
Request for Police Laboratory Examination …………………….. 176
Certificate of Proof of Chain of Physical Custody ……………… 178
Tape Review Request …………………………………………… 179
Subpoena ………………………………………………………… 180
In Field Show-Up Report ……………………………………….. 181
Photographic Lineup Procedures ……………………………….. 182
Photographic Line-Up ……………………………………………. 183
Citizen’s Arrest ………………………………………………….. 184
Use of Force Report ……………………………………………… 185
Use of Firearms Diagram Information…………………………… 186
Firearms Report ………………………………………………….. 187
Vehicle Pursuit Critique Form …………………………………… 189
Injury Report – Corrections Employee ………………………….. 191
Inmate Violation Report …………………………………………. 192
Custody Request – Detention Division ………………………….. 193
Application for Emergency Protective Order …………………… 194
Emergency Protective Order ……………………………………. 195
Domestic Violence Supplement ………………………………… 196
Trespass Warning ………………………………………………. 198
Suspected Child Abuse Report ………………………………… 199
Police Department – Victim’s Notification and Waiver ………… 200
Wanted/Missing Person Report ………………………………….. 202
Missing Child Report ……………………..……………………… 203

x
Crime Scene Checklist ………………………………………….. 204
Stolen Items Notification ……………………………………….. 207
Juvenile Information ……………………………………………. 208
Juvenile Notice of Violation ……………………………………. 209
Release to Custody ……………………………………………… 210
Juvenile Fingerprint Card – Final Disposition ………………….. 211

APPENDIX ……………………………………………………………………… 212

REFERENCES………………………………………………………………….. 234

xi
 CHAPTER 1. COMMUNICATION THEORY

Introduction – The Need to Communicate

Although the U.S. has less than 5% of the world’s population, it has nearly 25% of
the world’s total prison population (Liptak, 2008). Having such a large incarceration rate is
due, in part, to get tough policies and longer prison sentences (Kelley, Mueller, & Hemmens,
2004). Indeed, at the end of 2007 in the U.S., there were about 2.3 million people
incarcerated, 4.2 million people on probation, and 800,000 people on parole (Fears, 2008;
McCarthy, 2009). Hence, there is a need for police reports.

Since September 2001, federal resources, which were previously used to fund local law
enforcement, have been redirected toward homeland security (Kingsbury, 2006). With a
45% cut in funds, many local law enforcement agencies have reduced their manpower.
Some midsize cities have reduced their manpower by about 25%. In addition, according to
Kingsbury, U.S. prisons are releasing about 630,000 inmates each year and the recidivism
rate from state prisons is about 67%. Thus, with fewer police officers on the streets and
more criminals on the streets, there is a public safety concern.

From 2011 to 2012, the FBI has indicated that there was an increase in the number of
violent crimes in the U.S. (Federal Bureau of Investigation, 2013). In 2012, the FBI has
indicated that there were more than 1.2 million violent crimes, such as murder, robberies, and
aggravated assaults. As the number of crimes increase, more arrests will be made.
Therefore, police officers can expect to find themselves in the courtroom more often.
Indeed, the public’s safety depends upon prosecutors and police officers performing
effectively within the courtroom.

To effectively serve the public, a police officer must be a credible witness in the
courtroom during a trial. Part of the job of a police officer is to arrest criminals, to complete
the proper paperwork, and then to testify in the courtroom. Poor paperwork may indicate in
court that the officer is lazy or incompetent. Officers who fail to write effectively have failed

1
to do their jobs and have failed to adequately protect the public. In short, police officers
must learn how to properly testify in court and to effectively persuade jurors.

For example, if a defense attorney discovers mistakes in a police report, the defense
attorney may ask the officer if the officer has performed the work to the best of his or her
ability. At this point, the officer is in trouble because the officer must admit that he or she is
incompetent or deceitful (if best effort was put forward) or that he or she is lazy and sloppy
(if best effort was not put forward).

History of Communication and Persuasion Theories

Communication theory as it relates to persuasion theory started around the 5th

century BCE (Schiappa, 1991). During this time, Protagoras (490-421 BCE), a philosophical
thinker in Athens, became the pioneer of the study of language; he invented a new way of
thinking and speaking. Protagoras, the father of debate and a promoter of democracy,
organized dialogue and invented the lecture between teachers and students. Each side
presented an argument in an informal discussion group and then had to defend it. About the
same time, in 466 BCE, the Sicilian government was overthrown. That government,
consequently, changed from tyranny to democracy. As a result, there was a high demand for
people to be able to speak their minds in assemblies and to be able to testify for themselves
in court. There were few lawyers at that time. Meeting this demand, Corax and Tisias, two
Sicilians, developed the argument from probability. Thus, persuasive arguments had begun.

In 1776, the American Revolution took place. During this era, the U.S. Constitution
was written, which affords each person charged with a crime the right to a trial by jury. Like
Great Britain, trials are based on an adversarial model, where debate is expected (Resnick &
Knoll, 2007). Thus, the founding fathers have promoted communication theory and
persuasive arguments within the courtroom; it has always been a part of U.S. history.

2
 In modern times, there have been several landmark theories involving communication
theory and interpersonal persuasion (Reardon, 1981). These landmark theories include: 1)
the Balance Theory; 2) the Attribution Theory; 3) Congruity Principle Theory; 4) the
Cognitive Dissonance Theory; 5) the Learning Theory; 6) the Functional Theory; 7) the
Inoculation Theory; and 8) the CounterAttitudinal Advocacy Theory. Indeed,
communication theory is a very broad field of study (Stremler, 1982).

During the 1950s, Fritz Heider developed the Balance Theory (Crandall, Silvia,
N’Gbala, Tsang, & Dawson, 2007; Reardon, 1981). This theory states that people like
consistency and they resist change. Because people like to remain static, successful
persuasion must create a degree of imbalance from the status quo. In addition, Heider also
developed the Attribution Theory, which states that people seek reasons to justify someone
else’s behavior. This is the reason to seek a motive when a person commits a crime.

Also during the 1950s, Osgood and Tannenbaum developed the Congruity Principle
Theory (Reardon, 1981). This states that when a person is confronted with two or more
incompatible concepts, the person will change his or her attitude so that the two concepts are
congruent. For example, if John supports the death penalty and his friend Lisa does not, then
every time John thinks of Lisa he will have negative feelings toward her due to her stance on
the death penalty.

In 1957, Leon Festinger developed the Cognitive Dissonance Theory (Reardon,

1981). This theory states that two relations, dissonant and consonant, are associated with
cognitive elements. Dissonant relations between two cognitive elements produce negative
feelings; thus, people behave in ways that reduce dissonance. An example of a dissonant
relation between two elements would be a person going into debt when buying a house (this
is stressful). On the other hand, consonant relations imply an appropriate match of two
cognitive elements, such as not buying a home because one is already in debt.

3
 During the 1960s, Staats developed the Learning Theory, which describes how
people are conditioned to respond in particular ways (Reardon, 1981). People can be trained
to provide certain responses based on certain information provided to them. A classic
example of conditioning would be the experiment when Pavlov conditioned a dog to saliva at
the sound of a bell. Also during the 1960s, Katz developed the Functional Theory.
According to the Functional Theory, people tend to behave and perform only those actions
that they find favorable, they refuse to humble themselves and admit their faults, they act in
ways to foster preferred impressions, and they tend to act in ways that provide certainty.
Continuing with the 1960s, according to Reardon, McGuire developed the Inoculation
Theory. This theory states that the best persuasion is one that supports one side of an
argument and, at the same time, refutes the other side of the argument. By explaining both
the benefits for doing something and costs for doing something else, this will be more
persuasive; it is like being pushed and pulled in the same direction. Furthermore, by
reinforcing the message with multiple sources, this will improve credibility and, thus, be
more persuasive (Tucker, Donovan, & Marlatt, 1999).

During the 1970s, Miller and Burgoon developed the CounterAttitudinal Advocacy
Theory (Reardon, 1981). This theory states that people will best construe their own beliefs
and behaviors when rewards are not associated with their activities. This theory is the
opposite of the theory based on incentives, which states that people will perform those acts
that are rewarded.

Communication Theory

U.S. democratic principles rely upon truth being discovered through open debates
within the courtroom (Bank, 2001). Therefore, communication theory is critical in law
enforcement, especially within the courtroom. Indeed, the way police officers communicate
within the courtroom will influence the jurors’ decisions. The basic assumptions of
communication theory indicate that jurors perceive information that impacts their attitudes,
resulting in decisions that could be significant (Tucker et al., 1999). For example, based on
the information that they receive and perceive, the jurors may set a killer loose, or, on the

4
other hand, they may convict an innocent person. Thus, prosecutors and police officers, who
are the message sources, use persuasion to affect the attitudes and opinions of the jurors in
order to arrive at an appropriate verdict (Tucker et al.). Although most police officers
receive very little training in courtroom testimony, the jurors believe otherwise and have high
expectations for them (Smith & Hilderbrand, n.d.). Thus, the jurors already have a
misconception about how well the police officers should testify. Consequently, police
officers must learn how to effectively communicate in the courtroom so that their testimonies
are credible. In short, persuasion is directly related to credibility.

Verbal Persuasion
A police officer’s verbal communication in the courtroom impacts the police officer’s
credibility as a witness. Verbal communication can be either written or spoken. If it is
written, then it takes the form of police reports, which may include arrest reports. If it is
vocal, then it takes the form of oral testimony. Indeed, both types of verbal communication
impact the office’s credibility as a witness. In all cases, any communication that is less than
truthful is illegal and unacceptable. This being said, it is assumed that the police officers
have made justifiable arrests in which they are testifying.

A police officer’s written report is a reflection of the police officer’s competence.

First of all, a police report must have good content, and the officer must be familiar with its
content (Speaking, 2006). Because it is not uncommon for a trial to take place years after the
arrest, the police officer should review the report prior to the trial. In other words, a police
officer should never go to the stand without knowing what is in his or her report. Otherwise,
the defense attorney will make the officer look like a fool, and this is not the image that the
officer wants to portray to the jury. Furthermore, the police report must contain all pertinent
information; if it is not written down in the report, then it cannot be used in court (Stewart,
2007). In other words, there is no pulling a rabbit out of a magic hat. Second, the report
must be objective, complete, accurate, and clear. For example, if a hockey team played 10
games and is undefeated, this does not mean that the team has won ten games; they could
have tied some of them. Misleading the jury is unethical, and an officer must present a true
representation of the facts. In addition, the police officer should use active statements

5
instead of passive statements. This can be achieved by focusing on what witnesses saw,
rather than by focusing on what witnesses did not see. For instance, the statements, “I did
not see the driver look back before he backed his car,” is not equivalent to, “I saw the driver
not look back before he backed his car.” The former statement is problematic because it
may indicate that the witness saw nothing, but the latter statement is valuable and describes
what the witness actually saw. Third, in order to keep the jury’s attention, the report must be
organized and structured. It is just like watching television; in order to keep the jurors
interested and to help them understand the flow of events, the report must not keep changing
channels/directions (Boccaccini, 2002). The report should flow smoothly, and this requires
proper grammar. If there are grammar mistakes within the report, the jurors will perceive the
officer as either lazy and uncaring or incompetent. If the officer is perceived as
unprofessional, uncaring, or incompetent, then the jurors may transfer that negative
perception to the validity of the report. In the jurors’ minds, if they believe that the officer is
a fool, then they will consider themselves bigger fools if they agree. Finally, because
defense attorneys are experts at finding weaknesses in police officers’ reports, police officers
must put the necessary time and effort into writing good reports. Indeed, their credibility
will be determined by the evidence presented in the courtroom, which is their written
documentations (Lewis, 2001).

A police officer’s oral testimony is a reflection of the police officer’s competence.

Testifying on the stand can be intimidating and can cause anxiety, but police officers must
maintain their professionalism and objectivity (Klimon, 1985). When testifying, it is more
important to make a lasting impression rather than to present a perfect testimony (Maxey &
O’Connor, 2007). Specifically, if an officer makes a mistake or cannot remember a
particular event, the officer must admit it as soon as it is realized (Lewis, 2001; Reynolds,
1990). The jurors understand that no one is perfect and that people make mistakes. By a
police officer admitting a mistake right away, the jurors will perceive that particular officer
as human and honest, rather than one who is trying to cover things up.

When police officers are testifying in court, they should never start a sentence with,
“To be honest” or “To tell the truth,” because this will give the impression to the jurors

6
that the rest of the testimony is less than truthful (Being, 2001). In addition, if the truth is to
be discovered, the officers must persuade the jurors using plain language (Lewis, 2001;
Navarro, 2004; Stewart, 2007). If a police officer uses slang or police jargon, then the jurors
may either become confused, not understanding what is being said, or they may perceive that
the officer is insulting them, by trying to make them feel dumb and inferior. Both cases will
impede persuasion. For example, suppose an officer said, “District 11, 11-43, 10-23, 7
south, signal 6.” Although this meaning may be quite clear to a police officer in District 11,
this is meaningless to the average civilian or juror. As indicated, the officer must present the
information in a normal conversational manner.

Testifying in the courtroom is an art and the police officer is a performer (Navarro,
2004). A good way to think about this is to consider the courtroom as an amusement park
and the jurors as customers who love thrills. If the police officer rehearses and memorizes
the testimony, the jurors will perceive the testimony as a boring and lame merry-go-round
(Boccaccini, 2002). Also, if an officer continually pauses during the testimony, jurors will
perceive this as a frustrating Ferris wheel, which keeps stopping every few seconds
(Navarro). However, by speaking moderately fast with variations in pitch and volume, the
jurors will perceive this as a roller coaster, something interesting and exciting. Moreover,
the officers must project their voices with confidence, like a big screen television. This will
eliminate any perception of doubt in their voices (Defoe, 2007). In short, just as in written
communications, weaknesses in a police officer’s oral testimony will be exposed. Thus,
police officers must practice on being perceived as credible witnesses.

Nonverbal Persuasion
In addition to communicating verbally, police officers also communicate in many
nonverbal, non-symbolic manners (Carter, 2002). Indeed, similar to verbal communication,
nonverbal communication in the courtroom also impacts the police officer’s credibility as a
witness. First of all, a police officer’s appearance sets the stage for the perception of his or
her credibility as a witness. Because jurors make judgments on the outward appearances of
police officers, the officers must dress appropriately and professionally (Navarro, 2004;
Stewart, 2007). The jurors may make the analogy that a dirty yard equals a dirty house. In

7
other words, if the officers do not even care enough to take care of themselves, then they
probably also do not care about their work. Second, a police officer’s conduct impacts the
police officer’s credibility as a witness. Indeed, police officers must have postures that show
interest (Boccaccini, 2002; Lambert, 2008; Navarro). For instance, if a boy is interested in a
girl and is about to kiss her, he learns forward toward her and he focuses his eyes upon her.
This is an example of a person showing interest, and it is obvious when it is observed. On
the other hand, negative body language, such as fidgeting, crossing the arms, looking at one’s
watch, and looking at the ceiling, gives the impression that the officer has more important
things to do than to be in court (Navarro; Tower, 2011). Thus, if the officers are perceived as
being disinterested, the jurors will perceive the officers as less than sincere.

Implementing Communication Theories within the Courtroom

Because, according to the Balance Theory, people like consistency and they resist
change, people must be motivated to change (Reardon, 1981). In this case, a prosecutor can
achieve persuasion by distancing the criminal from the jurors. For example, if a person was
being tried for public intoxication, the jurors may be strongly resistant to convict the person.
The jurors may feel that they have consumed too much alcohol, at one time or another, and
that this could be one of them on the stand. However, to overcome this perception, the
prosecutor must differentiate the criminal from the jurors. First of all, by drawing a target
with concentric circles around it, the prosecutor could start at the outer most ring and state
that this level represents the subject’s bloodshot eyes. Second, the prosecutor could move to
the next circle inward, which represents a person with bloodshot eyes and slurred speech.
Third, the prosecutor could move to the next circle inward, which represents bloodshot eyes,
slurred speech, and staggering. Fourth, the prosecutor could move to the next circle inward,
which represents all of the previous symptoms plus the subject urinating upon the roadway.
This continues onward until the center of the target is reached. In this way, the jurors can
clearly distance themselves from the defendant and this may persuade them to change their
attitudes.

The Attribution Theory states that people seek reasons to justify someone else’s
behavior; they try to find a motive when a person commits a crime (Reardon, 1981).

8
Suppose a person commits a benevolent act but it is perceived by someone else to be a
criminal act, then the motive may be the determining factor for whether a crime has been
committed. Because the jurors do not want to convict an innocent person of a crime, and
because they do not want themselves to be wrongly convicted of a crime, they desire to find
reasons for the actions. Thus, with no motive for committing a crime, the jurors will be less
likely to convict a person. As part of the criminal investigation, it is the police officer’s job
to determine a motive. Once the motive is determined, it is included as part of the written
case report. It is then up to the police officer to explain the motive, in simple language, to
the jurors so that they will understand it.

The Congruity Principle Theory states that jurors will try to align two or more
incompatible concepts (Reardon, 1981). The prosecutor and police officer can take
advantage of this by aligning the criminal activity to a negative concept held by the jurors.
For example, if the local county is dry and the jurors disapprove of alcoholic beverages, then
a person who is being tried for possession of marijuana can be associated with being an
alcoholic. In this case, the prosecutor can say that marijuana causes intoxication and leads to
car crashes, killing innocent people. Furthermore, marijuana is an addictive habit, just like
alcohol.

The Cognitive Dissonance Theory states that people behave in ways that reduce
dissonance between two cognitive elements (Reardon, 1981). In this case, the prosecutor can
associate the idea that if the defendant is set free, then one of the jurors may be the
defendant’s next victim. This stressful perception will persuade the jurors to convict the
accused; they will associate the defendant’s freedom to negative feelings. Furthermore, by
persuading the jurors that justice and democracy demand fair payment for the defendant’s
actions, and that jail is the perfect place for the accused, the jurors will appropriately match
the two cognitive elements.

The Learning Theory describes how people are conditioned to respond in particular
ways (Reardon, 1981). The county prosecutor is an elected official and knows the local
community issues. By associating the particular crime to something that the jurors, who are

9
local community members, find upsetting, the prosecutor can direct their anger toward the
accused. For example, if the jurors are upset about paying higher taxes, the prosecutor can
illustrate how the accused could not care less about their money problems, as is evidenced by
the commission of the criminal act, and that the accused is now mocking them by using their
tax paying dollars to get away with it.

According to the Functional Theory, people refuse to humble themselves and tend
to perform only those actions that they find favorable (Reardon, 1981). In this case, the
prosecutor can use the jurors’ pride against them by linking the conviction of the accused to
the jurors’ intelligence. This can be achieved by indicating to the jurors that they are too
smart to be fooled by a common criminal (who was not too smart to get caught). By stating
that the jurors are community pillars whom the local residents are relying upon to protect
them, the jurors may find it beneficial to convict the accused.

The Inoculation Theory states that the best persuasion is one that supports one side
of an argument and, at the same time, refutes the other side of the argument (Reardon, 1981).
In this case, the prosecutor can argue that in order to reduce crime, the accused needs to be
locked up. On the other hand, if the jurors fail to convict, their safety is at risk. Thus, the
jurors can reduce crime and promote safety at the same time. In order to reinforce this
argument and to make it as persuasive as possible, all submitted evidence related to the crime
should be emphasized, including victim statements, witness statements, photographs, and
laboratory reports (Tucker et al., 1999).

Finally, the CounterAttitudinal Advocacy Theory states that people will best
construe their own beliefs and behaviors when rewards are not associated with their activities
(Reardon, 1981). In this case, the prosecutor can remind the jurors that by serving on the
jury, they are serving their community. Convicting the perpetrator is not for personal gain,
but it is their patriotic duty as U.S. citizens. Democracy and freedom depend upon law and
order. For without law and order, there can be no democracy.

10
Conclusion
As mentioned earlier, democracy and truth rely upon open debate within the
courtroom (Bank, 2001). However, jurors select their own truths based on their perceptions
of the credibility of the information that they receive (Peterson, 1954). One way that this
credibility is determined is through the jurors’ assessment of the way police officers
communicate, both verbally and nonverbally. Thus, police officers must communicate well,
be credible, and learn to effectively persuade. A second way that credibility is determined is
by the way a prosecutor presents information in the courtroom. By using multiple
communication theories, and simultaneously employing as many of them as possible,
prosecutors can align information in ways that will be well received by the jurors. Being
well received, the information will be more credible. Being more credible, the information
will be more persuasive. In short, persuasion through communication is the basic concept of
courtroom testimony for both police officers and prosecutors.

11
 CHAPTER 2. TRUTH

Quantitative investigations are scientific, objective, and effective in describing

phenomena in terms of magnitude (Leedy & Ormrod, 2005). Quantitative investigations use
numeric values and statistics to identify patterns, to objectively quantify relationships
between variables, and to make predictions. Also, because large sample sizes are used, data
can be generalized to larger populations. However, numeric values are ineffective in
describing the subjective interpretations of human emotions (Wakefield, 1995). Because
individuals have unique lived experiences and their realities are based on their own
perceptions, a single objective truth is unattainable (Hatch, 2002; Weber, 2004). Indeed,
there are multiple realities when dealing with perceptions. Thus, quantitative investigations
are ineffective for the reconstruction of meanings

When investigating a topic that cannot be quantitatively predicted, such as human

nature, qualitative investigations are most effective (Gelo, Braakmann, & Benetka, 2008;
Routledge, 2007). Qualitative investigations are preferred for describing and interpreting
experiences in context specific settings because each person’s reality is construed in his or
her own mind; qualitative research attempts to reveal the meanings that participants have
given to various phenomena (Adams, 1999; Ponterotto, 2005). This kind of information
cannot be attained through quantitative analysis and requires the investigator to probe
individuals for greater detail through in-depth interviews and open ended questions.

Theories are an organized body of principles and concepts intended to explain

specific phenomena (Leedy & Ormrod, 2005). Because theories help explain problems, they
also provide possible solutions. For example, if a researcher uses the social learning theory
to describe crime, then the solution to the problem should be related to the social learning
theory. It makes no sense to claim that people learn to commit crime and then to suggest that
providing people medicine (biological theory) is the solution. In addition, the questions
asked during a study should be related to the theoretical lens of the study. If the questions
asked on a survey, for example, are not related to the study, then the instrument may not be
valid.

12
 Null hypotheses are based on educated guesses and are used to assess research
questions. However, because human knowledge is limited (i.e., there is an unknown number
of extraneous variables), hypotheses cannot actually be proved true. Thus, researchers
attempt to prove them false (Field, 2005; Shields, 2007). In other words, it can be shown
that two variables are not related. However, if the two variables appear to be related, the
relationship could be due to some other factors. In the courtroom, the jury can never be
100% sure that a person is guilty. Therefore, when the jury makes a guilty verdict, the jurors
are saying that they have a certain confidence level that the defendant is not innocent.

Being not false is not the same thing as being true. In order words, if something is
not negative, this does not mean that it is positive (i.e., it could be neutral). For example, if a
sport team has played 10 games and is undefeated, what is the team’s record? It is unknown
because the team may have tied any number of the 10 games. If by some chance the team
had tied all 10 games, a defense attorney may claim that the team has never lost, while the
prosecutor may claim that the team has never won. Both statements are true, yet they seem
contradictory. Indeed, the statements do not necessarily conflict with one another. This is
how statistics can be misleading. Should consumers buy the same shoes used by the team?
Either decision may be argued and supported with statistical data.

Results are not negative or positive if they are zero (neutral). Police officers need to
detect diversionary flares (i.e., deception) that are intended to lead the officer off track. The
way to do this is to get the sought-after answers. Questions and answers need to be presented
in the active voice (American Psychological Association, 2010). For example, if an
individual answers questions through double negatives or through misplaced modifiers, this
may change the meaning of the statement. Notice in Table 1 that “I have won” ≠ “I have not
lost.”

13
Table 1. Interpretation of Sport Statement.

Interpretation of Results

Won (+) Tied (neutral) Lost (-)

Suspect statement
I have not lost x x
I have not won x x
I have won x
I have lost x

Suppose I stated that the sky was not cloudy all day. All day means 100% of the
time. Therefore, I am stating that it was not cloudy 100% of the time. It could have been
cloudy 0% of the time up to 99% of the time. In other words, it could have been sunny 1%
of the time up to 100% of the time. If you were investigating a case and it was important for
the sky to be sunny, stating that the sky was not cloudy all day may be detrimental to your
case. See Table 2 for an interpretation of the statement.

Table 2. Interpretation of Weather Statement.

Interpretation of Statement
Sunny all Cloudy up to 99% of
Cloudy all day
day time
Suspect statement
Not cloudy all day x x
Not cloudy any part of day x

Now suppose that a police officer arrives at a crash scene. A car that was parked near
a curb pulled out into traffic and was struck by another car headed in the same direction.
Suppose the police officer asks a witness what she saw and she states, “I did not see the
driver in the parked car look before he pulled out into traffic.” The officer must evaluate the
value of the statement. See Table 3 for an interpretation of the statement.

14
Table 3: Interpretation of Witness Statement.

Interpretation of Statement
I was not I was looking at driver
looking and I saw driver not look
Suspect statement
I did not see the driver look x x
I saw the driver not look x

Thus, the witness statement provided has little value. Notice the first four words: “I did not
see.” This is problematic because the police officer wants to know what the witness did see.
Indeed, the witness statement never claimed that the driver of the parked car did not look
before he pulled out into traffic. The witness statement would be true even if the witness was
not looking in the right direction at the time of the crash. It would be wrong to assume that
the witness was looking in the right direction. To argue in court that the witness saw the
driver of the parked car not look would be changing the truth value of the witness statement.
In short, a police officer needs to be careful about relying on assumptions. Hence, police
officers need to get responses that provide direct and positive information.

Verbs
In police report writing, officers should use the active voice rather than the passive
voice. This demonstrates clear and decisive actions taken by the police and may be
perceived as confidence by jurors. A confident officer is perceived as a credible officer.

Preferred active voice: I arrested the suspect at the scene.

Non-preferred passive voice: The suspect was arrested at the scene by me.

Being Clear About the Individuals Involved

When writing a police report, it is especially important to be clear about each person
involved. It is better to clarify individuals by name too often than to make the readers guess
about who is being talked about. For example, consider the following information. Jon ran

15
up to Tim and James, he struck him with his fist, and afterwards he cursed. It would seem
that Jon struck either Tim or James, but the sentence does not make it clear. Furthermore,
Jon, Tim, or James could have cursed. Thus, the information can be made much clearer if
the individuals are identified by names. A better report would state that Jon ran up to Tim
and James. With his fist, Jon then struck Tim. Afterwards, Tim cursed.

Sound Natural
Remember, the goal of a police report is to accurately document and communicate to
the jurors the events that actually happened. This requires that police officers clearly
communicate with the jurors. In addition, police officers must understand that jurors have
emotions and these emotions may come into play in the courtroom. Therefore, a police
officer must not alienate the jurors by writing in terms that are unclear or that create a
gradient between the jurors and the officer. In short, jurors may not be familiar with law
enforcement jargon and jurors may be negatively impacted by artificial or unnatural
language. This may also apply to writing the police report in third person, which may appear
to be unnatural. Although some police departments require reports to be written in third
person for objectivity, other departments require reports to be written in first person, which
may be more personal to the jurors. A police report written in third person is written for the
police department while a police report written in first person is written for the jury. A report
written in first person allows an officer to take ownership of the report.

Compare the following sentences.

Natural: I was notified by dispatch that there was a crash on US 20.

Unnatural: This unit was notified by dispatch that there was a 10-50 on US 20.

Natural: When I arrived at the scene, I parked my police car on the shoulder of the road.

Unnatural: When this unit went 10-23, this unit parked his commission on the berm.

Natural: I watched the home for an hour.

Unnatural: This unit engaged in visual surveillance of the residence for one hour.

16
Also, police officers must not assume that all individuals define words in the same way. For
example, consider the following statements.

Clear: Where were you during supper?

Unclear: Where were you during dinner?

The latter sentence is problematic because dinner is not time dependent. Although supper is
the last meal of the day, dinner is the largest meal of the day. Thus, for some people, dinner
may not be the same as supper. In other words, if an officer asks a suspect several questions
about his alibi during dinner time, the officer may be thinking about 5:00 pm and the suspect
may be speaking about noon. Therefore, the police officer needs to make sure that the
suspect correctly understands the questions that are being asked.

Misplaced and dangling modifiers

Grammar is important in police writing because an officer’s credibility is linked to
his or her written reports. As stated earlier, if police officers make mistakes in their reports,
the officers should expect defense attorneys to ask them if they have performed their jobs to
the best of their ability. On the one hand, if the officers claim that they have done their best
work, then mistakes in their reports will make them appear incompetent or dishonest. On the
other hand, if the officers claim that they have not done their best work, then mistakes in
their reports will make them appear lazy and careless. Thus, police officers need to use
proper grammar when writing police reports.

Because misplaced modifiers incorrectly modify the wrong words, and dangling
modifiers have no referent in a sentence, misplaced and dangling modifiers may alter the
meaning of a sentence (American Psychological Association, 2010). Thus, adjectives and
adverbs should be placed as closely as possible to the words that they are supposed to modify
and the active voice should be employed. This may help eliminate any unintended meanings.

Consider the following example.

I told my wife that I loved her at the school.

17
Intended meaning: While at the school, I told my wife that I love her.

Perceived meaning: I told my wife that I love her being at the school.

The latter statement does not indicate that I love my wife but it does indicate that I love my
wife’s presence at school. This would be appropriate, for example, if my wife worked at a
school and I did not want her to quit her job and to leave the school.

Correct statement: I walked to the gas station because my car ran out of gas.

Incorrect statement: Running out of gas, I walked to the gas station.

The latter sentence indicates that I ran out of gas (not my car). This may imply that I was
jogging, I became tired, and I started to walk.

Logic: Conditional Statements

The converse of a conditional statement is not necessarily true (Smith, Eggen, & St.
Andre, 2006). Although an if-then statement (if A, then B) may be true, the converse of the
statement (if B, then A) may not necessarily be true. For example, research shows that
aggressive behaviors lead to arrest (Huesmann & Eron, 1992; Huesmann et al., 2002; Miller-
Johnson et al., 2005). Thus, if a person is aggressive, then the person will be arrested.
However, just because a person is arrested does not mean that the person was aggressive
(e.g., there may be other reasons why the person was arrested).

Examples: If the conditional statement is true, then is its converse true?

Conditional statement: If I am surfing, then I am in the water.

Converse statement: If I am in the water, then I am surfing.

Conditional statement: If I was sad, then I cried.

Converse statement: If I cried, then I was sad.

18
Conditional statement: If he is allowed to pass, then he has the document.
Converse statement: If he has the document, then he is allowed to pass.

Conditional statement: If you are the police, then you can arrest.
Converse statement: If you can arrest, then you are the police.

Conditional statement: If you are a professor, then you teach.

Converse statement: If you teach, then you are a professor.

Suppose I stated to my child that if she behaves then I will give her candy. Then
suppose she misbehaves. Can I give her candy and still be truthful? Yes, I can give her
candy and still be truthful. The only guarantee that I provided was that I will act in a certain
way if she behaved. However, I never addressed what I will do if she misbehaved. Thus, if
she misbehaves, my actions will be truthful whether or not I give her candy. I will only be
untruthful if she did behave and I did not give her candy. This analogy becomes very
important involving the passport law.

A non-American passport is issued by a foreign person’s native country and is a

travel document that is used for identification and proof of citizenship (LexisNexis, 2005).
Federal law states that a passport is required for a nonimmigrant to enter the U.S. Thus, if a
non-citizen has entered the U.S., then the non-citizen must have had a passport (this is a true
statement). However, it is not necessarily true that if a non-citizen has a passport, then the
non-citizen may automatically be allowed to enter the U.S. The law states that not having a
passport will prevent a person from entering the U.S., but the law does not state that having a
passport will allow a person to enter the U.S. See Table 4 for an interpretation of the law.
Thus, understanding the converse of conditional statements is important in law enforcement.

19
Table 4. Interpretation of Law: A nonimmigrant cannot enter the U.S. without a passport.

Interpretation of Law
If have, then will be If do not have, then will be denied
allowed entry entry
Documents
Foreign
Not Addressed x
Passport

Quantifiers
An existential quantifier is not the same as a universal quantifier (Smith et al., 2006).
It is important for police officers not to change the meaning of a statement by changing an
existential quantifier statement into a universal quantifier statement. For an open sentence
that uses an existential quantifier, the sentence is true if the truth set is nonempty, which
means that the statement is true if the statement is true at least one time. However, for an
open sentence that uses a universal quantifier, the sentence is true only if the truth set is the
entire universe, which means that the statement is true only if the statement is true all of the
time. For example, if a suspect stated that he likes beer, this statement is true if the suspect
likes at least one type of beer. Thus, for the suspect to be lying, an officer will have to prove
that the suspect dislikes all types of beer. However, if the suspect stated that he likes all
beer, then the officer only needs to show that the suspect dislikes one type of beer for the
suspect to be considered untruthful.

Assumptions
All decisions depend on assumptions, and we will never know if the assumptions are
100% accurate. Although we may be confident about information, we cannot know with
absolute certainty that the information is correct and complete. However, understanding the
assumptions that were relied upon in making a decision is important because the assumptions
may change, which may impact an objective decision. In law enforcement, if the
assumptions change, then the police officers should be willing to modify their position.

20
 Correlation does not mean causation (Leedy & Ormrod, 2005). Just because two
events are highly correlated does not mean that one event causes the other. For example, it
does not get dark at night because the sun is on the other side of the earth (Verma, 2005).
The sun is an additional light source, but it is not the only light source in the sky. Thus, in
this case, a wrong assumption may lead one to believe that the lack of sunlight causes it to
get dark at night. Likewise, the amount of ice cream sold is positively related to the murder
rate (Kentner, 2012). However, spending all of the department’s resources to eliminate ice
cream sales may not be very effective in addressing the murder rate.

Error by design
Because human knowledge is limited, hypotheses cannot be proved true with 100%
certainty (Field, 2005; Shields, 2007). However, given available information, statements can
be proved false. If the hypotheses are not proved false, then they may be true (but we will
never know with 100% certainty). In other words, if hypotheses are not proved false, then
they are accepted as true at a certain confidence level.

Likewise, in court, we will never know with 100% certainty that a defendant is guilty
of a crime (we will never know all of the variables that are involved). Indeed, evidence can
be presented to show that the defendant is innocent (e.g., the defendant was already in prison
at the time of the crime). However, if evidence is not presented to show that the defendant is
innocent, and once a certain confidence level is reached that the defendant committed the
crime (i.e., beyond a reasonable doubt), then the defendant may be convicted. This implies
that there is an acceptable level of being wrong. Thus, innocent people will sometimes be
wrongly convicted.

For a trial verdict, there are two possible ways to make a mistake. One way is to
convict an innocent person. The other way is to set a guilty person free. A juror can only
ensure that one type of error is never made, but this will require either a) always setting
defendants free or b) always convicting defendants. For either case, there is no need for a
trial. On the one hand, if one juror wants to ensure that he never makes a mistake by letting a
guilty person go free, then that juror must always vote guilty. His reasoning may be that the

21
police do not arrest innocent people. With this reasoning, there is no need for a trial because
every person arrested will be convicted by this type of juror. On the other hand, if another
juror wants to ensure that she never makes a mistake by sending an innocent person to jail,
then that juror must always vote not guilty. With this reasoning, there is no need for a trial
because every person arrested will be set free by this type of juror. Thus, in both cases, there
is no need for a trial. However, there are trials in the U.S., which means that there is
compromise and the chance of making mistakes.

Negotiations are required during jury deliberations. If a mistake is made, then the
question is whether U.S. jurors want to error on the side of convicting innocent individuals or
to error on the side of letting guilty individuals go free. By design, the U.S. legal system is
set up to error on the side of letting guilty persons go free. A conviction is based on guilt
beyond a reasonable doubt; an acquittal is not based on innocence beyond a reasonable
doubt. As indicated in Figure 1, because decisions are based on confidence levels and
negotiations, innocent individuals will sometimes be convicted. This is an inherent part of
the U.S. legal system. Notice that this argument is not influenced by the penalty of the
conviction, such as the death penalty. In other words, it is expected that innocent persons
will sometimes be convicted and sentenced to death.

Levels of Proof

Probable Beyond Absolute

cause reasonable doubt guilt (100%)

____________________________
↑
Arrest
↑==========↑
conviction Acceptable truly guilty
chance of wrongful
convictions

Figure 1: Acceptable chance of wrongful conviction.

22
 CHAPTER 3. REPORT WRITING

The purpose of this book is to expose students to different types of police reports and
forms. Instructors will need to help students work through the process of writing the
narratives of various reports. The goal is for students to learn the process of report writing,
which can be adapted to a particular department’s needs. Also, by understanding what type
of paperwork is required, students should anticipate the paperwork that will be required
during various details. For example, students should expect to complete a property record
and receipt form whenever evidence or property is collected.

Police report writing is not creative writing in the sense that all police reports have a
consistent format. This format needs to be followed. Do not use creative writing to deviate
from the standard format. Prosecutors collect reports from many different police
departments, such as city police, county police, state police, conservation officers, and excise
police. Thus, prosecutors need to be able to quickly and easily evaluate reports. In other
words, information needs to be straightforward and presented in a consistent manner. Many
different police forms within a department may contain the same information and
consistency from form to form is quite important.

The state law book is a very valuable tool when enforcing state laws. The state law
book provides the elements of a crime, which are needed when an officer completes
affidavits and charging forms. The narrative should describe the particular crime, which
must contain all of the required elements for that specific crime. For example, the elements
of arson is not arson (never used a word to define itself). Likewise, arson is not setting fire
to a building. If this were the case, firemen should be arrested during their training exercises.
Therefore, the crime of arson must be looked up in the law book, which will provide the
correct elements of the crime.

Police officers must report information accurately. Police officers must not change
hearsay information into first-hand information. For example, if John told Mary that he was
late for work because his car broke down, and if Mary told the supervisor that John was late
23
because his car broke down, then Mary has changed the value of the information. Mary is
testifying that John’s car broke down. If John had lied to Mary and he was late because he
had overslept, it is irrelevant as far as Mary’s testimony is concerned. Mary should be held
accountable for her statement. Mary stated that John’s car broke down, which is a false
statement. Mary should have stated that John told her that his car broke down, which is a
true statement.

Narratives of Select Reports

There is certain information that should be included in a police report, if the

information is available. Officers should follow a consistent format. This will help ensure
that all of the information is included in the report and it will also help make the report easier
to read.

Information on Crash Report

Because crash reports are available to the public, do not place criminal activity on a crash report.
For example, DUI marijuana is a traffic violation but possession of marijuana is a criminal violation.

1) Date and time notified, location of crash investigation

2) Time arrived
3) What drivers stated (must include date, time, and location of crash)
4) What witnesses stated
5) What officer observed
6) What evidence indicated (do not place criminal activity on a crash report)
7) Description of damaged cargo and/or damaged property at scene (e.g., light pole)
8) Owner of damaged cargo and/or damaged property at scene (e.g., DOT)
9) What is the status of the vehicle? Who removed it from the scene?

If a report writer follows this format, it will not matter if a driver’s statement does not match
the evidence. The officer can still complete the report.

24
Information on Crash Diagram
1) Location
2) North Always Faces Toward Top of Diagram (for consistency) N↑
3) Not to scale
4) Point of impact
5) Solid lines before initial impact, dashed lines after initial impact
6) Measurements from a fixed reference point
7) Label all items on diagram

Narrative of Case Report (criminal report)

1) Use the most serious charge to name the case
2) Describe Motive (e.g., personal gratification, revenge, greed, etc.) – why
3) Describe MO (strangled with cord, burned with gasoline, etc.) - how
4) List all additional suspects not already recorded on form
5) List all additional victims not already recorded on form
6) List all additional witnesses not already recorded on form
7) List all vehicles not already recorded on form
Begin Narrative
8) Date and time notified, location of event
9) Time arrived
10) What victims stated (should talk to victim first to see if crime occurred)
11) What suspects stated
12) What witnesses stated
13) What officer observed
14) What the evidence indicates
15) What actions were taken by the officer
16) What evidence was collected
17) Where the evidence was stored
18) Status of vehicle (towed, removed by owner, etc.)
19) Copy of attachments (written statements, citations, charges, affidavits, etc.)

25
 The case report is a criminal report and is not available to the public. The case report
should mention that the suspect was double-locked handcuffed, the time the officer left the
scene and arrived at the jail, and what the officer did with the evidence that was collected.
This may reduce complaints against the officer and enhance the credibility of the report.

Narrative of Incident Report (non-criminal report)

1) List all additional victims not already recorded on form
2) List all additional witnesses not already recorded on form
3) List all additional vehicles not already recorded on form
Begin Narrative
4) Date and time notified, location of incident
5) Time arrived
6) What victims stated
7) What witnesses stated
8) What officer observed
9) What evidence indicates
10) What actions taken by officer
11) What evidence was collected
12) Where evidence was stored
13) Copy of attachments (written statements, property record and receipt form, etc.)

The incident report is a non-criminal report and is available to the public. An

incident report should be completed when something non-criminal happens and should be
documented. For example, lost or found property will require an incident report. The actual
form may be the same as the case report form, but different information is recorded. Because
it is a non-criminal report, there will be no motive, MO, or suspects.

26
Intelligence Report (suspicious activity report)
1) Date and time notified, location of incident
2) Time arrived
3) What suspects stated
4) Associates of suspect
5) What officer observed
6) What evidence indicates
7) History of area (e.g., documented problem area)

The intelligence report is a suspicious activity report with reasonable suspicion that a crime
has occurred or is likely to occur. There is no probable cause to make an arrest. The
intelligence report is not available to the public. The purpose of the report is to gather and
record information that may be used by police officers to solve crimes.

Property Record & Receipt form

1) List items by number
2) Describe the sealed evidence from the outside and work inward
3) Start every line with, One sealed plastic (paper) bag (box) containing…
4) Describe evidence objectively (e.g., green plant material); let the experts in the lab
identify the contraband

For example, if an officer uses a plastic bag to seal a plastic bag containing what a field test
indicated was marijuana, then the officer will record the evidence as follows.

Item 1: One sealed plastic bag containing a plastic bag containing green plant
material.

Lab personnel will testify as to what the lab results indicate. Remember, the property record
and receipt is an official receipt of what the police officer has taken from the suspect. If the
police officer indicates that he or she took marijuana and the drug is actually Khat, the
suspect will show written proof in court that he never had Khat (the receipt indicates that it
27
was marijuana). Indeed, the official police department receipt will prove the defendant’s
case. Also, if the officer takes a gold-colored watch, it is important that the officer not claim
that the watch is gold just because it is gold in color.

Lab Request
1) Describe items exactly as they were described on the Property Record & Receipt
form
2) Tell the lab exactly what to do (use active language); do not make them guess

Item 1: One sealed plastic bag containing a plastic bag containing green plant
material.

Test item 1 for controlled substance.

Test item 2 for latent prints and DNA

The lab receives many different pieces of evidence from many different departments that
need to be tested. The police officer must not make the lab personnel guess about which
tests to perform. If the tests are not specifically listed, do not expect that the tests will be
performed. Every item to be tested should start in the same way: Test item # 1 for…

Firearm Report (e.g., for destruction of deer)

1) Date and time notified, location of incident
2) Time arrived
3) Witnesses (e.g., road maintenance, if at scene)
4) Indicate the type of animal injured
5) Traffic clear in all direction before firing gun (indicate safe distance)
6) Fired gun downward, away from traffic, and toward animal
7) Hit animal in proper location (as determined by department policy)
8) Number of shots fired
9) Animal destroyed

28
Firearms Diagram
1) Indicate location
2) North always faces toward top of diagram (for consistency)
3) Not to scale
4) Draw area; include position of vehicles, individuals, and animal
5) Measurements from a fixed reference point
6) Label all items on diagram

Probable Cause Affidavit and Charging Form

Some departments complete a) an application for an arrest warrant and b) an arrest
warrant, while other departments complete a) a probable cause affidavit and b) a charging
form. The process is basically the same. See Table 5. The difference between the two
procedures is that in the former case, the arrest warrant is incorporated into the charging form
and may be activated as soon as it is needed. In the latter case, the officer or prosecutor will
complete an arrest warrant after the defendant has failed to comply with a court order or if
the suspect cannot be found (e.g., if a suspect posted bail and failed to report to court, then an
arrest warrant may be issued).

Table 5: Similarity between a Southern State and a Northern State.

Southern State Northern State

Application for Arrest Warrant = Probable Cause Affidavit

Charging Form (Information)

Arrest Warrant =
Arrest Warrant (only if needed)

The elements of a crime, which are found in the state law book, must be described
completely and accurately on the probable cause affidavit and charging forms. If the
elements of the crime are not properly recorded on the probable cause affidavit and charging
form, then the officer has failed to indicate a proper arrest. A police officer who arrests a
person without properly charging the person may realize severe consequences.

29
 In sum, police report writing is a process that can be adapted to any police
department. Because police officers have different experiences, educational levels, and
cultural experiences, probable cause may vary from officer to officer. Thus, officers must
articulate their positions based on the available information, which includes a totality of
circumstances. Police officers must engage in critical thinking, which is the open-minded,
dynamic, and reflective process of collecting, analyzing, evaluating, and applying
information in order to reach a reasonable decision. Critical thinking is used to establish
probable cause and to make best-practice decisions.

Plan of Action
Below is a plan of action for completing a DUI investigation that involves domestic violence. Of
course, every case is unique and the events at the scene will be handled according to their seriousness
and the chronological order in which they are presented. Police officers may divide and share the
work load.

At crash scene

1) Conduct DUI investigation (issue citation for DUI, if probable cause found)

2) Complete crash report (will contribute to DUI probable cause affidavit)

3) Impound vehicle (impound form)

At residence

4) Photograph victim’s injuries (create photo log)

5) Collect written statements from victims and witnesses, if possible

6) Collect evidence (property record & receipt form; photographs of property damage)

7) Case report (title of case will be most serious charge; at a minimum, domestic violence)

8) Notice of victim’s rights (provided to victim at scene)

9) Victim’s notification & waiver form (provided to victim at scene)

10) Suspected child abuse report (provided to family services)

30
At jail

11) Probable cause affidavit and charging form or 1) application for arrest warrant and 2) arrest
warrant

12) DataMaster DUI Test (some departments arrest after the DataMaster test, some arrest before
the test)

13) MUG Sheet/Photographs

14) Booking intake form (completed by jailer)

15) Custody Order / Custody Hold

16) Fingerprint card

17) Prisoner transfer form (completed a little later, if want to interrogate suspect)

At court/post

18) Store evidence; complete lab request form (immediately after arrest)

19) Supplemental case report (completed a little later; updates; new information)

20) Final disposition form (reporting court decision; need court order to dispose of evidence)

FORMAT OF NARRATIVES
***The narrative of every report should start with date, time, and location.***

Narrative of Firearms Report

On July 11, 2014 at about 3:00 am, I was notified by dispatch via radio that there was an
injured deer on I-20 MP 11 in the north ditch. I arrived at the scene at about 3:33 am and I
noticed a deer with mutilated legs near a fence in the north ditch. The deer was severely
injured and suffering. Therefore, when traffic was clear in all direction for at least ½ mile, I
used my department-owned Remington 12-gauge shotgun and fired one time, downward,
toward the deer and away from traffic, hitting the deer in the head. The deer was destroyed
and removed from the scene by highway maintenance.

31
Narrative of Crash Report
On May 12, 2011 at about 2:00 am, I was notified by dispatch that there was a crash on I-20
MP 12 EB in Aiken County. I arrived at the scene at about 2:22 am and met with D1. D1
stated that on 5/12/2011 at about 1:50 am, he was eastbound on I-20 MP 12 when he came
upon a deer standing on the roadway. D1 stated that he swerved to miss the deer and, as a
result, he drove into the north ditch and hit the sign post. Also, D1 stated that he had a
friend’s $1,000 LuGusta vase in the vehicle that broke as a result of the crash.

Witness 1 stated that she was directly behind D1 at the time of the crash and that D1 was
weaving for several miles prior to the crash. W1 stated that it appeared that D1 fell asleep
because he gradually drove into the north ditch. W1 completed a written statement.

I observed the evidence at the scene and I noticed that the ruts in the sod along the highway
indicated that D1 gradually drove into the north ditch. For over 200 yards, the ruts in the sod
are only about 2 feet from the roadway’s berm. Thus, the evidence indicates that D1 fell
asleep and drove into the north ditch.

Involving the cargo, I observed that there was a red LuGusta vase in the vehicle that was
damaged. D1 stated that the vase was owned by Jane Doe (provide personal information).
Also, I observed that there was damage to 1) the state owned sod in the North Ditch at MP 12
and 2) the state owned sign post # 24 at MP 12 EB (name, address, and phone number of the
agency that owns the damaged property).

At 3:11 am, King Wench was called to remove the vehicle. King Wench arrived at 3:33 am
and removed the vehicle from the scene.

Narrative of Witness Statement - Example

On May 12, 2011 at about 2:00 am, I was on I-20 MP 12 heading EB in Aiken County. I
was directly behind a red mustang and I observed the mustang weave for several miles,
crossing over the skip lines from shoulder to shoulder. After several miles, the mustang
gradually drove onto the grass in the north ditch and struck a sign post. I pulled over, called

32
the police, and waited at the scene until the police arrived. There were no other individuals
in the vehicle.

Narrative of a Case Report: Example 1 = Possession of Marijuana with 1 Suspect

Prior to the narrative, state Motive and MO. Also, indicate additional suspects, witnesses,
victims, and vehicles. Note: The state is the victim for drug cases.

Motive: personal satisfaction

MO: suspect transported marijuana in vehicle
Witnesses: none

On August 2, 2013 at about 1:11 am, I used radar and I clocked a blue Chevy Caprice on I-
20 MP 5 WB in Aiken County at 99 MPH in a 70 MPH zone. I initiated my police car’s
emergency lights and stopped the vehicle at MP 2 WB. I approached the driver of the
vehicle and I immediately noticed what appeared to be a bag of marijuana in front ash tray. I
asked the driver for his driver’s license and he handed me his MI driver’s license, which
identified the driver as John DOE (DOB = 1/5/1971). I asked DOE, and sole occupant of
the vehicle, what he had in the bag in the front ash tray. DOE stated that it was marijuana
and he handed me the bag. From my experience as a police officer, the green leafy substance
did look and smell like marijuana. I asked DOE to exit the vehicle, and he complied. I
double-locked handcuffed DOE and secured him in my police vehicle. I secured the evidence
as indicated on PRR # 11073. I left the scene at about 1:30 am and I transported DOE to the
Aiken County jail. I arrived at the jail at about 1:44 am.

At about 2:44 am, after the booking process, I immediately transported the evidence to the
Aiken City Police post, as indicated on property record and receipt # 11073. I returned to I-
20 MP 2 WB at about 3:00 am. Dispatch contacted King Wench, who removed the vehicle
from the scene at about 3:30 am, as indicated on impound form # 4838.

33
Narrative of Case Report: Example 2 – Possession of Marijuana with 2 Suspects

When checking the Aiken Café’s parking lot, you notice two suspects sitting in a
car in the parking lot smoking what appears to be marijuana. You arrest both
the suspects for possession of controlled substance.

Motive (Why did this crime happen?): Self gratification

M.O. (How did this crime happen?): Smoking marijuana in parked vehicle

On 7-11-2013 at about 11:01 am, I was patrolling the parking lot of Aiken café, which is
located at 122 Laurens Street in Aiken, SC. I came upon a black 2 door Ford Mustang that
was occupied by two females who appeared to be smoking marijuana. I exited my police car
and approached the occupants. When the driver rolled down her widow, I could immediately
smell the odor of burnt marijuana. I asked both occupants for their identifications and both
occupants provide me their SC driver’s licenses. The driver was identified as Jane DOE
(w/f/DOB = 3/3/1977; SC DL 47347) and the passenger was identified as Jonnie JONES
(h/f/DOB 4/4/1981; SC DL 58480). I asked DOE if she had any marijuana in the vehicle and
she stated that she did. DOE opened the center console and handed me a bag of green plant
material. From my training and experience as a law enforcer, the bag of green plant material
did look and smell like marijuana. I asked DOE if the bag of green plant material was hers,
and she stated that it was hers.

I then asked JONES, who was sitting in the front passenger seat, if she had any marijuana.
JONES stated that she did. JONES reached under the front passenger seat and then handed
me a bag of green plant material. From my training and experience as a law enforcer, the
bag of green plant material from JONES did look and smell like marijuana. At that time, I
double-locked handcuffed both occupants, and I secured them in the back of my police car. I
then performed a NIK Marijuana Field Test on each bag of green plant material, which
indicated positive for marijuana. At about 11:22 am, I arrested both occupants for possession
of controlled substance. I secured the evidence from DOE as indicated on PRR # 2192. I
secured the evidence from JONES as indicated on PRR # 362. At about 11:25 am, Trooper

34
Sheila Smith (434) arrived at the scene and she searched both suspects. After the search, at
about 11:31 am, I transported both suspects to the Aiken County jail. I arrived at the jail at
about 11:42 am.

At about 12:39 pm I arrived back at 122 Laurens Street in Aiken, SC and I called King
Wench to tow the suspect’s vehicle. King Wench arrived at the scene at about 1:11 pm and
removed the vehicle at about 1:28 pm. The address of King Wench is 132 Wrecker Lane
Aiken, SC 29801 (803-555-6753).

At about 1:30 pm, I transported the evidence to Aiken City Police Department. I secured the
evidence for PRR # 2192 in locker 1. I secured the evidence for PRR # 362 in locker 4.

Questions that a supervisor may ask the officer after reading the report:

1) Is the report written in chronological order? Start with date, time, and location.
2) How did you know it was contraband? Training, experience, and field test.
3) Where are the drugs? Did you secure them at the post or lab?
4) Where is the car? Was it towed or did you leave it for the driver to remove?
5) Did you double-lock handcuff the suspects? There is an injury complaint.
6) Did you search/frisk the suspects? If a suspect is touched, it should be documented.
7) Does department policy allow an officer to search the opposite sex? Call same sex
officer.
8) How long did it take for you to transport the suspects to jail? There is a sexual complaint.

35
 CHAPTER 4. POLICE REPORTS

Layout of Reports

Administrative Reports…………………………… ….. 37

Public Service Reports……………………………….. 49
Traffic Investigation Reports………………………… 60
Incident Reports (non-criminal) …………... ……….. 108
Criminal & Juvenile Reports………………………… 122

36
 ADMINISTRATIVE REPORTS

Police Department Assignment Card…………………………………… 38

Police Daily Activity Report ……………………………………. …….. 39
Police Employee Personal Illness or Injury Report……………………. 40
Police Vehicle and Equipment Form …………………………………. 41
Affidavit of Citizen Complaint ……………………………………….. 42
Commendation/Complaint Form ……………………………………... 43
Supervisor Investigation Report ……………………………………… 45
Employee Disciplinary Report ……………………………………….. 47
Field Training Officer (FTO) Daily Observations ……………………. 48

37
 Police Department Assignment Card* (example)
February 14, 2014

Event Time

Patron reported crash I-80 MP 144 EB 0800

11-43 notified – en route from MP 111 0802

11-43 arrived at scene 0822

Wrecker called (Tom’s) 0843

Wrecker arrived at scene 0921

Wrecker left scene w/driver 0944

11-43 cleared scene 0948

*This provides a record of events with associated times.

Assignment Card
Complete an assignment card for a crash at I-20 MP 11 in the south ditch. There were
injuries, an ambulance was called, the Fire Department was called, a HazMat scene was
declared, a state DNR representative was contacted, state DOT were contacted, a HazMat
cleanup crew was contacted, and a wrecker for the vehicle was contacted.

38
 Police Daily Activity Report

Month _________ Year ________ Shift M D A Special Patrol

Officer: ______________________________ Badge # _______________ District _______________

Activity
Total Citations Crashes Investigated

Moving Citations Crash Citations

Total Seatbelt Citations Total Criminal Arrests

Child Restraint Citations Felony Arrests

Driver’s License Citations Drug Arrests

Driving While Suspended

DUI arrests
Citations

Commercial Motor Vehicle

Alco-sensor Tests
Citations

Total Warnings DataMaster Tests

Moving Warnings Number of Case Reports

Total Seatbelt Warnings Number of Details

Child Restraint Warnings Number of Medical Calls

Commercial Motor Vehicle

Number of Intelligence Reports
Warnings

Police Services Number of Traffic Dispositions

Public Information Presentations Number of Stolen Vehicles Recovered

Hours
Total Crash Criminal Incident
Case Report Court
Patrol Report Investigation Investigation
Hrs. Hrs.
Hrs. Hrs. Hrs. Hrs.

Special Special Total

Mileage Mileage Meal
Project Project Mileage for
Start End Hrs.
Mileage Start Mileage End day

39
 Police Employee Personal Illness or Injury
Officer’s Name (Last/First/MI) Badge # Rank County

Date of Illness/Injury Time of Illness/Injury Date Failed to Report Time of Day Failed to
to Work Report to Work

Total Number of Hours Failed Status (Check all that apply) Type of Report
to Report to Work
◊ Illness ◊ Injury ◊ Family ◊ Original
◊ Line-of-duty ◊ Non-line-of-duty ◊ Supplemental
Examined by Physician? Name of Physician Place of Confinement
(Home, Hospital Name,
◊ No etc.)

Location of Treatment
◊ Yes

Give complete details pertaining to illness or injury.

Officer Submitting Report Badge # Date of Report Employee Signature

40
 Police Vehicle and Equipment Form
Date Time Beginning Mileage

Shift: M D A SP Car # Driver

Cones Y N Vests Y N Shotgun Y N Spare Tire Y N

Fire Extinguisher Y N Camera Y N First Aid Kit Y N Evidence Kit Y N

Light Bars Y N Car Lights Y N Flashlight Siren Radar Y N

Y N Y N

CPR Breath Mask Y N AED Y N Body Damage to Car Y N

(if damage, describe):

Unit Check for Contraband Y N

Comments

Officer Badge # Officer’s Signature

41
 Affidavit of Citizen Complaint
____________________________Police Department

I swear under penalty of law that the following statement is true.

_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________

I,______________________ (name), DOB: __________ ID: ________________________

(check only one below)

___as indicated by my signature below

or
____ as informed by police and recorded on police telephone line (if check this box, read
information below over recorded telephone line)

state that this affidavit for complaint is true, and I request an investigation of the matters
contained within. I understand this affidavit is an official police report and may be subject to
public disclosure upon request. I am advised that if the allegations contained within are
proven to be untrue, and if this affidavit contains deliberate falsehoods or is made with
malicious intent, I may be subject to criminal charges and/or civil liability.

Signed (Print Name of Complainant if called in):__________________ Date: __________

Witness: _________________________________________________ Date: ___________

42
 COMMENDATION/COMPLAINT FORM

__________________________POLICE DEPARTMENT

***ALL COMPLAINTS MAY BE SUBJECT TO PUBLIC DISCLOSURE***

NATURE OF REPORT: ___ COMMENDATION ___ COMPLAINT

SUPERVISOR TAKING REPORT:__________________________________________________________

___ IN PERSON ___ TELEPHONE ___ LETTER ____ ANONYMOUS

INCIDENT
LOCATION:_______________________________________________________________________________
INCIDENT DATE:_________________ INCIDENT TIME:____________________
CASE#___________________

NAME OF PERSON MAKING

REPORT:___________________________________________________________
PHONE (H)______________________________ (W)____________________________________
ADDRESS:________________________________________________________________________________________

OFFICERS INVOLVED
NAME BADGE # RANK

WITNESSES
NAME ADDRESS PHONE #

43
DESCRIPTION OF ALLEGED INCIDENT:_______________________________________________________

____________________________________________________________________________________________________

____________________________________________________________________________________________________

____________________________________________________________________________________________________

____________________________________________________________________________________________________

____________________________________________________________________________________________________

____________________________________________________________________________________________________

____________________________________________________________________________________________________

____________________________________________________________________________________________________

____________________________________________________________________________________________________

____________________________________________________________________________________________________

____________________________________________________________________________________________________

____________________________________________________________________________________________________

ATTACHMENTS:

____ NONE
____ STATEMENTS
____ EVIDENCE
____OTHER_____________________

_________________________________________________ _______________ __________________

Signature of Officer Completing this Report Badge # Date

44
 SUPERVISOR INVESTIGATION REPORT
INSTRUCTIONS: TO BE COMPLETED BY THE SUPERVISOR INVESTIGATING AN ALLEGATION
OF RULES VIOLATIONS BY ONE OF HIS/HER EMPLOYEES.

TYPE OF COMPLAINT (CHECK ALL THAT APPLY)

__ ABUSE OF AUTHORITY __ALCOHOL/DRUG USE __ BIASED-BASED POLICING

__CONDUCT TOWARDS OTHERS ___CRIMINAL ACTIVITY __ GRATUITIES ___ HONESTY

__ INSUBORDINATION __ NEGLECT OF DUTY __ OFF-DUTY CONDUCT-GENERAL

__ UNBECOMING CONDUCT ___ USE OF FORCE/EXCESSIVE __OTHER______________________

INVESTIGATING SUPERVISOR:_____________________________ RANK:__________________

DATE COMPLAINT WAS RECEIVED:__________________ TIME RECEIVED:_______________

______________________________________________________________________________

FINDINGS:______________________________________________________________________________

_________________________________________________________________________________________

_________________________________________________________________________________________

_________________________________________________________________________________________

_________________________________________________________________________________________

_________________________________________________________________________________________

_________________________________________________________________________________________

_________________________________________________________________________________________

_________________________________________________________________________________________

_________________________________________________________________________________________

_________________________________________________________________________________________

_________________________________________________________________________________________

_________________________________________________________________________________________

________________________________________________________________________________________

45
RECOMMENDATION AS TO CONCLUSION OF FACT

___ SUSTAINED……………… EVIDENCE SUFFICIENT TO PROVE THE ALLEGATION

___ NOT SUSTAINED………… INSUFFICIENT EVIDENCE TO EITHER PROVE OR DISPROVE

___ EXONERATED…………… INCIDENT OCCURRED, BUT WAS LAWFUL.

___ UNFOUNDED………….… ALLEGATION IS FALSE

ATTACHMENTS:

___ NONE

___ STATEMENTS

___ EVIDENCE

___ OTHER______________________

SUPERVISOR’S SIGNATURE: __________________________________ DATE: ____________________

46
 EMPLOYEE DISCIPLINARY REPORT
The following was issued today and it is to be made part of the official record. □Warning □Separation

_________________________________________________________________________________________________________

NAME BADGE # DEPARTMENT DATE

1. ___ Unreported Absence 2. ___Tardiness 3.___ Drinking on Duty

4.___ Dishonesty 5.___ Improper Conduct 6.___ Carelessness

7.___ Violation of Safety Rules 8.___ Leaving Without Permission 9.___ Unbecoming of an officer

10.___ Insubordination 11.___ Failure to Obey Orders 12.___ Defective and Improper Work

13.___ Reporting Under the Influence of Alcohol 14.___ Other (Describe) _________________________________________

REMARKS (Describe Details)

________________________________________________________________________________________________________________

________________________________________________________________________________________________________________

________________________________________________________________________________________________________________

________________________________________________________________________________________________________________

________________________________________________________________________________________________________________

________________________________________________________________________________________________________________

________________________________________________________________________________________________________________

________________________________________________________________________________________________________________

________________________________________________________________________________________________________________

________________________________________________________________________________________________________________

________________________________________________________________________________________________________________

________________________________________________________________________________________________________________

________________________________________________________________________________________________________________

________________________________________________________________________________________________________________

________________________________________________________________________________________________________________

I have read this report: ____________________________ _________________________________

Signature of Supervisor Signature of Employee

47
FIELD TRAINING OFFICER (FTO) DAILY OBSERVATIONS
______________POLICE DEPARTMENT TRAINEE EVALUATION
___________________________________ __________________________________
TRAINEE’S NAME BADGE # FTO’S NAME BADGE #

DATE ______________________ SHIFT: □ DAY □ AFTERNOON □ MIDNIGHT

NOT ACCEPTABLE ACCEPTABLE SUPERIOR

1 2 3

GENERAL
Rating ___ 1. GENERAL APPEARANCE
ATTITUDE
Rating ___ 2. ACCEPTANCE OF FEEDBACK FTO/FTO PROGRAM
Rating ___ 3. ATTITUDE TOWARD POLICE WORK
KNOWLEDGE
Rating ___ 4. KNOWLEDGE OF DEPARTMENT POLICIES AND PROCEDURES
Rating ___ 5. KNOWLEDGE OF CRIMINAL STATUES
Rating ___ 6. KNOWLEDGE OF TRAFFIC CODES
Rating ___ 7. KNOWLEDGE OF CODES OF CRIMINAL PROCEDURE
PERFORMANCE
Rating ___ 8. DRIVING SKILLS: NORMAL CONDITIONS
Rating ___ 9. DRIVING SKILLS: MODERATE/HIGH STRESS
Rating ___ 10. RESPONSE TIME TO CALLS
Rating ___ 11. ROUTINE FORMS: ACCURACY / COMPLETENESS
Rating ___ 12. REPORT WRITING: ORGANIZATION / DETAILS
Rating ___ 13. REPORT WRITING: GRAMMAR / SPELLING/ NEATNESS
Rating ___ 14. REPORT WRITING: APPROPRIATE TIME USED
Rating ___ 15. FIELD PERFORMANCE: NON-STRESS CONDITIONS
Rating ___ 16. FIELD PERFORMANCE: STRESS CONDITIONS
Rating ___ 17. INTERVIEW SKILLS
Rating ___ 18. INTERVIEW/INTERROGATION SKILL
Rating ___ 19. SELF-INITIATED FIELD ACTIVITY
Rating ___ 20. OFFICER SAFETY: GENERAL
Rating ___ 21. OFFICER SAFETY: SUSPECTS/SUSPICIOUS PERSONS/PRISONERS
Rating ___ 22. CONTROL ON CONFLICT: VOICE COMMAND
Rating ___ 23. CONTROL ON CONFLICT: PHYSICAL SKILL
Rating ___ 24. PROBLEM SOLVING / DECISION MAKING
Rating ___ 25. RADIO: APPROPRIATE USE OF CODES / PROCEDURE
Rating ___ 26. RADIO: LISTENS AND COMPREHENDS
RELATIONSHIPS
Rating ___ 27. WITH CITIZENS IN GENERAL
Rating ___ 28. WITH ETHNIC/ CULTURAL / SOCIAL GROUPS
Rating ___ 29. WITH OTHER DEPARTMENT MEMBERS

Daily Average Rating ____

FTO’S NOTES:

________________________________________ ________________________________________
TRAINEE’S SIGNATURE BADGE # FTO’S SIGNATURE BADGE #

48
 PUBLIC SERVICE REPORTS

Public Speaker – Community Relations Form …………………………. 50

Police Service Report ………………………………………………….. 51
Police Courtesy Notification …………………………………………… 52
Abandoned Vehicle Notice ……………………………………………. 53
Break-up Permit ………………………………………………………. 54
Police Officer Affidavit for Title ……………………………………… 55
Law Enforcement Demand for Driver Re-Examination ……………… 56
Salvation Army Voucher ……………………………………………… 57
Permit for Possession of Deer ………………………………………… 58
Courtesy Summons …………………………………………………… 59

49
 Public Speaker - Community Relations Form
Sponsoring Organization Date Time

Speaker’s Name Badge #

Badge Numbers of Assisting Officers

Location of Event County

Program Date Program Length of Time

Program Title

Activities

Name of Handout Material

Audience (Name of Group)

Number in Attendance Age Range of Group

Audience or Community Comments

Topic of Presentation (circle one)

Traffic Safety Crime Prevention Youth Services

Substance Abuse Recruiting Community Education

Traffic Safety (e.g., Seatbelt use)

Crime Prevention (e.g., Lock your doors)
Youth services (e.g., Midnight basketball program)
Substance Abuse (e.g., Say “no” to drugs)
Recruiting (e.g., Academy standards and demand for particular skills)
Community Education (e.g., New trash recycling laws)

50
 Police Service Report
_____________________________Police Department

□On Duty Date _______________________

□Off Duty Time _______________________

Vehicle _____________________________________________
(Color) (Year) (Make)

License Plate # _________________________ State _________

Name ________________________________________________

Address ______________________________________________

Location ______________________________________________
(Highway) County

Service Needed/Problem _____________________________

(Out of gas, flat tire, etc.)

______________________________________________________

Action Provided ________________________________________

______________________________________________________

Officer _____________________________ Badge # ___________

51
 Police Courtesy Notification

__________________ Police Department

The vehicle described below has been observed parked in the parking lot
in the following condition:

____the vehicle is unlocked.

____personal items of apparent value are visible through the windows.

____vehicle appears to have been abandoned.

____ (other):____________________

Vehicle: ________________________________________________
Color Make Model Year

_______________________________________________________
License# State

The above condition is an invitation to theft and/or vandalism.

Please safeguard your vehicle and property by keeping your vehicle
locked, by placing personal items out of sight, and by parking in a
spot visible from the building.

Officer & Badge #: _______________________

52
 ABANDONED VEHICLE NOTICE

____________________ Police Department

ABANDONED VEHICLE NOTICE

STATE & LICENSE#

DATE

TIME

OFFICER

DEPARTMENT ADDRESS#

DEPARTMENT PHONE#

IF THIS ABANDONED VEHICLE IS NOT REMOVED WITHIN

□2 □ 24 □ 48 □ 72 □ Other ____ HOURS

FROM THE TIME THIS NOTICE IS POSTED, IT WILL BE

IMPOUNDED.

53
 BREAK-UP PERMIT
DEPARTMENT OF TRANSPORTATION

TRACTOR-TRAILER BREAK-UP PARKING PERMIT

(USED ON TURNPIKE TO ACCOUNT FOR # AXLES ENTERING & LEAVING)

_________________________________________________
COMPANY NAME
_________________________________________________________________________________________
ADDRESS

_________________________________________________________________________________________
CITY STATE

__________________________________________________________________________
______________
MOTORIZED UNIT LICENSE # # OF AXLES TRAILER LICENSE # # OF AXLES

________________________________________________________________________________________
DRIVER’S SIGNATURE

IS SATISFACTORILY PARKED □ YES □ NO DATE_____________

ROADWAY ________________________

NEAR MILEPOST NO._________ ____EB ____WB ____NB ____SB

AT SERVICE AREA ______________

________________________________________________________________________________________
POLICE OFFICER SIGNATURE BADGE #

Exiting Turnpike
________________________________________________________________________________________
LANE NO. DATE TIME

________________________________________________________________________________________
ATTENDANT’S SIGNATURE BADGE #

TIME LIMIT FOR THIS PERMIT ______________________ HOURS.

OFFICER______________________________________ BADGE # ______________________________

54
TIME LIMIT SHALL NOT EXCEED 72 HOURS

55
 POLICE OFFICER AFFIDAVIT for TITLE

Physical Inspection of Resident’s □ Vehicle □ Watercraft in order to Obtain Title

The purpose of this form is to confirm information about the applicant and the vehicle or
watercraft so that a title for the vehicle or watercraft may be obtained. Used for vehicles or
watercraft with no title or lost titles. After the form is complete, the police officer will submit
it to the BMV/DMV/Secretary of State.

Person Requesting Title

Name of Person requesting a title for vehicle ownership: _______________________

Address: _____________________________________________________________

DOB ______________________ SSN _____________________________

Driver’s License # ______________________________ State _______

Vehicle Information

Vehicle: Year ______ Make _________________ Model __________________

Type (RV, motorcycle, etc.) ____________________________

Last registration # on vehicle ____________________________ State __________

□ VIN □ HIN (HULL) _____________________________________________

Vehicle Check

□ VIN □ HIN Checked on Computer for Cleared Status ____ Yes ___ No

□ Vehicle □ Watercraft Cleared to Title ___ Yes ___ No

To: BMV/DMV/Secretary of State. I affirm that the above information is true.

Printed name of inspecting police officer _______________________________

Police Officer’s Signature __________________________ Date ___________

Department ____________________________ Badge # _________________

56
 LAW ENFORCEMENT DEMAND FOR DRIVER RE-EXAMINATION

A Police Officer’s request for Re-Examination is allowed based on the officer’s observation
of a driver who may have a mental or physical problem that affects his/her driving ability.

TO: DMV/BMV/Secretary of State

FROM:________________________________________________________________________________________________________
Police Officer (Name & Badge #) Rank

_________________________________________________________________________________________________________________
POLICE DEPT ADDRESS PHONE #

Driver ___________________________________________________________________________________________________
Name Address

Race____________ Sex_____________ DOB___________________ DL#_______________________________________

On_________________________________________________________ At__________________________________ ___.M.

(Month) (Date) (Year)

Based on my observation(s) of the above named driver I have concerns that the driver may have a mental
or physical problem that affects his/her ability to safely operate a motor vehicle.

Was this the result of a traffic accident? □ YES □ NO

Was this the result of a traffic violation? □ YES □ NO
Was a summons issued? □ YES □ NO

________________________________________________________________________________________________________________
Police Officer Signature Badge # Department

TO BE COMPLETED BY THE DEPARTMENT OF MOTOR VEHICLE

RESULT OF DEMAND: □ YES, DRIVER REQUIRED TO ATTEND □ NO, DRIVER NOT REQUIRED TO ATTEND
_____________________________________________________ _______________________________________________________
Name of Dept. of Motor Vehicle Supervisor Dept. of Motor Vehicle Supervisor Signature

_____________________________________________________ ______________________________________________________________
Date Agency

57
 Salvation Army Voucher
Travelers’ Assistance Program

Police Department Date Time

Salvation Army Authorization # Describe Need

Name & Location that Provided Service County where services were rendered

Maximum Amount Granted $ Services Provided and Amount for Each Service Provided

Name of Individual Receiving Assistance

Address Phone

Driver’s License # State SSN

DOB SEX Race

Vehicle Make Model VIN#

Color License Plate # State of Plate

Owner of Vehicle Owner at Scene Y N

Merchant Name

Merchant Address (HQ)

Driver’s Signature _______________________________________________________

Officer’s Signature ________________________ Badge # _________ Date ________

Merchant: For payment, send itemized voucher to Salvation Army (only authorized services will be reimbursed).

58
 Permit for Possession of Deer
________________________________Department

Recipient’s Name Date

Recipient’s Address Date of Birth

Vehicle Make & Model Driver’s License State & Number

Vehicle Year License Plate State & Number

□Highway Kill
Sex of Deer □ Illegal Kill
□Male □Female □ Destroyed by Police
□Other ______________________
Recipient’s Signature

Signature of Officer Issuing Permit & Badge # Agency of Officer

Any deer with antlers less than 1” in length is considered a doe.

59
 Courtesy Summons
_________________________ Police Department
Cause # ______________________

To: _______________________________________ DOB: _________________________

Address: ___________________________________________________________________

City: _______________________________ State: __________ Zip: ___________________

Date: _________ Time: ________ Location Served: ________________________________

SSN: ______________________ DL#: ___________________________ DL State: _______

Phone: _________________________ Sex: ___________ Race: _______________

State of _________ ◊ County of _____________ ◊ City of ______________

YOU ARE HEREBY COMMANDED to be and appear in your person before the
Honorable ____________________________, _________________ Court Judge, at
(address) __________________________________________ on the _______________ day
of ______, 20______ at _____________ o’clock A.M. in response to
____________________________ vs. ___________________________ involving the
offense(s) of (title of offense) _______________________________________________
being in violation of statute/code____________________________________________.

I understand that I am charged with a violation of a □ state law □ local ordinance □ both.
This summons is being issued as a courtesy. Failure to appear will be followed by an arrest warrant
being served.

__________________________ _____________________________________
Printed Name of Defendant Printed Name of Officer Badge #

________________________ _______________________________________
Signature of Defendant Signature of Officer

60
 TRAFFIC INVESTIGATION REPORTS

Police Complaint – Information Summons……………………………. 61

Traffic Violations – Court Notice……………………………………… 62
Police Traffic Warning ……………………………………………….. 63
Crash Definitions/Rules for Reference ……………………………….. 64
Police Crash Report ………………………………………………….. 67
Vehicle Crash Proof of Insurance Form ……………………………… 76
Crash Information Exchange Form …………………………………… 78
Vehicle Crash Summary Involving Serious Injury or Fatality… …….. 79
Police Vehicle Crash Form …………………………………………… 80
Report of Police Car Crash or Equipment Loss ……………………… 82
Interview Statement ………………………………………………….. 83
Voluntary Statement …………………………………………………. 84
Police Department Public Safety Checkpoint Plan ………………….. 85
Special Activity Report ……………………………………………… 88
DUI Investigative Notes ……………………………………………… 89
Implied Consent Warning ……………………………………………. 98
DataMaster Evidence Ticket ………………………………………….. 99
Affidavit for Probable Cause: Driving While Intoxicated ……………. 100
Charging Form for Driving While Intoxicated ……………………….. 104
Monthly Alco-sensor Report ………………………………………… 105
Mobile Video Tape Log ……………………………………………….. 106
I-94 Arrival/Departure Record ……………………………………….. 107

61
 POLICE COMPLAINT - INFORMATION SUMMONS
Court Cause # (to be issued by court)

□ Complaint (Traffic) □ Information (Criminal) County of _________ City of ____________

I have probable cause to believe that on

Weekday Day of Month Month Year Time

Last Name First Name MI

Home Street Address

City State Zip Code

Race Sex Height Weight DOB Age

□ DL □ State ID □ SSN □ Other __________ State □ Commercial DL CDL Class

Number: ____________________________ □ Operator’s DL

□ Did unlawfully operate □ Committed a violation as a passenger in a vehicle described as

Color Vehicle Year Make License expiration year License state License plate #

□ Tractor □ Tractor-trailer □ Straight truck □ Bus □ Other

□ Passenger Car/Pickup truck
□ DOT # □ ICC # ________________ □ Hazmat Placard #
_____________
At Location

DID COMMIT THE FOLLOWING VIOLATION

Vehicle Speed Speed Limit

Description of Offense:

In Violation of Statute/Code:

I affirm under penalty of perjury that the above information is true

Signature of Officer Print Name Police Dept. Badge #

Court Court Address & Phone # Respond to Court By (date)

Violator’s Signature I promise to appear before the court Approved by Solicitor/Prosecutor

COURT APPEARANCE PROMISE when required. My signature is not an
admission of guilt. Signature: _________________ Date: _________

62
TRAFFIC VIOLATIONS – COURT NOTICE

(Attach to Traffic Citation)

________________________________ Court
Address ______________________________
Phone ________________________________

1. You must return the citation with your payment

to the above address within 30 days of the date

of issue.

2. You must request a trial date if you want to

contest the citation.

3. If you want to admit the charge, mail the citation with

payment. If you want to contest the charge, sign the

back of the citation, request a court date, and mail the

citation without payment.

4. Failure to respond will result in increased penalties.

5. Schedule of Costs

Speed

1-5 MPH over ……………. $200

6-10 MPH over ……………$300

11-24 MPH over ………….. $500

25+ MPH over …………… Mandatory court appearance

Parking …………………… $150

Handicapped Parking …….. $500

Passing Violation ……..….. $300

Unsafe lane movement….... $300

Other Violations ………….. Call Court

63
 POLICE TRAFFIC WARNING
County of ___________________________ City of _______________________________

I have probable cause to believe that on

Weekday Day of Month Month Year Time

Last Name First Name MI

Home Street Address

City State Zip Code

Race Sex Height Weight DOB Age

□ DL □ State ID □ SSN □ Other _______ State □ Operator’s DL CDL Class

Number: _______________________ □ Commercial DL

□ Did unlawfully operate □ Committed a violation as a passenger in a vehicle described as

Color Vehicle Year Make License expiration year License state License plate #

□ Passenger Car/Pickup truck □ Tractor □ Tractor-trailer □ Straight truck □ Bus □ other____

At Location

Equipment
Moving Violation Non-Moving Violation Violation

□ Speed □ Seatbelt □ Headlights

□ Following Too Close □ Parking □ Tail Lights

□ Lane Movement □ Driver’s License □ Brake Lights

□ Traffic Control Device □ Registration □ Muffler

□ Passing □ Insurance □ Windshield

□ Other ________________ □ Other ________________ □ Other

Details of Violation(s) ____________
Code (primary)

Officer’s Signature Print Name Police Agency Badge #

Correct all violations immediately!

64
 Crash Definitions/Rules for Reference

Crash number will be issued by the post or by the computer during electronic submission

5 items required on crash diagram = 1) Location (top-center), 2) NTS (not to scale), 3) N↑

(always faces upward), 4) measurements (at least two), 5) POI (point of initial impact)

Draw vehicles from top view (if can see the vehicle’s wheels, then the vehicle is not upright)

Make north point upward on the crash diagram. This will make all crash reports consistent
and easier for others to read.

Crash report required if total damage ≥ $1,000 or if someone requests it (damage required)

When the actions stops, the crash is over

Trailer = being pulled (not using a motor at time of crash) + touching ground

Vehicle 1 = at fault, if there is a vehicle at fault

Cargo = being hauled + not touching the ground

Solid line = prior to crash; Dashed line = after initial impact

Draw the vehicles before crash, at initial impact, and at final rest (if practical)

If vehicle left scene (e.g., car-deer crash), look for evidence (e.g., deer hair on car). Actual
location of crash may be unknown and may be impossible to find – only measurements
available may be roadway. Only need to draw vehicle and deer prior to crash and at initial
impact (based on driver’s statement). At a minimum, draw vehicle prior to POI and at POI;
it may not be necessary to draw a vehicle at final rest if vehicle did not stop and left scene
(e.g., car versus deer crash).

Measure all important distances, marks, debris, and other items at a crash scene from fixed
reference points (points that will not likely move). Do not use the vehicle as the reference
point (even if it is parked because it can easily be moved). At a minimum, there should be at
least 2 measurements on diagram (e.g., width of road and berms for car-deer crash when the
car has left the crash scene).

Draw a sketch of the scene and use straight lines at the scene to take the measurements as
easily and quickly as possible; the scene can be rotated on the final drawing to face north at a
later time.

65
Label all items/group of items on diagram (e.g., may label one parking line to represent
group). Be clear.

Arrow inside vehicle indicates directions vehicle is facing

Initial Impact + Vehicle Damage boxes will be completed for each vehicle involved

Other participant = someone who influenced the crash but who was not part of the actual
crash. For example, ice comes off of a tractor-trailer and hits a car. The tractor-trailer did
not make contact with anything and is not directly involved with the crash. Information
about the tractor-trailer and its driver will be included in the report as other participant. This
scenario will be a one vehicle collision crash.

Record what drivers/witnesses say – do not change what they say to meet your agenda

Collision crash = vehicle impacted something that caused damage; Non-collision crash =
vehicle did not impact something that caused damage. Vehicle cannot collide with roadway
surface or ground surface (however, a vehicle can collide with an earth embankment, dirt
pile, etc.). Vehicle cannot collide with itself (e.g., jackknife).

No crash report for flat tires; however, crash report may be required for damaged rims

May write report in either 1st or 3rd person. First person is better for the jury (more
personalized); third person is better for the police department (seems more objective)

Information on Crash Report

Date and time notified, location of crash investigation
Time arrived
What drivers stated (must include date, time, and location of crash)
What witnesses stated
What officer observed
What evidence indicated (do not place criminal activity on a crash report)
Description of damaged cargo and/or damaged property at scene (e.g., light pole)
Owner of damaged cargo and/or damaged property at scene (e.g., DOT)
Status of vehicles (state if impounded or removed from scene by drivers)

If the report writer follows this format, it will not matter if the driver’s statement does not
match the evidence. The officer can still complete the report.

66
Information on Crash Diagram
Location
North Always Faces Toward Top of Diagram (for consistency) N↑
Not to scale
Point of initial impact
Measurements from a fixed reference point (indicate a minimum of at least two
measurements)
Solid lines before initial impact, dashed lines after initial impact
Label all items on diagram

Information Required on Crash Report Diagram

Not to Scale N ↑
LOCATION of CRASH

Point of Impact (POI)

Measurements from fixed reference point

67
 POLICE CRASH REPORT Page ____ of _____

Date of Crash Time of Crash Date & Time Crash Reported Crash #

Collision Location: Direction of Travel

Crash Scene Property Owner’s Name:

Unit #/Veh # Circle One: Sex Race Name

Driver, Pedestrian, Other Participant

DOB Home Address

State of ID ID # Type of ID

Vehicle Make & Model Vehicle Year License Plate # State of Plate Year expires

VIN

Vehicle Owner’s Name Vehicle Owner’s Address

Trailer Make & Model Year License Plate # State of Plate VIN

Trailer Owner’s Name Trailer Owner’s Address

Cargo Owner’s Name Cargo Owner’s Address

Describe Cargo Damaged

Estimate of Total $ Value of Crash Damage Estimate of Total $ Value of Cargo

Damage
□ < $1,000 □ $1,000-$5,000
□ $5,001 - $10,000 □ > $10,000 □ < $1,000 □ $1,000-$5,000
□ $5,001 - $10,000 □ > $10,000

Name of Witness (not involved in crash) Address of Witness

Name of individual cited Offense Code

68
 POLICE CRASH REPORT Page ____ of _____

Crash #

OCCUPANTS (OTHER THAN DRIVERS ALREADY LISTED)

Vehicle # Race Sex DOB Name Address

1

Occupant # __ Position Occupant # __ Position

Front Front
□ trailer □□□ □ trailer □□□
□ unknown □ unknown
□□□ □□□
□□□ Back □□□
Back

Occupant # __ Position Occupant # __ Position

Front Front
□ trailer □□□ □ trailer □□□
□ unknown □ unknown
□□□ □□□
□□□ Back □□□
Back

69
Vehicle # __ Initial Impact Vehicle # __ Damage
Front Front
□ undercarriage □□□ □ undercarriage □□□
□ trailer □ trailer
□ none □□□ □ none □□□
□ unknown □□□ □ unknown □□□
Back Back

Vehicle # __ Initial Vehicle # __ Damage

Impact Front □□□ Front □□□
□ undercarriage □ undercarriage
□ trailer □□□ □ trailer □□□
□ none □□□ □ none □□□
□ unknown □ unknown
Back Back

Vehicle # __ Initial Impact Vehicle # __ Damage

Front □□□ Front □□□
□ undercarriage □ undercarriage
□ trailer □□□ □ trailer □□□
□ none □ none
□□□ □□□
□ unknown □ unknown

Back Back

POLICE CRASH REPORT Page ____ of _____

70
Crash #

Type of Roadway

□ one-way one-lane □ two-way undivided lanes

□ private drive □ alley

□ one-way multi-lanes □ two-way divided lanes

□ business parking lot □ other _____________________

Road Surface

□ Asphalt □ Concrete □ Chip and Seal □ Dirt □ Gravel

□ Other ____________________

Weather Conditions (Check all that apply)

□ Sunny □ Overcast □ Foggy □ Smog □ Smoke □ Rain

□ Hail □ Sleet □ Snow □ Strong winds □ Dry □ Icy Road
□ Other ______________

Attachments:
□ witness statements

□ impound forms ____________________

□ other _____________________________

POLICE CRASH REPORT Page ____ of _____

Crash #

71
Vehicle # _______ Type of vehicle

□ passenger car □ pickup truck □ motor cycle □ tractor/tractor trailer □ bus

□ moped □ farm vehicle □ motor home □ recreational veh. □ other ______

Pre-Crash Vehicle Action

□ parked □ passing/overtaking □ changing lanes □ avoiding object in road □ turning

□ going straight □ slowing or stopped □ starting in traffic □ unattended moving vehicle
□ merging □ crossing the median □ driving left of center □ backing □ other ________

If a collision crash: Initial Impact with (fill in one)

□ another motor vehicle □ deer □ animal other than deer □ pedestrian □bicycle
□ impact attenuator □ guardrail □ median barrier □ utility pole □ bridge
□ work zone equip. □ mail box □ embankment □ sign □ tree
□ railway vehicle □ curb □ fence/wall /post □ ditch □ other _____
If non-collision crash (fill in one)

□ jackknife □ overturn/rollover □ fire/explosion □ immersion

□ cargo shift □ fell from vehicle □ other ___________________
Safety equipment Used

□ no restraint □ helmet □ restraint belt □ air bag □ child restraint □unknown

Safety equipment Effective □ yes □ no □ not applicable

POLICE CRASH REPORT Page ____ of _____

Crash #

Vehicle # _______ Type of vehicle

72
□ passenger car □ pickup truck □ motor cycle □ tractor/tractor trailer □ bus

□ moped □ farm vehicle □ motor home □ recreational veh. □ other ______

Pre-Crash Vehicle Action

□ parked □ passing/overtaking □ changing lanes □ avoiding object in road □ turning

□ going straight □ slowing or stopped □ starting in traffic □ unattended moving vehicle
□ merging □ crossing the median □ driving left of center □ backing □ other ________

If a collision crash: Initial Impact with (fill in one)

□ another motor vehicle □ deer □ animal other than deer □ pedestrian □bicycle
□ impact attenuator □ guardrail □ median barrier □ utility pole □ bridge
□ work zone equip. □ mail box □ embankment □ sign □ tree
□ railway vehicle □ curb □ fence/wall /post □ ditch □ other _____
If non-collision crash (fill in one)

□ jackknife □ overturn/rollover □ fire/explosion □ immersion

□ cargo shift □ fell from vehicle □ other ___________________
Safety equipment Used

□ no restraint □ helmet □ restraint belt □ air bag □ child restraint □unknown

Safety equipment Effective □ yes □ no □ not applicable

POLICE CRASH REPORT Page ____ of _____

Crash #

73
(Complete only if there was an injury and EMS arrived at the Scene)

Vehicle # ___________ EMS # _______________

□ fatal □ non-fatal serious □ minor □ none □ refused assessment □ unknown

Nature of Most Severe Injury

□ severed □ internal □ burn □ minor bleeding □ bruise □ complaint of pain

□ other _______________________________
Location of Most Severe Injury

□ head/face/eyes □ neck □ chest □ back □ abdomen □ arms/legs

□ whole body □ other __________________________

(Complete only if there was an injury and EMS arrived at the Scene)

Vehicle # ___________ EMS # _______________

□ fatal □ non-fatal serious □ minor □ none □ refused assessment □ unknown
Nature of Most Severe Injury
□ severed □ internal □ burn □ minor bleeding □ bruise □ complaint of pain
□ other _______________________________
Location of Most Severe Injury
□ head/face/eyes □ neck □ chest □ back □ abdomen □ arms/legs
□ whole body □ other __________________________

74
 POLICE CRASH REPORT Page ____ of _____

Crash #

Narrative: ___________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

75
___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

Crash Diagram

Officer’s Name (printed) Officer’s Signature & Badge # Date Approved by Supervisor

□ Yes □ No

76
 Vehicle Crash Proof of Insurance Form
Crash ID # ______________________________ In order to avoid having your driver’s license suspended, return this completed form signed by your insurance agent within 30 days to _________________________________ Police Department Crash Records.

Month Day Year Day of Week Local Time # Vehicles Involved # Injured # Dead

County where crash occurred Nearest City

Did crash occur inside city limits? Distance and direction from city limits __________
◊ yes ◊ no ◊ N ◊ NE ◊ NW ◊ S ◊ SE ◊ SW ◊ E ◊ W

Road where crash occurred ___________________________________________

Driver 1 Driver 2

Address Address

Date of Birth License State License Type Date of Birth License State License Type

Driver’s License # Driver’s License #

Vehicle Owner’s Name Vehicle Owner’s Name

Vehicle Owner’s Address Vehicle Owner’s Address

Vehicle year Make Model Color Vehicle year Make Model Color

License Plate State Expiration date License Plate State Expiration date

D1 Insurance Company Agency Name Insurance Policy # Phone #

D2 Insurance Company Agency Name Insurance Policy # Phone #

Police Officer Name & Badge # Police Department Phone

Insurance Agent Signature Agent Represents (Check Box) □ Driver 1 □ Driver 2

77
 Vehicle Crash Proof of Insurance Form
Crash ID # ______________________________ In order to avoid having your driver’s license suspended, return this completed form signed by your insurance agent within 30 days to _________________________________ Police Department Crash Records.

Month Day Year Day of Week Local Time # Vehicles Involved # Injured # Dead

County where crash occurred Nearest City

Did crash occur inside city limits? Distance and direction from city limits __________
◊ yes ◊ no ◊ N ◊ NE ◊ NW ◊ S ◊ SE ◊ SW ◊ E ◊ W

Road where crash occurred ___________________________________________

Driver 1 Driver 2

Address Address

Date of Birth License State License Type Date of Birth License State License Type

Driver’s License # Driver’s License #

Vehicle Owner’s Name Vehicle Owner’s Name

Vehicle Owner’s Address Vehicle Owner’s Address

Vehicle year Make Model Color Vehicle year Make Model Color

License Plate State Expiration date License Plate State Expiration date

D1 Insurance Company Agency Name Insurance Policy # Phone #

D2 Insurance Company Agency Name Insurance Policy # Phone #

Police Officer Name & Badge # Police Department Phone

Insurance Agent Signature Agent Represents (Check Box) □ Driver 1 □ Driver 2

78
 Crash Information Exchange Form
This form may be used for crashes that total less than $1,000 worth of damage and
when no police report is requested or required. Instead of using this form, either party
may request a crash report to be completed by the police at the time of the crash. This
form may be used to facilitate your handling of the crash and to exchange driver and
vehicle information.

Your (driver’s) name: _______________________________________________________

Your (driver’s) address: _____________________________________________________

Your (driver’s) phone # _____________________________________________________

Your license plate registration: State ____ Number ____________ Expiration year _____

Your driver’s license: State ______ Number _____________________________________

Description of your vehicle: Make ___________ Model _________ Year ____ Color _____

Owner of said vehicle: _______________________________________________________

Address of vehicle owner: ____________________________________________________

Insurance and other information: ______________________________________________

Location of crash (street)_____________________________________________________

County: _______________________________________________ State _____________

Date of crash ______________________________Time of crash _____________________

Investigating Officer _______________ Badge#__________ Phone # _________________

79
Vehicle Crash Summary Involving Serious Injury or Fatality

Crash ID #

Type of Accident ◊ Serious Injury ◊ Fatality # Injured __ Fatality # __ Date Time

State County Closest City Location of Crash (road)

Vehicle # Year Make Model Direction of Travel On (road)

Amount of Damage Road Condition Type of Road

Driver Age Home Address Sex Race

Driver injured ◊ Yes ◊ No Admitted ◊ Yes ◊ No Hospital Taken To

Relatives Notified ◊ Yes ◊ No Name of Person Notified How Related to Driver

Seatbelt/Helmet in
Use
◊ Belt ◊ Did ◊ Reduce ◊ Injuries

◊ Yes ◊ No ◊ Helmet ◊ Did not ◊ Prevent ◊ Fatality

Person other than driver injured ◊ Yes ◊ No Admitted ◊ Yes ◊ No Hospital Taken To

Name of Person Injured Age Home Address Sex Race

Name of Person Notified How Related to Patient

Relatives Notified ◊ Yes ◊ No
Seatbelt/Helmet in
Use
◊ Belt ◊ Did ◊ Reduce ◊ Injuries

◊ Yes ◊ No ◊ Helmet ◊ Did not ◊ Prevent ◊ Fatality

Person arrested Most serious charge

Investigating officer’s name (printed) Investigating officer’s signature Badge # Phone

Police Department Police Department Address Date

80
 POLICE VEHICLE CRASH FORM

Date of Crash Time of Crash County Location of Crash

Type of Crash Weather Conditions Lighting Conditions Road Conditions

(check all that apply) (check all that apply)
◊ Property Damage ◊ Clear ◊ Freezing ◊ Daylight ◊ straight ◊ Wet
◊ Personal Injury Rain
◊ Dawn/Dusk ◊ Curve ◊ Concrete
◊ Cloudy ◊ Sleet
◊ Dark with lights ◊ Hill ◊ Asphalt
◊ Fog/Smoke ◊ Snow
◊ Dark with no lights ◊ Slippery ◊ Gravel
◊ Rain ◊ Other
◊ Dry ◊ Other

Department Vehicle Other Vehicle

Driver’s last name Driver’s first name Driver’s last name Driver’s first name

Home Address Home Address

Date of Birth Sex Phone # Date of Birth Sex Phone #

Driver’s License # State of Issue Driver’s License # State of Issue

Department Vehicle Information Other Vehicle Information

Lic. Plate # Issuing State Vehicle Color Lic. Plate # Issuing State Vehicle year Color
year

# of Occupants Vehicle Towed Direction Posted # of Occupants Vehicle Towed Direction of Posted
of Travel Speed Travel Speed
◊ Yes ◊ No ◊ Yes ◊ No

Injuries

81
Name Address Injury Age Sex Code

Code: V1 = vehicle 1; V2 = vehicle 2; P = pedestrian; B = bicyclist; O = other

Draw a diagram of the crash.

↑N

Describe the event.

Officer’s Name Officer’s Signature & Badge # Date Approved by Supervisor

(printed) □ Yes □ No

REPORT OF POLICE CAR CRASH OR EQUIPMENT LOSS

Name of Employee Badge # Date of Damage/Loss Time of Damage/Loss

82
 ◊ Police Car Crash ◊ Equipment Damage ◊ In Line of Duty

◊ Other Police Car Damage ◊ Equipment Loss ◊ Not in Line of Duty

Location of Crash/Loss

Police Car Crash

License # Make Model Year Mileage Assigned To

◊ Emergency Run ◊ Normal Driving ◊ Backing ◊Parked # Hrs. on Duty

◊ Red/Blue Lights On ◊Siren On

Names of Employee Injured

Name & Address of Other Involved Party

Insurance Company of Other Involved Party Policy #

Police Vehicle Damage Repair Estimates

Garage # 1 Cost

Garage # 2 Cost

Garage # 3 Cost

Police Equipment Damaged

Item Serial # Status Code

__ Lost/Stolen __ Destroyed __ Damaged/Repaired __ Other

__ Lost/Stolen __ Destroyed __ Damaged/Repaired __ Other

Affidavit: I affirm that, to the best of my knowledge, the information on this form is true.

Signature of Responsible Officer _____________________________ Date _____________

83
Page____of______ Type of Report ______________ Report #_____________

Interview Statement
_______________________________________________
_______________________________________________
_______________________________________________
_______________________________________________
_______________________________________________
_______________________________________________
_______________________________________________
_______________________________________________
_______________________________________________
_______________________________________________
_______________________________________________
_______________________________________________
_______________________________________________
_______________________________________________
_______________________________________________
_______________________________________________
_______________________________________________
_______________________________________________
_______________________________________________
_______________________________________________

Draw a diagonal line through all unused space.

_____________________ ____________________________ ________________

Print Name Signature Date/Time

Witness____________________________ Signature____________________
Print name

Witness____________________________ Signature____________________
Print name

84
 VOLUNTARY STATEMENT This is page ______ of ___.

__________________________ Police Department

Date_____________ Place _________________________________________________ time started ______

I, ___________________________________, am __________ years of age, being born on ____________ have

been warned by ____________________________________________, with the _____________________

police department, that I do not have to make any statement at all, nor answer any questions. I was also warned
and advised of my right to a lawyer of my own choice before or at any time during questioning, and if I am not
able to hire a lawyer, I may request to have a lawyer appointed to me. I do not now want a lawyer, and I waive
my right to the advice and presence of a lawyer, knowing that anything I say can and will be used against me in
a court of law. I now want to make a statement.

___________________________________________________________________________________________________

___________________________________________________________________________________________________

___________________________________________________________________________________________________

___________________________________________________________________________________________________

___________________________________________________________________________________________________

___________________________________________________________________________________________________

___________________________________________________________________________________________________

___________________________________________________________________________________________________

___________________________________________________________________________________________________

___________________________________________________________________________________________________

___________________________________________________________________________________________________

Draw a diagonal line through all unused space. Have person place initials at end of statement.

This form was completed at (time) ______________.

Signature of person providing statement _______________________________________

Witness__________________________ Signature__________________ Badge # ______

Print name

Witness__________________________ Signature__________________ Badge # ______

Print name

85
 POLICE DEPARTMENT PUBLIC SAFETY CHECKPOINT PLAN
APPOVED PLAN REQUIRED WHEN AGENCY PERSONNEL PLANS TO PARTICIPATE IN OR ASSISTS OTHER AGENCIES.

DATE:_______________________________ START TIME:_________________ END TIME:________________________

LOCATION:____________________________________________________________________________________________

SITE CONSIDERATIONS:

____THE LOCATION SELECTED FOR A PUBLIC SAFETY CHECKPOINT IS BASED ON THE SIGNIFICANCE OF A PUBLIC
SAFETY PROBLEM IN AN AREA. DESCRIBE REASON THE PROPOSED SITE WAS SELECTED FOR A PUBLIC SAFETY
CHECKPOINT.

________________________________________________________________________________________________________________

________________________________________________________________________________________________________________

________________________________________________________________________________________________________________

____ THE CHECKPOINT LOCATION WILL BE VISIBLE BY APPROACHING MOTORISTS FROM A SAFE DISTANCE.

____THE CHECKPOINT WILL NOT BE SET UP IN A CURVE, OVER THE CREST OF A HILL OR OTHER DANGEROUS
LOCATION.

____THE TRAFFIC FLOW WILL NOT BE ALLOWED TO BACK UP SO MUCH THAT IT BECOMES A HAZARD.

____IF ADDITIONAL OFFICERS AND PRECAUTIONS ARE REQUIRED WHEN SETTING UP THE CHECKPOINT ON A FOUR-
LANE

ROAD OR AT A FOUR-WAY INTERSECTION, PROVISIONS WILL BE MADE.

____THE SITE WILL INCLUDE ADEQUATE SPACE ON THE ROADSIDE TO MOVE VEHICLES THAT MAY BE CITED, AN
ARREST IS TO BE MADE, OR FURTHER INVESTIGATION IS REQUIRED.

PURPOSE:

CHECKPOINT WILL BE USED TO FOCUS ENFORCEMENT EFFORTS IN THE FOLLOWING AREAS

(CHECK ALL THAT APPLY):

___DETECTING IMPAIRED DRIVERS

___INSPECTING DRIVERS’ LICENSES AND REGISTRATIONS

___APPREHENDING FLEEING FUGITIVES WHO ARE LIKELY TO FLEE BY WAY OF PARTICULAR ROUTE

___THWARTING AN IMMINENT TERRORIST ATTACK

86
MANPOWER
DETAIL MUST INCLUDE A MINIMUM OF FOUR OFFICERS, INCLUDING A FIELD SUPERVISOR AT THE CHECKPOINT

AT ALL TIMES.

SUPERVISOR ON SCENE:_______________________________________________________________________________

OFFICER & BADGE #:_______________________________ OFFICER & BADGE #:_______________________________

OFFICER & BADGE #:_______________________________ OFFICER & BADGE #:_______________________________

OTHER AGENCY PRESENT AT THE CHECKPOINT

AGENCY NAME:__________________________ OFFICER NAME & BADGE #:__________________________________

OTHER AGENCY PRESENT AT THE CHECKPOINT

AGENCY NAME:__________________________ OFFICER NAME & BADGE #:__________________________________

WARNING AND SAFETY

____ “PUBLIC SAFETY CHECKPOINT AHEAD” SIGNS WILL BE PLACED AT A SAFE & PRUDENT DISTANCE FROM

CHECKPOINT.

____TRAFFIC CONES OR BARRICADES WILL BE USED TO ENHANCE THE VISIBILITY OF THE CHECKPOINT.

____ALL UNIFORMED OFFICERS ASSIGNED TO THE OPERATION WILL WEAR UNIFORMS AND REFLECTIVE TRAFFIC
VESTS.

____PLAIN CLOTHES OFFICERS WILL DISPLAY POLICE IDs AT ALL TIMES DURING THE CHECKPOINT OPERATIONS.

____ALL VEHICLES USED FOR TRAFFIC CONTROL WILL BE MARKED PATROL VEHICLES.

CHECKPOINT OPERATIONS:
___ A SYSTEM WILL BE USED TO SELECT VEHICLES AT THE CHECKPOINT LOCATION. FOR EXAMPLE,
ALL VEHICLES OR EVERY FIFTH VEHICLE WILL BE STOPPED. AT NO TIME WILL RANDOM STOPS BE
UTILIZED.

____ DURING OPERATIONS, OFFICERS WILL APPROACH EACH MOTORIST AND EXPLAIN THE PURPOSE OF
THE STOP.

____ ALL PUBLIC SAFETY CHECKPOINT OPERATIONS WILL BE VIDEOTAPED.

87
NIGHTTIME REQUIREMENTS
___ALL “PUBLIC SAFETY CHECKPOINT AHEAD” SIGNS WILL BE ILLUMINATED FOR THE DURATION OF
THE CHECKPOINT.

___NIGHTTIME CHECKPOINT OFFICERS WILL WEAR UNIFORMS, REFLECTIVE TRAFFIC VESTS AND
UTILIZE FLASHLIGHTS WITH TRAFFIC WANDS.

___ PLAIN CLOTHES OFFICERS WILL DISPLAY POLICE IDs AT ALL TIMES DURING THE CHECKPOINT
OPERATIONS.

___THE PUBLIC SAFETY CHECKPOINT WILL BE ILLUMINATED IN A MANNER THAT WILL ENSURE THAT
ANY APPROACHING MOTORIST HAS ADEQUATE WARNING OF THE CHECKPOINT. (EMERGENCY
OVERHEAD LIGHTING ON POLICE VEHICLES SHOULD NOT BE RELIED UPON TO PROVIDE SUCH
ILLUMINATION.)

SUPERVISOR’S APPROVAL:

CHECKPOINT APPROVAL:_________________________________________________DATE:______________

CHECKPOINT ACTIVITY SUMMARY

DUI ARREST______ ALCO-SENSOR TESTS ______ DATAMASTER TESTS ______

SUSPENDED LICENSES______ UNINSURED MOTORISTS________

REGISTRATION VIOLATIONS_______ SAFETY BELT VIOLATIONS_______

CHILD SAFETY SEAT______ DRUG ARREST_____ OTHER______

88
 Special Activity Report

District _____________ OIC ___________________ Date ________________

Start time ______________________ End time _________________________

Location ________________________________________________________

□ Self-Initiated
□ Assigned by Department
Type of Support (check all that apply)

□ City Police □ Radar

□ County Police □ Vascar
□ State Police □ Air
□ Ghost Car

Focus of Special Activity

□ Speed □ DUI
□ Seatbelts □ Drug Interdiction
□ Work Zone □ Commercial Motor Vehicle

Activity
Total Traffic Citations Total Traffic Warnings
Speeding Citations Speeding Warnings
Seatbelt Citations Seatbelt Warnings
Child Restraint Citations Child Restraint Warnings
Crash Related Citations Crashes Investigated
DUI Arrests Intelligence Reports
Minor Consuming Arrests Commercial Motor Vehicle Citations
Other Alcohol Arrests Commercial Motor Vehicle Warnings
Criminal Arrests Alco-sensor tests
Drug related Arrests DataMaster Tests
Work Zone Citations Police Services

Car Number of Badge # of Each Time Started Time Ended Mileage

Each Unit Assigned Unit

Total # of Units _______ Total Man Hours _________ Total Mileage _________

89
 DUI Investigative Notes
(Intended solely for practicing Field Sobriety Tests; there is no claim to the
significance or validity of the tests. However, there must be some reference
level to determine if a suspect has passed or failed each test.)

Field Sobriety Directions

Walk-and-turn
Have the suspect place his left foot on the line and his right foot in front of his left (heel to
toe)

Have the suspect stand in this position, demonstrate and explain the test before he begins

Take nine steps

Stay on line

Count the steps out loud

Watch your feet

Once you start, do not stop

Keep hands at side

During turn, swivel on left foot and take small steps with right foot to turn around

After the turn, take 9 steps and return to the starting point in the same fashion.

Do you understand? Begin.

90
One-leg stand
Have the suspect stand with his heels together and his arms at his side

Have the suspect stand in this position, demonstrate and explain the test before he begins

Lift your foot (either foot) 6” off of the ground

Keep your leg straight in front of you

Watch your foot

Keep your arms at you side

Count out loud up to 30

Count 1001, 1002, 1003, 1004,….

Do you understand? Begin.

Horizontal Nystagmus
Face toward me and do not turn your head; only move your eyes

Follow my finger with your eyes

[Move finger from side to side; move finger so that eyes can be assessed at 45 degrees and at
maximum deviation; record eye movements]

Finger Count
Count from 1 to 4, touching the tip of your thumb to the tip of your fingers

Count from pinky to index finger, then index finger to pinky

Count 1, 2, 3, 4, 4, 3, 2, 1

Do you understand? Begin.

91
Backward Count
Example: Tell suspect to count backward from 33 to 14

Alphabet:
Ask suspect if he knows alphabet

Ask the suspect to indicate his level of education

Ask suspect to recite alphabet (but not to sing it)

Alco-sensor test
Place the breath tube on the instrument

Press read button to indicate that no measurement is currently on the instrument

Press set button to set instrument

Place tube in suspect’s mouth

Place hand behind tube to measure breath

Tell suspect to blow into breath tube

Tell suspect you want a steady breath and for him to blow until you tell him to stop

After several seconds, press read button to take a reading

Determine reading (a reading will automatically come up or can press read button)

Toggle set and read buttons and swing instrument to clear out current readings

92
 Horizontal Nystagmus

Horizontal Nystagmus Test Results ◊ Passed ◊ Failed

If suspect exhibited 4 or more clues, then it is a failed test.

6 total clues of impairment - 3 for each eye

1. Lack of Smooth Pursuit

2. Distinct Nystagmus at Maximum Deviation
3. Onset of Nystagmus Prior to 45 degrees (includes Nystagmus while eyes at rest)

Horizontal Nystagmus Test (check box only if characteristic observed) Left Right

◊ Lack of Smooth Pursuit ____ ____

◊ Distinct Nystagmus at Maximum Deviation ____ ____

◊ Onset of Nystagmus Prior to 45 degrees (includes while eyes at rest) ____ ____

Tests to detect head injuries (if check yes, then the test is suspect)

Eyes have Equal Tracking ◊ Yes ◊ No ◊ Does not apply

Eyes have Equal Size Pupils ◊ Yes ◊ No ◊ Does not apply

93
 Walk-and-Turn
Walk-and-Turn Test Results ◊ Passed ◊ Failed
If suspect exhibited 2 or more clues, then it is a failed test.
8 clues of impairment

1. Cannot maintain balance during Instructions stage

2. Starts too soon
3. Stops while walking
4. Misses heel-to-toe ½ inch or more between steps
5. Steps off of the line
6. Raises arms 6” or more
7. Turns improperly
8. Takes wrong number of steps

R9 L8 R7 L6 R5 L4 R3 L2 R1 ←
L R L1 R2 L3 R4 L5 R6 L7 R8 L9 →
Walk-and-Turn
INSTRUCTIONS STAGE

Keeps balance ◊ Yes ◊ No

Starts too soon ◊ Yes ◊ No

WALKING STAGE First Nine Steps Second Nine Steps

Stops Walking ________________ __________________

Misses Heel-to-toe ________________ __________________

Steps off of line ________________ __________________

Raises Arms > 6” ________________ __________________

Actual Number of Steps Taken ________________ __________________

Improper turn (describe) _______________________________________________________

Cannot perform Test (Explain) ___________________________________________________

Other: ______________________________________________________________________

94
 One Leg Stand
One Leg Stand Test Results ◊ Passed ◊ Failed
If suspect exhibited 2 or more clues, then it is a failed test.
4 clues of impairment

1. Sways while balancing

2. Raises arms more than 6”
3. Hops
4. Puts foot down

Puts foot down 3 times is a failed test. Foot stood on ___ L ___R

Check (if yes) Performance

Sways while balancing

Raises arms more than 6”

Hops

Puts foot down

Puts foot down 3 times (failed test) ◊ Yes ◊ No

Type of footwear ____________ ______________

Cannot perform test (explain) _____________________________________

______________________________________________________________

Other _________________________________________________________

______________________________________________________________

95
 Backward Count

Backward Count Test Results ◊ Passed ◊ Failed

If suspect exhibited 2 or more clues, then it is a failed test.

3 clues of impairment

◊ Hesitation
◊ Incomplete (Left out numbers) ___________________________________
◊ Continued past number and counted to____________________________
◊ Other ________________________________________________________

Asked participant to count from ______________ to ______________.

96
 Alphabet A-Z

Alphabet (A-Z) Test Results ◊ Passed ◊ Failed

If suspect exhibited 2 or more clues, then it is a failed test.

4 clues of impairment

◊ Left out letters:________________________________________________

◊ Hesitated
◊ Incomplete
◊ Sang Alphabet
◊ Other (describe)________________________________________________

97
 Finger Count

Finger Count Test Results ◊ Passed ◊ Failed

If suspect exhibited 2 or more clues, then it is a failed test.

4 clues of impairment

◊ Hesitation
◊ Misses tip of thumb to tip of finger
◊ Does not count 1-2-3-4-4-3-2-1
◊ Count not in alignment with appropriate finger
◊ Other ________________________________________________________

98
 IMPLIED CONSENT WARNING

I have probable cause to believe that you have operated a vehicle while
intoxicated. I must now offer to you the opportunity to submit to a chemical
test, and inform you that your refusal to submit to a chemical test will result in
the suspension of your driving privileges for ___ months.

Will you now take a chemical test?

Some departments arrest at this point. There is probable cause. Other

departments arrest after the DataMaster test. In the latter case, the additional
evidence gained by the DataMaster test is considered part of the totality of
circumstance (a refusal will result in an arrest because there is probable cause).

99
 DataMaster Evidence Ticket
Below is information that is recorded on a DataMaster evidence ticket.

State of ___________

Instrument # ____________________

Date: __________________________

Subject name ___________________

DOB ___________________

SSN ____________________

Operator’s name ________________

Department ____________________

Breath Analysis

Calibration/Self Tests ____ passed ____ failed

Subject’s sample ___ passed ___failed ____refused BrAC %____

Start Observation Time ____________ Time of DataMaster Test ___________

Operator’s name ___________ Signature ____________ Badge # ____

100
 Affidavit for Probable Cause: Driving While Intoxicated

State of __________ in the _______________________ Court in the County of ____________________________

State of _________________________

vs.

________________________________

________________________________

I, _____________________________, a law enforcer with the __________________ Department, swear that on the

________ day of ___________ 20__, at about ________ □am □ pm (Name) __________________, the accused, a
(race) ________ , (sex) □ male □ female, (date of birth) _____________, was observed at (location) __________

__________________________________________ in ___________ County, ___________ (State) operating a motor

vehicle (description) ___________________________________________________________________________.

The accused, having □ ___ (State) driver’s license □ social security number □ other identification number
(list number) _______________________ operated a motor vehicle under the following circumstances:

Preliminary Observations
□ I observed the accused operate the motor vehicle in my presence.
□ _________________________ observed the accused operate a motor vehicle.
□ I had reason to believe that the accused operated a motor vehicle because _______________________________
□ The accused committed the following traffic violations:_______________________________________________
□ On private property, the accused’s driving was erratic and unusual because _______________________________

Reason for the Traffic Investigation

□ The accused committed the following traffic violations: _____________________________________________
□ The accused was already stopped when I approached.
□ Other:____________________________________________________________________________________
101
Crash?
Was there a crash involved? □ no □ yes Number of vehicles involved in crash _____
□ I witnessed the accused’s crash.
□ _________________ witnessed the crash and identified the accused as a driver involved in the crash.
□ The accused admitted to being the driver involved in the crash.
□ The result of the crash was □ property damage _________ □ personal injury (name) ___________________

Field Observations
I had probable cause to believe that the accused was intoxicated because I observed (check all that apply):

□ Odor of alcoholic beverage □ alcohol beverage containers in view □ admitted consuming alcohol
□ blood shot eyes □ improperly left vehicle in gear □ leaned against vehicle
□ slurred Speech □ failed to shut off vehicle at crash scene □ soiled/disorderly clothing
□ poor manual dexterity □ was involved in crash □ could not open door
□ poor balance □ could not exit vehicle on own □ fell asleep at scene
□ belligerent attitude □ staggered from vehicle □ excessive giggling

Field Sobriety Tests (check all of the tests that were administered and the corresponding results)
□ Horizontal Nystagmus □ Passed □ Failed
□ Walk-and-turn □ Passed □ Failed
□ One-leg stand □ Passed □ Failed
□ Finger count □ Passed □ Failed
□ Backward count □ Passed □ Failed ________________________ (list range & describe response)

□ Alphabet □ Passed □ Failed ___________________________________ (describe response)

□ Rhomberg balance □ Passed □ Failed

□ Finger-to-nose □ Passed □ Failed
□ Other □ Passed □ Failed _____________________________________ (describe test)

□ Alco-sensor 0.________ grams of alcohol per 210 liters of breath. □ Passed □ Failed

102
Chemical Test
□ I informed the accused of the state implied consent law & the accused □submitted to □ refused
the chemical test.

□ The accused was unable to take the chemical test because □ injured □ unconscious □ too intoxicated
□_________________, a certified chemical test operator, performed a chemical DataMaster test on the accused
at (location) _______________________. The alcohol concentration was equivalent to 0._______ gram of
alcohol per 210 liters of breath.

□ I was informed by _________________ that a blood test was conducted on accused at _____ □ am □ pm
and that the result was an alcohol concentration equivalent 0._____ gram of alcohol per 100 milliliters of blood.

□ I was informed by _________________ that a □ blood □ urine □ other test was conducted on
accused at _______ □am □ pm at (location) ______________________ and that the result was positive
for the controlled substance _____________________________________.

I swear or affirm that under penalty of perjury that the foregoing facts are true.

___________________________ __________ ____________________________________

Signature of Affiant Date Print name and Department

Previous Convictions
I, __________________________, have examined the accused driving/criminal record and have determined that the
accused has a prior Operating While Intoxicated conviction on (date) _________ from ___________________ Court in
____________ County, __________ (State) having cause number __________________________________________.

I swear or affirm that under penalty of perjury that the foregoing facts are true.

_____________________________________ __________

Signature of Affiant Date

103
Receipt for Driver’s License (confiscated by police)
_____________________ Police Department ORI # ______________________

Charges _____________________________

Date of arrest _____________ time ____________ □ am □ pm

Driver’s license number _______________________ License state ______________

Name __________________________________ DOB ___________________

Current address _________________________________________________

Sex _________ Weight _________ Height ______ Eyes __________ Hair ________

The above motorist □ refused the alcohol test □ failed the alcohol test 0. _____ %.

County _____________________________

______________ ____________________________ ________________________ ___________

Date Department Signature of Officer Badge #

104
 CHARGING FORM FOR DRIVING WHILE INTOXICATED
State of __________________ IN THE _______________________________ COURT

County of ___________________ CAUSE NO. _______________________

State of ___________________

vs.

__________________________

DOB: ____________________

SSN: ____________________

INFORMATION FOR (OFFENSE TITLE): _____________________________________________________

CODE___________________________ CLASS ____________ □ MISDEMEANOR □ FELONY

COMES NOW, _________________________ (name of officer), who being duly sworn upon oath,
says that on or about : (date of offense) ________________, 20____, at (location of offense)
______________________________________, in _________ County, ____ (State), one (defendant)
_______________________________ of (Defendant’s address) _____________________________
did then and there RECKLESSLY, KNOWINGLY, or INTENTIONALLY: (describe elements of the
crime)
_____________________________________________________________________________

___________________________________________________________________________________________________

___________________________________________________________________________________________________

___________________________________________________________________________________________________

All of which is contrary to the form of the statute in such cases made and provided, and against the peace and dignity of the
State of _____________________.

I swear or affirm under penalty of perjury that the foregoing representations are true.

Date ______________ Arresting officer’s name (printed) ________________________________________________

Arresting Officer’s Signature & Badge # ______________________________________________________________

Witness List: _____________________________________________________________________________________

Approved by (Prosecutor) ______________________________________________

105
 Monthly ALCO-SENSOR Report

________________________________________ Police Department

Alco- Coun
sensor ty
Officer ____________________ Badge # #

____________

DAT LOCATIO BREATHALYZ

ALCO
ER
CHARGE REMARK
E N SENSOR
TIM RESU TIM RESU S
E LT E LT

106
 MOBILE VIDEO TAPE LOG

_____________ Police Department

Name:___________________ Badge #:_________ Case/Incident

#:_____________

Primary County: ___________ Start Date: __________ End Date:

______________

Dat Count
Time Name/Subject UTT/Case/Incident # Offense Remarks
e y

107
 I-94 Arrival/Departure Record (US. Department of Justice, 2002, 1991)

Non-U.S. citizens will have I-94

Green – Visa Waiver
White – Non Visa Waiver

Non-U.S. citizens who are visiting the U.S. will have the bottom part of the I-94, which is
written in English.

The I-94 arrival/departure record may be used to identify visitors when they try to present
identifications to police officers that are not written in English.

The information below will be provided on the I-94 arrival/departure record and it will be
written in English.

Departure # __________________

Last Name (family name) _____________________

First name _________________________________

DOB ______________________________________

Country of Citizenship _______________________

108
 INCIDENT REPORTS (NON-CRIMINAL)

Incident Report (non-criminal)…………………………………… 109

Supplemental Incident Report …………………………………… 111
Application for 72 Hour Medical Detention ……………………… 112
Police Department’s Animal Bite Report ………………………… 113
Vehicle Impound Rules (Department Policy)……………………. 115
Vehicle Impound Form …………………………………………… 116
Vehicle Impound Incident Report………………………………… 118
Notice of Vehicle Confiscation & Request for Confiscation Hearing..120
Automatic Electric Defibrillator (AED) Use Report ….…………... 121

109
 Incident Report (non-
criminal) Page ___ of ___
Incident (non-criminal) #

Location of Incident City County State

Incident : Lost Property Found Property Victim Injured Other

□ □ □ □ _________________
Date &Time of Incident Date &Time Reported to Dispatch Dispatch Badge #

Victim Name Victim’s Phone

Victim’s Address Victim’s DOB Victim’s SSN

Victim’s Sex Victim’s Race Victim’s Place of Treatment (Name & Address)

Person Who Reported Incident (Name)

Person Who Reported Incident (Address)

Witness to Incident (Name)

Witness to Incident (Address)

Witness: □ Driver’s License □ State ID Number State DOB

□ Other ___________________
Property Record & Receipt #

Weapon, Tool, or Force

Vehicle Involved? VIN Make Model Color Year License State

□ Yes □ No
Name and address of Vehicle Owner

Name, address, and phone # of Wrecker that towed vehicle

Officer’s Name (printed) Officer’s Signature & Badge # Date

Approved by Supervisor

110
 □ Yes □ No

Incident (non-criminal) # Page ____ of ____

NARRATIVE

ATTACHMENTS:

Officer’s Name (printed) Officer’s Signature & Badge # Date Approved by

Supervisor

111
 □ Yes □ No

Supplemental Incident Report

Incident (non-criminal) #
Location of Offense City County State

Offense Code

Victim Name Victim’s Phone

Summary:

ATTACHMENTS:

Officer’s Name (printed) Officer’s Signature & Badge # Date Approved by

112
 Supervisor

□ Yes □ No

APPLICATION FOR 72 HOUR MEDICAL DETENTION

STATE OF _________________ Incident # _______________________________ Date __________

TO: _____________________ COURT OF______________ COUNTY, ____________ (State)

IN THE MATTER OF_________________, Patient DOB:________ SEX ___MALE ___FEMALE

THE OFFICER HEREIN STATES TO THE COURT THE FOLLOWING:

1. THAT THE PATIENT____________________________AGE_________DOB__________________, RESIDES
AT _____________________________________________________________________________________
AND IS NOW AT________________________________________________________________________________.
2. THAT THIS OFFICER HAS REASON TO BELIEVE THAT THE RESPONDENT IS MENTALLY
DISORDERED AS DEFINED BY LAW AND PRESENTS THE LIKELIHOOD OF SERIOUS HARM
TO SELF OR OTHERS, AND THUS IS IN NEED OF DETENTION, EVALUATION AND
TREATMENT.
3. THE FACTS THAT SUPPORT THE OFFICER’S BELIEF THAT THE RESPONDANT IS
MENTALLY DISORDERED ARE:

4. THE FACTS THAT SUPPORT THE OFFICER’S BELIEF THAT THE RESPONDANT PRESENTS
A LIKELIHOOD OF SERIOUS HARM ARE:

5. THIS OFFICER REQUESTS THE COURT TO ORDER THAT THE PATIENT BE HELD IN
CUSTODY AND TRANSFERRED TO __________________________________________________
FOR DETENTION, EVALUATION, AND TREATMENT FOR A PERIOD NOT TO EXCEED 72
HOURS PURSUANT TO LAW.

THIS OFFICER VERIFIES & AFFIRMS THAT THE FACTS STATED IN THIS APPLICATION ARE TRUE.

ATTACHMENT: DOCTOR’S ORDER

OFFICER’S NAME & BADGE # DEPARTMENT ADDRESS

113
OFFICER’S SIGNATURE DEPARTMENT TELEPHONE

JUDGE’S NAME JUDGE’S SIGNATURE PHONE #

114
 Police Department’s Animal Bite Report

Case Report # _______________ Incident Location _________________________

Report Report Reported by Received by Victim Type Date Biting animal Incident
Date Time (circle 2) of tested for
Name: Bite rabies after On Off
Human/Animal bite?
Personal
Juvenile/Adult Y N property
Phone:

Result of test
(circle)

Pos Neg

Bat Cattle Cat Chipmunk Dog Ferret Gerbil Mouse Other

Squirrel Fox Hamster Rat (specify)
BITING
Rabbit
ANIMAL
Raccoon
Snake

Species of
biting
animal

Soap & Alcohol or Wound

VICTIM None Antibiotics
Water Peroxide Stitched

TREATMENT
OF VICTIM
(check all that
apply)

Number of
VICTIM Human Rabies Immune Globulin Rabies Vaccine
Doses Planned

Rabies Prophylaxis

VICTIM Human Other Domestic Animal Other Animal (wild)

Victim of Bite (check one)

115
VICTIM Minor, no Minor Moderate Severe Death
break in skin puncture in puncture in puncture
skin skin (deep,
crushing,
or tears
due to
shaking)

Seriousness of
Bite (check one)

BITING Confined at Roaming at Repeat Biter, No previous bites

ANIMAL time of bite time of bite previous on file on file

(1) (2) (3) (4)

A
Animal that N
bit victim
D
(Check either
box 1 or 2.
Check either
box 3 or 4)

BITING Aggression Convulsion Unable to Eat or Drink Paralysis Excessive

ANIMAL Salivation

Behaviors
Exhibited by
Biting
Animal

(Check all
that apply)

116
 Vehicle Impound Rules (Department Policy)

On the Vehicle Impound Form

Document all items over $20.

Document group of items over $20. For example: A case containing 20 DVDs.

Inventory all cash.

Document all damage. If a car is scratched all over, then indicate that the car is scratched all over.

Example (on Vehicle Impound Form)

Inventory
Cash: $44.48

One silver-colored DeMarini aluminum baseball bat, 31”; serial # 56848494.

One black Cobra CB radio; serial # T5848930.

Damage
Cracked windshield.

Dent on front driver side fender.

Scratches all over car.

In the Narrative of the Vehicle Impound Incident Report

State date, time, and location. State the date and time that the vehicle was reported
abandoned, its location, and the date and time that the wrecker was called. The time
differential must indicate that a violation of law has occurred (e.g., more than 72 hours).

State who arrived at the scene and who removed the vehicle. Include all times.

117
 VEHICLE IMPOUND FORM
RETURN THIS PORTION OF COMPLETED FORM TO: BMV/DMV/Secretary of
State

Available for release □ Yes □ No _____________ Incident # ________________

TO BE COMPLETED BY POLICE OFFICER – VEHICLE & LOCATION

INFORMATION
CITY COUNTY STREET Date Towed

MAKE OF VEHICLE YEAR STYLE MODEL COLOR VIN

LICENSE PLATE # Year State Odometer Reading

Expired
Name of Vehicle Owner Name of Person Last in Possession of Vehicle □
Determined by □ VIN □ SAME AS OWNER
Plate □ Paper Registration
Name & Address of Owner If Not Owner, Address of Person in Last
Possession of Vehicle
Name of Arrested Charge & Code

TO BE COMPLETED BY POLICE OFFICER – VEHICLE & REASON FOR TOW

GENERAL CONDITION TOW IN REQUESTED BY REASON FOR TOW
OF VEHICLE
GOOD
POOR MISSING
___ STATE POLICE ___ A. WRECKED
___ COUNTY POLICE ___ B. ABANDONED
FRAME □ □ □ ___ C. STOLEN
WINDSHIE □ □ □ ___ STATE CONSTABLE
___ D. DRUG ARREST
LD ___ CITY POLICE ___ E. TRAFFIC
RADIATOR □ □ □ ___ OTHER VIOLATION
WHEELS □ □ □ ___ F. OTHER (EXPLAIN
TIRES □ □ □ Estimated Value of Vehicle
($) BELOW)
SEATS □ □ □
SHELL □ □ □ __0-100 __101-1000
SPARE __1001-5000
TIRE
□ □ □
RADIO □ □ □ __Over 5000
Signature & Badge # of Impounding Agency Owner Notified DATE/TIME
Officer □ Yes □ No NOTIFIED

TO BE PREPARED BY WRECKER COMPANY AT SCENE PRIOR TO

LEAVING SCENE
NAME OF PERSON TOWING NAME OF TOW-IN COMPANY TELEPHONE NUMBER

118
 ADDRESS CITY STATE ZIP

TOW-IN FEE DAILY STORAGE DATE STORED TIME WRECKER TIME ARRIVED
FEE CALLED
SIGNATURE OF PERSON TOWING

Document Vehicle Damage and Inventory:

Damage

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

Inventory

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

RELEASE INFORMATION - TO BE COMPLETED BY WRECKER

COMPANY
Met Conditions □ Proof of Insurance
for vehicle
Release □ Valid Registration
□ Yes □ No □ Other _________________________________________________
Name of Wrecker:___________________
Phone:________________________
Wrecker
Information Name of authorized
representative:___________________________________

Signature:
Release
Information Released
to:______________________________________________________
(Printed Name) (Signature)

119
Form of ID
presented:_______________________________________________

Released
by:______________________________________________________
Printed Name Signature
Badge#

Date released: Time released: At scene

___Yes ___No

120
 Vehicle Impound Incident Report
Incident (non-criminal) #

Location City County State

Title of Report: ABANDONED VEHICLE - IMPOUND

Victim Name Victim’s Phone

Victim’s Address Victim’s SSN

Date &Time of Tow Date & Time Initially Reported to Dispatch

Vehicle Involved? VIN Make Model Color Year License State

□ Yes □ No
Name and address of Vehicle Owner

Name, address, and phone # of Wrecker that towed vehicle

NARRATIVE

The above vehicle was found to be abandoned:

___ in violation of DOT regulations

___ (other): ______________________________

The vehicle was impounded by the above listed towing service on the date and time
listed.

The registered owner was determined by:

___ registration certificate or title in vehicle

___ computer check via Department of Motor Vehicle
___ all efforts failed to identify owner (explain in comments)

121
Owner notification of impound was made by: ___ Telephone Date ______ Time ________
___ Certified mail Date __________________
___ All efforts of notification failed (explain in comments)

Narrative of Report:

__________________________________________________________________________

__________________________________________________________________________

__________________________________________________________________________

__________________________________________________________________________

__________________________________________________________________________

__________________________________________________________________________

__________________________________________________________________________

__________________________________________________________________________

__________________________________________________________________________

__________________________________________________________________________

__________________________________________________________________________

__________________________________________________________________________

__________________________________________________________________________

__________________________________________________________________________

__________________________________________________________________________

Officer’s Name (printed) Officer’s Signature & Badge # Date Approved by Supervisor

□ Yes □ No

122
 NOTICE OF VEHICLE CONFISCATION &
REQUEST FOR CONFISCATION HEARING
_________________POLICE DEPARTMENT

As the owner of a ____________________, (state) ____ license tag _________________

VIN # _________________________________________ you are hereby advised by that on
________________________ the above referenced vehicle was confiscated by the
_______________________ Police Department upon the arrest of ____________________.
The name of the confiscating agency is __________________________________________.

You may request a hearing before the Court and contest the confiscation of the
attached referenced vehicle. Otherwise, the vehicle will proceed to forfeiture proceedings.
To request a confiscation hearing, sign this document below and return to the Clerk of Court.
Your request must be received by the Clerk within ten (10) days of your receipt of
this notice. Otherwise, your right to the hearing is waived. If your request is timely
received, the hearing will be held with ten (10) days of receipt of your request. You will be
notified by First Class mail of the date, time and location of the hearing.

I request a hearing.

________________________________________
Signature of Owner

___________________________________________
Address

_______________________________________ _________________________________
City State ZIP Date of Request

123
 A E D utomatic lectric efibrillator USE REPORT

__________________________ Department
Case # Date of Incident: Date of Report:
Officer Name & Badge #
Location of Incident:
LOCATION TYPE: □ Home □ Public Place □ Long Term Care Facility

□ Nursing Home □ Other_______________________

Patient Information
Name:
DOB: Age:
State of ID Type of ID ID #

Home Address: Phone:

Emergency Contact:
Previous Medical History:

CONDITION ON ARRIVAL: □ Breathing with Pulse □Apneic with Pulse □Apneic No Pulse
Was Arrest Witnessed □ YES □ NO ONSET OF COMPLAINT _______:_______ (Time)

COMPLAINT PRIOR TO COLLAPSE_____________________________________________________________

Assistance Information
Time Collapse: Time Bystander Started CPR:
Bystander Name & Address:

Time Called Received: Time En route: Time Arrived at Scene:

Time Arrived at Patient’s Side: Time CPR Started: Time First Shock Delivered:

Time ACLS Arrived at Scene: ACLS Unit #:

Time Initial Return of Pulse:

124
 CRIMINAL & JUVENILE REPORTS

Police Complaint – Information Summons ………………………. 125

Miranda Warning …………………………………………………. 126
Voluntary Statement ……………………………………………… 128
Interview Statement ………………………………………………. 129
Consent to Search ………………………………………………… 130
Example 1: Affidavit for Search Warrant ………………………… 131
Example 1: Order for Search Warrant …………………………… 132
Example 1: Search Warrant ………………………………………. 133
Example 2: Affidavit for Search Warrant ………………………… 134
Example 2: Search Warrant ………………………………………. 135
Affidavit for Search Warrant …………………………………….. 136
Order for Search Warrant ………………………………………… 137
Search Warrant …………………………………………………… 138
Field Interview Card ……………………………………………… 139
Police Department – Intelligence Report ………………………… 140
Suspect Report …………………………………………………….. 141
Case Report Checklist Attachments ………………………………. 143
Investigative Checklist ……………………………………………. 144
Lead Sheet ……………………………………………………….. 145
Case Report (criminal)………………………….………………… 146
Supplemental Case Report ………………………………………. 148
Final Disposition of Case ………………………………………… 149
Affidavit for Probable Cause (General) …………………………. 150
Information for Violation of Law ………………………………… 152
Application for Criminal Arrest Warrant ………………………… 154
Arrest Warrant …………………………………………………… 155
Arrest Warrant Service Report …………………………………... 158
Example of MUG Sheet …………………………………………. 159

125
Consular Notification ……………………………………………. 160
Jail Intake Form ………………………………………………….. 162
Custody Order/Custody Hold…………………………………….. 163
Temporary Hold Form – Detention Division …………………… 164
Fingerprint Card Information …………………………………… 165
Example – Latent Print Card …………………………………….. 166
Latent Print Card ………………………………………………… 167
Probable Cause Declaration – Bail Setting Information ………… 168
Narcotics or Intoxication Report ………………………………… 169
Correctional Medical Survey …………………………………… 170
Crime Scene Entry Log …………………………………………. 171
Photography Log Sheet …………………………………………. 172
Evidence Bag Example …………………………………………. 173
Police Property Record & Receipt Form – Chain of Custody …… 174
Request for Police Laboratory Examination …………………….. 176
Certificate of Proof of Chain of Physical Custody ……………… 178
Tape Review Request …………………………………………… 179
Subpoena ………………………………………………………… 180
In Field Show-Up Report ……………………………………….. 181
Photographic Lineup Procedures ……………………………….. 182
Photographic Line-Up ……………………………………………. 183
Citizen’s Arrest ………………………………………………….. 184
Use of Force Report ……………………………………………… 185
Use of Firearms Diagram Information…………………………… 186
Firearms Report ………………………………………………….. 187
Vehicle Pursuit Critique Form …………………………………… 189
Injury Report – Corrections Employee ………………………….. 191
Inmate Violation Report …………………………………………. 192
Custody Request – Detention Division ………………………….. 193
Application for Emergency Protective Order …………………… 194
Emergency Protective Order ……………………………………. 195

126
Domestic Violence Supplement ………………………………… 196
Trespass Warning ………………………………………………. 198
Suspected Child Abuse Report …………………………………. 199
Police Department – Victim’s Notification and Waiver ………… 200
Wanted/Missing Person Report ………………………………….. 202
Missing Child Report ……………………..……………………… 203
Crime Scene Checklist …………………………………………… 204
Stolen Items Notification ………………………………………… 207
Juvenile Information …………………………………………….. 208
Juvenile Notice of Violation …………………………………….. 209
Release to Custody ………………………………………………. 210
Juvenile Fingerprint Card – Final Disposition …………………… 211

127
 POLICE COMPLAINT - INFORMATION SUMMONS
Court Cause # (to be issued by court)

□ Complaint (Traffic) □ Information (Criminal) County of _________ City of ____________

I have probable cause to believe that on

Weekday Day of Month Month Year Time

Last Name First Name MI

Home Street Address

City State Zip Code

Race Sex Height Weight DOB Age

□ DL □ State ID □ SSN □ Other __________ State □ Commercial DL CDL Class

Number: ____________________________ □ Operator’s DL

□ Did unlawfully operate □ Committed a violation as a passenger in a vehicle described as

Color Vehicle Year Make License expiration year License state License plate #

□ Tractor □ Tractor-trailer □ Straight truck □ Bus □ Other

□ Passenger Car/Pickup truck
□ DOT # □ ICC # ________________ □ Hazmat Placard #
_____________
At Location

DID COMMIT THE FOLLOWING VIOLATION

Vehicle Speed Speed Limit

Description of Offense:

In Violation of Statute/Code:

I affirm under penalty of perjury that the above information is true

Signature of Officer Print Name Police Dept. Badge #

Court Court Address & Phone # Respond to Court By (date)

Violator’s Signature I promise to appear before the court Approved by Solicitor/Prosecutor

COURT APPEARANCE PROMISE when required. My signature is not an
admission of guilt. Signature: _________________ Date: _________

128
 MIRANDA WARNING

__________________POLICE DEPARTMENT

Subject’s Name: __________________________ SS#__________________________

Location of Interview: ___________________________________________________
Date: _______ Beginning Time of Interview________ Ending Time of Interview_________
_________________________________________________________________________

MIRANDA RIGHTS
Before we ask you any questions, you must understand your rights. Initial each line to indicate your
understanding of, and agreement with, that line.

______ You have the right to remain silent.

______ Anything you say can and will be used against you in a court of law.

______ You have the right to talk to a lawyer for advice before we ask you any questions and to have him
with you during questioning.

______ If you cannot afford a lawyer, the court will appoint one to represent you without cost if you wish.

______ If you decide to answer questions now without a lawyer present, you will still have the right to stop
answering at any time. You also have the right to stop answering at any time until you talk to a
lawyer.

______ I have read this statement of my rights and I understand what my rights are.

WAIVER OF RIGHTS
_______ I am willing to make a statement and answer questions. I do not want a lawyer at this time. I
understand and know what I am doing. No promises or threats have been made to me and no pressure of any
kind has been used against me.

_______________________ _______________________ Date: _________ Time: _______

Print Name Signature

Witness: __________________________ ____________________________

Print Name Signature

Witness: ___________________________ ____________________________

Print Name Signature

129
 When interrogating juveniles, legal guardian signatures also required.

Legal Guardian of Juvenile

As parent or legal guardian of_______________________________, I have read the rights

as set out above and understand them. Neither the juvenile nor I want a lawyer at this time
and the juvenile is willing to answer questions.

Signed____________________________

Witness:___________________________

Witness:___________________________

Date_____________________ Time_____________ ___.M.

130
 VOLUNTARY STATEMENT This is page ______ of ___.

__________________________ Police Department

Date_____________ Place _________________________________________________ time started _______

I, ___________________________________, am __________ years of age, being born on ____________ have

been warned by ____________________________________________, with the _____________________

police department, that I do not have to make any statement at all, nor answer any questions. I was also warned
and advised of my right to a lawyer of my own choice before or at any time during questioning, and if I am not
able to hire a lawyer, I may request to have a lawyer appointed to me. I do not now want a lawyer, and I waive
my right to the advice and presence of a lawyer, knowing that anything I say can and will be used against me in
a court of law. I now want to make a statement.

___________________________________________________________________________________________________

___________________________________________________________________________________________________

___________________________________________________________________________________________________

___________________________________________________________________________________________________

___________________________________________________________________________________________________

___________________________________________________________________________________________________

___________________________________________________________________________________________________

___________________________________________________________________________________________________

___________________________________________________________________________________________________

___________________________________________________________________________________________________

___________________________________________________________________________________________________

___________________________________________________________________________________________________

Draw a diagonal line through all unused space. Have person place initials at end of statement.

This form was completed at (time) ______________.

Signature of person providing statement _____________________________________

Witness_________________________ Signature________________ Badge # ______

Print name

Witness__________________________ Signature__________________ Badge # ______

Print name

131
Page____of______ Type of Report ______________ Report #_______________

Interview Statement
_______________________________________________
_______________________________________________
_______________________________________________
_______________________________________________
_______________________________________________
_______________________________________________
_______________________________________________
_______________________________________________
_______________________________________________
_______________________________________________
_______________________________________________
_______________________________________________
_______________________________________________
_______________________________________________
_______________________________________________
_______________________________________________
_______________________________________________
_______________________________________________
_______________________________________________
_______________________________________________

Draw a diagonal line through all unused space. Have person place initials at end of statement.

_____________________ ____________________________ ________________

Print Name Signature Date/Time

Witness____________________________ Signature____________________
Print name

Witness____________________________ Signature____________________
Print name

132
 CONSENT TO SEARCH
__________________________ Police Department
LOCATION____________________________________________________________

DATE___________ TIME___________ OFFICER___________________________

YOUR RIGHTS: YOU HAVE THE FOLLOWING CONSTITUTIONAL RIGHTS.

YOU HAVE THE RIGHT TO REQUIRE THAT A SEARCH WARRANT BE OBTAINED BEFORE ANY SEARCH OF YOUR
PROPERTY & YOU HAVE THE RIGHT TO REFUSE TO CONSENT TO WARRANTLESS SEARCH.

YOU HAVE THE RIGHT TO TALK TO A LAWYER BEFORE GIVING CONSENT TO SUCH SEARCH.

IF YOU CANNOT AFFORD A LAWYER, ONE WILL BE APPOINTED TO YOU.

IF YOU ARE A JUVENILE, YOU HAVE THE RIGHT TO TALK WITH YOUR PARENT OR GUARDIAN BEFORE ANY CONSENT
TO SUCH A SEARCH.

WAIVER AND CONSENT

BOTH WAIVERS AND CONSENTS MUST BE SIGNED IF JUVENILE.

JUVENILE: I HAVE READ THE STATEMENT OF MY RIGHTS AND I UNDERSTAND MY RIGHTS. I DO NOT WANT A
LAWYER AT THIS TIME. I CONSENT TO A WARRANTLESS SEARCH BY OFFICERS OF THE POLICE DEPARTMENT OF THE
FOLLOWING DESCRIBED PROPERTY LOCATED AT ________________________________________________________________.
I AUTHORIZE THESE OFFICERS TO SEIZE ANY ARTICLE OF PROPERTY THAT THEY CONSIDER EVIDENCE. I
UNDERSTAND AND KNOW WHAT I AM DOING. NO PROMISES OR THREATS HAVE BEEN MADE TO ME AND NO
PRESSURE OR COERCION OF ANY KIND HAS BEEN USED AGAINST ME.

_____________________________________ _____________________________________ ________________

Juvenile’s Name (printed) Juvenile’s Name (signed) Date

LEGAL GUARDIAN: AS PARENT OR LEGAL GUARDIAN OF (JUVENILE’S NAME) ___________________________________, I

HAVE READ THE JUVENILE’S RIGHTS AND MY RIGHTS SET OUT ABOVE AND I UNDERSTAND THEM. NEITHER THE
JUVENILE NOT I WANT A LAWYER AT THIS TIME. THE JUVENILE AND I CONSENT TO THE WARRANTLESS SEARCH OF
OUR PROPERTY BY OFFICERS OF THE POLICE DEPARTMENT. I AUTHORIZE THE OFFICERS TO SEARCH THE
FOLLOWING DESCRIBED PROPERTY LOCATED AT _______________________________________________________________.

I FURTHER AUTHORIZE THEOFFICERS TO SEIZE ANY ARTICLE OF PROPERTY WHICH THEY CONSIDER EVIDENCE. I
UNDERSTAND AND KNOW WHAT I AM DOING. NO PROMISES OR THREATS HAVE BEEN MADE TO ME AND NO
PRESSURE OR COERCION OF ANY KIND HAS BEEN USED AGAINST ME.

_____________________________________ _____________________________________ ________________

Legal Guardian’s Name (printed) Legal Guardian’s Name (signed) Date

WITNESSES (OFFICERS): __________________________________ _____________________________________

Signed Name & Badge # Signed Name & Badge #

133
 EXAMPLE 1: AFFIDAVIT FOR SEARCH WARRANT

State of SC IN THE SUPERIOR COURT

County of AIKEN CAUSE NO. ______________________________

STATE OF SC

VS.

Blood of John Smith

w/m/DOB = 1/2/1987; SC DLN 568585

SNN 000-44-3432

COMES NOW, Trp C. Allen (862) (name of law enforcer), who being duly sworn upon oath, swears that he/she has good
reason to believe that in the body described as John Smith w/m/DOB = 1/2/1987; SC DLN 568585, SNN 000-44-3432
currently located at Aiken City Police Dept., in Aiken County, SC (State) there is now in or about said person, being
concealed certain property, namely: blood that contains an illegal amount of alcohol for a driver in the state of SC

Furthermore, the property:

___________________ Was obtained unlawfully.

Is possessed unlawfully.

___________________ Is used or possessed with intent to be used as the means of committing another crime.

XXX Is concealed to prevent a crime from being discovered.

XXX Tends to show that a particular person committed a crime.

See record of proceedings for the facts and information tending to establish probable cause for the issuance of a search
warrant.

This affidavit is made for the purpose of obtaining a search warrant from _________________ Court, ___________ County,

_______ (State) to examine __________________________________________ to search for the aforementioned evidence.

_____________________ Subscribed and sworn to be true before me this _____day of __________, 20____
(Affiant)
_____________________________________ ___________________
Judge Court

134
 EXAMPLE 1: ORDER FOR SEARCH WARRANT

State of SC IN THE SUPERIOR COURT

County of AIKEN CAUSE NO. ______________________________

STATE OF SC

VS.

Blood of John Smith

w/m/DOB = 1/2/1987; SC DLN 568585

SNN 000-44-3432

Trp. C. Allen (862) (name of law enforcer), is a sworn law enforcer and has presented testimony to establish

probable cause for the issuance of a search warrant. The court FINDS that the testimony presented does

describe the items to be searched, and the things to be searched for then seized;

That it sets forth that such are things to be searched for are concealed;

That it alleges substantially the offense in violation thereto;

That it sets forth that such search is for evidence that may be lawfully searched for and seized;

That probable cause does exist for the issuance of the requested search warrant and that a search warrant shall

be issued.

The officer who executes said search warrant shall make a return thereto directed to this court, which return

shall indicate the date and time searched and the list of items seized. Said items seized shall be securely held by

the law enforcement agency whose officer executed this warrant pursuant to Order of the court trying the cause.

SO ORDERED THIS __________ DAY OF ____________ 20___.

JUDGE: ___________________________________________________________

_____________________ COUNTY ____________________________________ COURT

135
 EXAMPLE 1: SEARCH WARRANT

State of SC IN THE SUPERIOR COURT

County of AIKEN CAUSE NO. ______________________________

STATE OF SC

VS.

Blood of John Smith

w/m/DOB = 1/2/1987; SC DLN 568585

SNN 000-44-3432

To: Any Constable, Police Officer, Sheriff or Conservator of the Peace:

WHEREAS, there has presented before me testimony of Trp. C. Allen (862) , a sworn law enforcement officer, for the

purpose of establishing probable cause for the issuance of a Search Warrant. The Court, after hearing the testimony, now

finds that probable cause exists for the issuance of said Search Warrant of the location described as follows: body of John

Smith, w/m/DOB = 1/2/1981, SC DLN = 568585, SNN 000-44-3432

YOU ARE, THEREFORE, commanded in the name of the State of SC with the necessary and proper assistance in the day

time or night time to enter into the location aforementioned and there diligently search for goods and chattels described as

blood that contains an illegal amount of alcohol for a driver in the state of SC

And that you are to bring the same or any part thereof found on such search forthwith before the Court and to be processed

according to law.

GIVEN under my hand this __________ day of ________________, 20____.

__________________________________ __________________ COUNTY _____________________ COURT

JUDGE

136
 EXAMPLE 2: AFFIDAVIT FOR SEARCH WARRANT

State of SC IN THE SUPERIOR COURT

County of AIKEN CAUSE NO. ______________________________

STATE OF SC

VS.

One 1995 Blue Ford Explorer

VIN 1F2HF72J858304372

SC Registration DV3842

COMES NOW, Trp C. Allen (862) (name of law enforcer), who being duly sworn upon oath, swears that he/she has good
reason to believe that in the vehicle described as a 1995 Blue Ford Explorer, VIN 1F2HF72J858304372, SC Registration
DV3842, currently located at 123 Elm Street, in Aiken County, SC (State) there is now in or about said vehicle, being
concealed certain property, namely:

1. Packaged marijuana and paraphernalia.

Furthermore, the property:

XXX Was obtained unlawfully.

XXX Is possessed unlawfully.

XXX Is used or possessed with intent to be used as the means of committing another crime.

XXX Is concealed to prevent a crime from being discovered.

XXX Tends to show that a particular person committed a crime.

See record of proceedings for the facts and information tending to establish probable cause for the issuance of a search
warrant.

This affidavit is made for the purpose of obtaining a search warrant from Aiken Superior Court, Aiken County, SC
(State) to examine One 1995 Blue Ford Explorer, VIN 1F2HF72J858304372, SC Registration DV3842 to search for the
aforementioned evidence.

_____________________ Subscribed and sworn to be true before me this _____day of __________, 20____
(Affiant)
_____________________________________ ___________________
Judge Court

137
 EXAMPLE 2: SEARCH WARRANT

State of SC IN THE SUPERIOR COURT

County of AIKEN CAUSE NO. ______________________________

STATE OF SC

VS.

One 1995 Blue Ford Explorer

VIN 1F2HF72J858304372

SC Registration DV3842

To: Any Constable, Police Officer, Sheriff or Conservator of the Peace:

WHEREAS, there has presented before me testimony of Trp. C. Allen (862) , a sworn law enforcement officer,
for the purpose of establishing probable cause for the issuance of a Search Warrant. The Court, after hearing the
testimony, now finds that probable cause exists for the issuance of said Search Warrant of the location
described as follows: One 1995 Blue Ford Explorer, VIN 1F2HF72J858304372, SC Registration DV3842.

YOU ARE, THEREFORE, commanded in the name of the State of SC with the necessary and proper

assistance in the day time or night time to enter into the location aforementioned and there diligently search for

goods and chattels described as Marijuana, paraphernalia, and any other evidence of illegal drug trafficking.

And that you are to bring the same or any part thereof found on such search forthwith before the Court and to be processed

according to law.

GIVEN under my hand this __________ day of ________________, 20____.

__________________________________ __________________ COUNTY _____________________ COURT

JUDGE

138
 AFFIDAVIT FOR SEARCH WARRANT

State of _______________________ IN THE __________________________ COURT

County of _____________________ CAUSE NO. ______________________________

STATE OF _______________

VS.

________________________________

________________________________

________________________________

COMES NOW, _________________________ (name of law enforcer), who being duly sworn upon oath, swears that
he/she has good reason to believe that in the ______________ described as _________________________________,
currently located at ______________________________, in __________________ County, ______ (State) there is now in
or about said _________________________, being concealed certain property, namely: __________________________
__________________________________________________________________________________________________

Furthermore, the property:

___________________ Was obtained unlawfully.

___________________ Is possessed unlawfully.

___________________ Is used or possessed with intent to be used as the means of committing another crime.

___________________ Is concealed to prevent a crime from being discovered.

___________________ Tends to show that a particular person committed a crime.

See record of proceedings for the facts and information tending to establish probable cause for the issuance of a search
warrant.

This affidavit is made for the purpose of obtaining a search warrant from _________________ Court, ___________ County,

_______ (State) to examine __________________________________________ to search for the aforementioned evidence.

_____________________ Subscribed and sworn to be true before me this _____day of __________, 20____
(Affiant)
_____________________________________ ___________________
Judge Court

139
 ORDER FOR SEARCH WARRANT

State of _________________ IN THE ____________________________ COURT

County of _______________ CAUSE NO. _______________________________

STATE OF ___________________

VS.

__________________________________

__________________________________

__________________________________

_________________________ (name of law enforcer), is a sworn law enforcer and has presented testimony to

establish probable cause for the issuance of a search warrant. The court FINDS that the testimony presented

does describe the items to be searched, and the things to be searched for then seized;

That it sets forth that such are things to be searched for are concealed;

That it alleges substantially the offense in violation thereto;

That it sets forth that such search is for evidence that may be lawfully searched for and seized;

That probable cause does exist for the issuance of the requested search warrant and that a search warrant shall

be issued.

The officer who executes said search warrant shall make a return thereto directed to this court, which return

shall indicate the date and time searched and the list of items seized. Said items seized shall be securely held by

the law enforcement agency whose officer executed this warrant pursuant to Order of the court trying the cause.

SO ORDERED THIS __________ DAY OF ____________ 20___.

JUDGE: ___________________________________________________________

_____________________ COUNTY ____________________________________ COURT

140
 SEARCH WARRANT

State of _________________ IN THE ______________________________ COURT

County of _______________ CAUSE NO. _________________________________

STATE OF _________________

VS.

_______________________________

_______________________________

_______________________________

To: Any Constable, Police Officer, Sheriff or Conservator of the Peace:

WHEREAS, there has presented before me testimony of ________________________, a sworn law enforcement officer,

for the purpose of establishing probable cause for the issuance of a Search Warrant. The Court, after hearing the testimony,

now finds that probable cause exists for the issuance of said Search Warrant of the location described as follows: ______

___________________________________________________________________________________________________

YOU ARE, THEREFORE, commanded in the name of the State of ____________ with the necessary and proper assistance

in the day time or night time to enter into the location aforementioned and there diligently search for goods and chattels

described as

___________________________________________________________________________________________________

___________________________________________________________________________________________________

And that you are to bring the same or any part thereof found on such search forthwith before the Court and to be processed

according to law.

GIVEN under my hand this __________ day of ________________, 20____.

__________________________________ __________________ COUNTY _____________________ COURT

JUDGE

141
 Field Interview Card
___________________ Police Department
County Date Time

Department Incident Number Reason for contact

Location of Contact Pedestrian Stop

Traffic Stop □Y □N
□Y □N
□ Driver □ Passenger
Disposition

Name of Subject Nickname

Address Phone

State ID or Driver’s License # State SSN

Age Sex Race Height Weight Build Complexion

DOB POB Hair Eyes Marks/Tattoos (Type & Location)

Subject’s Parents’ Names

Clothing Description

Persons with Subject at Scene

Gang Affiliation

Vehicle Make Model VIN#

Color Tag State

Owner of Vehicle
Owner at Scene □Y □N

142
 POLICE DEPARTMENT - INTELLIGENCE REPORT

DATE:____________ TIME:_____________ OFFICER & BADGE #:___________________

SUBJECT NAME:____________________________ ALIAS:____________________________

DOB:_______________ AGE:_______ RACE:__________ SEX:_______________

SSN:______________________ DL#___________________________ STATE:______________

HEIGHT:_______ WEIGHT:________ HAIR:______ EYES:________________

SCARS, MARKS, TATTOOS: ___________________________________________________________

OCCUPATION: _______________________________________________________________________

ADDRESS: _______________________________________________ PHONE: ____________________

VEHICLE DESCRIPTION: ________________________________________________________________

SUBJECT’S ASSOCIATES: _______________________________________________________________

STATUS OF SUBJECT (CIRCLE ONE) SUSPECT WANTED ARRESTED

INFORMATION SOURCE: ________________________________________________________________

NOTES (Articulate reason for suspicion): ______________________________________________________

________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________

143
 SUSPECT REPORT
________________________________POLICE DEPARTMENT

Case # ________________ PAGE___OF____

CRIME TITLE CODE LOCATION DATE

CRIME

STATE YEAR MAKE MODEL BODY STYLE

LICENSE#
__2DR __4DR __CONVERT __P/U __ STRAIGHT TRUCK
__VAN ___RV ___M/C ___OTHER
SUSP. VEH

COLOR/COLOR OTHER CHARACTERISTICS DISPOSTION OF VEHICLE

REGISTERED OWNER

SUSPECT NAME SEX RACE: __UK __HISP __NATIVE AM. __ASIAN

__WHT __BLK __OTH

AKA DOB AGE HT WT

BUILD: __THIN __MEDIUM __ UK
__HEAVY __MUSCLR

HAIR: __BLK __BRN __RED

EYES: __BLK __GRN __GRAY __UK
__BLN __ GRAY
__BRN __BLU __HAZEL __OTHER
__WHITE __N/A
__ OTHER __UK
SUSPECT

RESIDENCE ADDRESS STATE ZIP RES. PHONE SSN

BUSINESS ADDRESS STATE ZIP BUS PHONE OCCUPATION

CLOTHING ARRESTED STATUS GANG AFFILIATION:

□DRIVER
□YES □NO □PED HOW KNOWN:

□PASS

DL STATE & #

144
 AMOUNT OF
HAIR STYLE COMPLEXION TATTOOS/SCARS WEAPON(S)
HAIR

__UNKNOWN __UNKNOWN __UNKNOWN __UNKNOWN __UNKNOWN

__THICK __LONG __CLEAR __FACE __CLUB
__THIN __SHORT __ACNE __TEETH __HANDGUN
__RECEDING __COLLAR __POCKED __NECK __OTHER UNK GUN
__BALD __MILITARY __FRECKLED __R/ARM __RIFLE
__OTHER __CREW CUT __WEATHERED __L/ARM __SHOTGUN
__RIGHT PART __ALBINO __R/HAND __TOYGUN
__LEFT PART __OTHER __L/HAND __SIMULATED
__CENTER PART __R/LEG __POCKET KNIFE
__STRAIGHT __L/LEG __BUTCHER KNIFE
__PONY TAIL __R/SHOULDER __HANDS/FEET
__AFRO __L/SHOULDER __BODILY FORCE
__TEASED __FRONT TORSO __STRNGULATION
__OTHER __BACK TORSO __TIRE IRON
__OTHER __OTHER

HAD WEAPON IN
TYPE OF HAIR FACIAL HAIR GLASSES UNIQUE CLOTHING
OR ABOUT
__UNKNOWN __UNKNOWN __UNKNOWN __UNKNOWN __UNKNOWN
__CLEAN __N/A __NONE __NONE __N/A
__DIRTY __CLN SHAVEN __YES __CAP/HAT __BAG/BRIEFCASE
__GREASY __MOUSTACHE __REG GLASSES __GLOVES __NEWSPAPER
__MATTED __FULL BEARD __SUN GLASSES __SKI MASK __POCKET
__ODOR __GOATEE __WIRE FRAME __STOCKING MASK __SHOULDER
__OTHER __FU MANCHU __PLASTIC FRAME __OTHER __HOLSTER
__LOWER LIP __COLOR __WAISTBAND
__SIDE BURNS __OTHER __OTHER
__FUZZ
__UNSHAVEN
__OTHER

R/L HANDED VOICE WEAPON FEATURE

__UNKNOWN
__UNKOWN __UNKNOWN __ALTERED STOCK
__N/A __SAWED OFF
__RIGHT __LISP __AUTOMATIC
__SLURRED __BOLT ACTION
__LEFT __STUTTER __PUMP
__ACCENT __REVOLVER
__DESCRIBE_________________ __BLUE STEEL
__OTHER __CHROME/NICKEL
__DOUBLE BARREL
__SINGLE BARREL
__OTHER
Officer’s Name (printed) Officer’s Signature & Badge # Date Approved by Supervisor

□ Yes □ No

145
 Case Report Checklist Attachments

INSTRUCTIONS: Complete this cover. Place case number on each attachment.

Case # ______________________________________________

Vehicle Impound #________________________ Property Record & Receipt #________________________

_____ Arrest Report

_____ Advice of Rights/Consent to Search

_____ PC Affidavits/General Operating While Intoxicated

_____ Charging Information

_____ Hit Confirmation

_____ Court Orders

_____ Coroner’s Report

_____ Crash Report

_____ Request for Lab Exam

_____ Certificate of Analysis

_____ Technician’s Report

_____ Warrant

_____ Witness Statements

_____ Other: _______________________________

Number of pages, including this page (required): __________________

146
 INVESTIGATIVE CHECKLIST
Case Number_______________________________

Case Report Complete?  Y N

Comments
1. Crime Scene Visited? Y__ N__ _____________________________________________

2. V’s Statement Obtained Y__ N__ _____________________________________________

3. W’s Statement Obtained Y__ N__ _____________________________________________

4. Suspect’s Statement Obtained Y__ N__ _____________________________________________

5. Suspect Arrested Y__ N__ _____________________________________________

6. Crime Scene Searched Y__ N__ _____________________________________________

7. Physical Evidence Obtained Y__ N__ _____________________________________________

8. Usable Prints Obtained Y__ N__ _____________________________________________

9. Photos Taken at Scene Y__ N__ _____________________________________________

10. Serial Numbers Obtained Y__ N__ _____________________________________________

11. Vehicle Used Y__ N__ _____________________________________________

12. Positive Canvas Results Y__ N__ _____________________________________________

13. Familiar M.O. Pattern Y__ N__ _____________________________________________

14. Complainant Willing to Press Charges Y__ N__ _________________________________________

15. Vict and/or Wit Shown Mug Shots Y__ N__ _____________________________________________

16. Photo Line-Up Conducted Y__ N__ _____________________________________________

17. Field Contact Info. Reviewed Y__ N__ _____________________________________________

18. Evidence Sent to Lab Y__ N__ _____________________________________________

19. Officers on Scene Interviewed Y__ N__ _____________________________________________

20. Positive Info from Informants Y__ N__ _____________________________________________

21. Copies of Officers’ Supplements Received Y__ N__ _______________________________________

22. Lab Reports Received Y__ N__ ______________________________________________

23. Conference w/Pros. Attorney Y__ N__ ______________________________________________

147
 LEAD SHEET
Case Number:___________________ Date:_____________

Time:_____________________

Information Received Via:

□Telephone □ In Person □ Written Communication

□ Other

(Specify)__________________________________________________________________

Information Received From:

Name:__________________________ Address:___________________________________

Telephone Number: Home_________ Work______________ Cell____________________

Information Received:

__________________________________________________________________________

__________________________________________________________________________

__________________________________________________________________________

__________________________________________________________________________

__________________________________________________________________________

Action Taken:

__________________________________________________________________________

__________________________________________________________________________

__________________________________________________________________________

__________________________________________________________________________

__________________________________________________________________________

Name of Lead Officer:_________________________________________________

148
Case (criminal) #

Location of Offense City County State

Offense Code

Victim Name Victim’s Phone

Victim’s Address Victim’s SSN

Victim’s Sex Victim’s Race Indication of Hate Crime Victim Injured Name of Facility that Treated Victim
□ Yes □ No □ Yes □ No

Address of Facility that Treated Victim

Date &Time of Offense Date &Time Reported to Dispatch Dispatch Badge #

Person Who Reported Crime (include name & address)

Witness to Crime (name and address)

Suspect (name & address) DOB SSN

Description(Sex/Race/Ht/Wt/Hair/Eyes/Scars/Tattoos/Clothing)

Arrested? MUG # Citation # Property Form #

Weapon, Tool, or Force

Vehicle Involved? VIN Make Model Color Year License State

□ Yes □ No
Name and address of Vehicle Owner

Name, address, and phone # of Wrecker that towed vehicle

Case Report (criminal) Page ___ of

___

149
NARRATIVE (First indicate MOTIVE & MO. Then list additional Suspects, Victims, Witnesses, Vehicles, etc.)

ATTACHMENTS:

Officer’s Name (printed) Officer’s Signature & Badge # Date Approved by

Supervisor

□ Yes □ No

150
 Supplemental Case Report

Case (criminal) #
Location of Offense City County State

Offense Code

Victim Name Victim’s Phone

Summary:

ATTACHMENTS:

Officer’s Name (printed) Officer’s Signature & Badge # Date Approved by

Supervisor

□ Yes □ No

151
 FINAL DISPOSITION OF CASE
________________________________ Police Department
Page of Date
Case (criminal) #

Title of Offense Code

Victim’s Name Victim’s Phone

Victim’s Address

Name of Defendant:

Original Charge:

Final Charge:

Date of Trial: Court: Cause #

◊ Dismissed ◊ Acquitted ◊ Nolle Prosecuted ◊ Guilty

Fine: $ Court Cost: $

Sentence (check one): ◊ Committed ◊ Suspended Defendant Appealed? ◊ Yes ◊ No

Disposition of Evidence Collected (need judge order as attachment):

Attachments:

Officer’s Name (printed) Officer’s Signature & Badge # Date Approved by

Supervisor

□ Yes □ No

152
 AFFIDAVIT FOR PROBABLE CAUSE (General)

State of _______________ IN THE _____________________ COURT

County of _____________ CAUSE NO. _______________________

STATE OF __________________

VS.

_________________________________

DOB: ____________________________

SSN: ____________________________

FOR OFFENSE (title):_________________________________ Code: __________________

COMES NOW, _________________________, who being duly sworn upon oath, says that:

1. He/She is an officer with the _____________________ Department, and believes the following to be

true.

2. On or about: (date of offense) __________________ 20___, at the following location: ____________

_________________________________, which is in _______________ County, _______ (State),

one (defendant) ____________________________________________________________________

3. Did then and there commit the following violation (code) __________________________, by

(describe the specific act that supports the criminal charge via elements of the crime) ___________

__________________________________________________________________________________

__________________________________________________________________________________

__________________________________________________________________________________

153
 __________________________________________________________________________________

__________________________________________________________________________________

__________________________________________________________________________________

__________________________________________________________________________________

4. This officer believes the above facts to be true because (check all that apply)

 I personally observed the activity described herein.

 The above was told to me by another sworn law enforcement officer, upon whom I have relied on in
the past for information and found his/her information to be credible without exception.

 The above was told to me by the victim of a crime, who has no apparent motive to lie, and said
statement was given in a straightforward and non-evasive manner, which indicated that the statement
was credible.

 The above was told to me by a witness of a crime, who has no apparent motive to lie, and said
statement was given in a straightforward and non-evasive manner, which indicated that the statement
was credible. Further, witness’ statement was corroborated by independent evidence.

 The above was told to me by the defendant, which was a statement made against his/her penal
interests. Further, Defendant’s statement was corroborated by independent evidence.

I swear or affirm under penalty of perjury that the foregoing representations are true.

Dated on this ________ day of ____________, 20____

____________________________________
Arresting Officer’s Name & Badge #

Approved by: ___________________________________

Prosecutor

154
 INFORMATION FOR VIOLATION OF LAW

State of __________________ IN THE _______________________________ COURT

County of ___________________ CAUSE NO. _______________________

STATE OF ___________________

VS.

__________________________

DOB: ____________________

SSN: ____________________

INFORMATION FOR (OFFENSE TITLE): _____________________________________________________

CODE___________________________ CLASS ____________ □ MISDEMEANOR □ FELONY

COMES NOW, _________________________ (name of officer), who being duly sworn upon oath,
says that on or about : (date of offense) ________________, 20___, at (location of offense) _____
____________________________________________, in _________ County, _____ (State), one
(defendant) _____________________________ of (Defendant’s address) ___________________
_______________________________ did then and there RECKLESSLY, KNOWINGLY, or
INTENTIONALLY: (describe elements of the crime)
________________________________________________________________________________

___________________________________________________________________________________________________

___________________________________________________________________________________________________

___________________________________________________________________________________________________

___________________________________________________________________________________________________

___________________________________________________________________________________________________

___________________________________________________________________________________________________

___________________________________________________________________________________________________

155
___________________________________________________________________________________________________

___________________________________________________________________________________________________

___________________________________________________________________________________________________

___________________________________________________________________________________________________

All of which is contrary to the form of the statute in such cases made and provided, and against the peace and dignity of the
State of _____________________.

I swear or affirm under penalty of perjury that the foregoing representations are true.

Dated on this ________ day of ____________, 20____

_______________________________________

ARRESTING OFFICER’S NAME & BADGE #

Witness List:

Approved by: ___________________________________

PROSECUTOR

156
 APPLICATION FOR CRIMINAL ARREST WARANT
________________________ Police Department Case # __________________
Defendant’s name _____________________________ AKA ________________________
Address ___________________________________________________________________
Phone ________________________
SSN ________________ State of ID _____ Type of ID _________ ID # _______________
DOB ______________ Age ________
Description (race/sex/ht/wt/tattoos/scars) _______________________________________

Prosecuting Information: Police Department ________________ ORI _______________

Affiant’s name (Officer) ____________________________ Badge # _____
Affiant’s Address ______________________________________________

Nature of Offense Title of Criminal Offense _____________________ Code _________

Incident Date ___________________ Incident Time ________
Incident Location ______________________________________________________
Victim Name ______________ Address ____________________ Phone ___________
Witness Name ______________ Address ___________________ Phone ___________
Witness/Victim statements attached □ Yes □ No

Elements of offense ______________________________________________________

_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
Affiant’s Name ____________________ Signature ___________________ Date ________
Approved by Judge (name) ________________ Signature ______________ Date ______

157
 ARREST WARRANT
□ County □ City of State: _________________

STATE OF ________

VS.

________________________________________________ (name of defendant)

Defendant’s Address ____________________________

Phone ______________________________ SSN ____________________________

Sex ___ Race ___ Height ___ Weight ___ DL State ___ DL # ___________________

Prosecuting Police Agency ___________________________

Prosecuting Police Officer ____________________________

Offense Title ___________________________ Offense Code _____________________

This warrant is CERTIFIED FOR SERVICE in the □ County □ City of __________

The accused is to be brought before this court according to law.

Judge’s signature ______________________ Court _________________ Date _________

EXECUTION OF WARRANT

A copy of this arrest warrant was delivered to the defendant on ______________ (date).

Law Enforcer ______________________________ Signature _______________________

Badge # _________________ Department ______________________________________

RETURN AREST WARRANT TO:

__________________________________________________________ (Court & Address)

158
 ARREST WARRANT
State of ______________

Personally appeared before this court, the affiant ______________________________

being duly sworn deposes and says that the defendant __________________________
did within this county and state on or about ________________ (date) violate the criminal
laws of the state of ________ (or ordinance of □ County □ City of ________ ). The
defendant violated the following law: Title of Offense ___________________________ ,
Code ___________________. I further state that there is probable cause to believe that the
defendant named above did commit the crime set forth and that probable cause is based on
the following facts: (must state elements of the crime)
_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

________________________________________________________________________

________________________________________________________________________

________________________________________________________________________

________________________________________________________________________

_________________________________________________________________________

Affiant’s Name (printed) __________________________________ Badge # ___________

Signature of Affiant _______________________ Department’s Phone ________________

Department’s Address _______________________________________________________

159
ARREST WARRANT - TO ANY LAW ENFORER OF THIS STATE:
It appearing from the above affidavit that there are reasonable grounds to believe that on or

about _____________ (date) the defendant ______________________________________

did violate the criminal laws of the State of _____ (or ordinance of □ County □ City of

____________ ) as set forth: Title of offense _________________________________

Code ________________________________________________________________

Having found probable cause, you are empowered to arrest the defendant and to bring the

defendant before this court. A copy of the ARREST WARRANT shall be delivered to the

defendant at the time of execution or as soon thereafter as practical.

Signature of Judge _____________________ Court ________________ Date ____________

160
 ARREST WARRANT SERVICE REPORT

_________________________________________ Police Department

Case _________________________________ Date _______________
Agency ORI ___________________________
Defendant _____________________________
Arrest Date ____________________________ (date of warrant execution)
Arrest Time ___________________________
Arrest Location ________________________

Warrant # ______________________________
Issue Date ______________________________
Title of Offense _________________________ Code ______________________
Offense Date ____________________________
Affiant ____________________ Badge # ___________ Dept. ____________________
Victim ___________________________________

Was defendant taken to Judge at time of arrest? □ Yes □ No

Was defendant released on bond? □ Yes □ No
Defendant is □ adult □ juvenile

161
 Example of MUG Sheet
(used when photographing suspect at jail during booking process)

Name: _____________

DOB: _____________

Mug # _____________

Police Department: _____________

DATE: _________________

162
 Example of MUG Sheet
(used when photographing suspect at jail during booking process)

DOE, JOHN L.
DOB = 10-17-1936
Mug # AA-1224
WAYNE POLICE DEPARTMENT
DATE = 02-07-2014

163
 CONSULAR NOTIFICATION
FAX SHEET FOR NOTIFYING CONSULAR OFFICERS OF ARREST OR DETENTION

________________________________POLICE DEPARTMENT DATE: _______ TIME: ________

TO: EMBASSY /CONSULATE OF __________________ in ______________________, ______________

(COUNTRY) (CITY) (STATE)

SUBJECT: NOTIFICATION OF ARREST/DETENTION OF A NATIONAL FROM YOUR COUNTRY

FROM: ____________________________________________ (INVESTIGATING OFFICER’S NAME)

_________________________________________________________________POLICE DEPARTMENT

______________________________________________________________________________ (address)

Phone: ________________________________ FAX: _____________________________________

WE ARRESTED/DETAINED THE FOLLOWING FOREIGN NATIONAL, WHOM WE UNDERSTAND TO

BE A NATIONAL OF YOUR COUNTRY, ON _________________________________ (date)

MR./MRS./MS:___________________________________________________________________________

DOB: __________________________________________________________________________________

PLACE OF BIRTH: ______________________________________________________________________

PASSPORT NUMBER: ___________________________________________________________________

DATE OF PASSPORT ISSUANCE: ____________________________

PLACE OF PASSPORT ISSUANCE____________________________

TO ARRANGE FOR CONSULAR ACCESS, PLEASE CALL _____________________________________

WHEN YOU CALL, PLEASE REFER TO DEPARTMENT’S CASE NUMBER: _______________________

COMMENTS:_____________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________

164
 CONSULAR NOTIFICATION
_________________ Police Department

WHEN A FOREIGN NATIONAL IS ARRESTED OR DETAINED, THE ARRESTING/INVESTIGATING

OFFICER SHALL DETERMINE, TO THE BEST OF HIS/HER ABILITY, THE FOREIGN NATIONAL’S
COUNTRY.

FOREIGN NATIONAL’S COUNTRY:____________________________________________________

COUNTRY REQUIRING MANDATORY NOTIFICATION? □ YES □ NO

************************************************************************************

UTILIZE THIS SECTION WHEN MANDATORY NOTIFICATION IS NOT REQUIRED.

IT IS NOT REQUIRED THAT WE NOTIFY YOUR COUNTRY’S CONSULAR REPRESENTATIVES

HERE IN THE UNITED STATES THAT YOU HAVE BEEN ARRESTED OR DETAINED. HOWEVER, IF
YOU LIKE, YOU CAN REQUEST US TO MAKE NOTIFICATION NOW, OR AT ANY TIME IN THE
FUTURE.

DO YOU WANT US TO NOTIFY YOUR COUNTRY’S CONSULAR OFFICIALS? □ YES □ NO

************************************************************************************

FOREIGN NATIONAL’S PRINTED NAME: ________________________________________________

FOREIGN NATIONAL’S SIGNED NAME: __________________________________________________

WITNESS PRINTED NAME: _____________________________________________________________

WITNESS SIGNED NAME: ______________________________________________________________

DATE: _______________________________________________________________________________

165
 Jail Intake Form
______________ Police Department Booking Record

Booking Number Arresting Agency ORI # State ID MUG # Inmate’s

Photograph
Name Sex Race Height Weight

Date of Birth Hair Complexion Build Eyes

SSN Home Phone Work Phone Marital Status Resident Status

Driver’s License # State of DL Home Address Place of Birth

Information Given at time of Booking DOB SSN Address

Name:

Gang Affiliation Tattoos Place & Address of Employment

Emergency Contact Information

Name: Address: Home phone #:

Ill or Injured __YES __NO TYPE OF ILLNESS OF INJURY Type of Medication Taking

Special Management for Inmate __Medical __Mental __Suicidal __High Security __Other (Describe):

Arresting Officer Arrest Date/Time Arrest Location

Booking Officer Booking Date/Time Booking Status (Complete/Pending)

Received by Officer Custodial Search by

Charge 1 (Title) State Code Charge Level (M or F) & Class (A-F)

Charge 2 (Title) State Code Charge Level (M or F) & Class (A-F)

Charge 3 (Title) State Code Charge Level (M or F) & Class (A-F)

Arresting Officer’s Signature Arresting Officer’s Badge # Arresting Officer’s Department

Fine Bail Disposition

Inmate Tracking # Intake Date Block Cell

Scheduled Release Date Actual Release Date Release Type

CUSTODY ORDER / CUSTODY HOLD

166
Name of Jailer Accepting Inmate: ____________ Signature: ______________

Inmate’s Name: __________________ Today’s Date: ___________________

Inmate’s DOB: ___________________ Inmate’s SSN: __________________

Inmate’s ID#: ____________________ Type of ID: _____________________

Court Assigned to Case: ___________________________________________

Court Date (Appearance Date/Time): ________________________________

Charge #1 (title and code): _________________________________________

Level _____ Class _____

Charge #2 (title and code): _________________________________________

Level _____ Class _____

Charge #3 (title and code): _________________________________________

Level _____ Class _____

Charge #4 (title and code): _________________________________________

Level _____ Class _____

Arresting Officer’s Name (print): ____________________________________

Signature: ________________________________________________________

Badge #: ___________ Department: __________________________________

167
TEMPORARY HOLD FORM - DETENTION DIVISION

_________________POLICE DEPARTMENT

THE FOLLOWING ARRESTEE:_________________________________________________________

DOB:_____________________ SS#_____________________________________________________

CHARGED WITH THE CRIME(S) OF:____________________________________________________

HAS BEEN PLACED INTO THE CUSTODY OF THE DETENTION CENTER BY

OFFICER (NAME & BADGE #): _________________________________________________________

PLEASE PRINT NAME
AS AN AGENT FOR: __________________________________________________________________
POLICE AGENCY

TO BE HELD UNTIL THE NEXT SCHEDULED BOND HEARING, OR A MAXIMUM OF 24 HOURS.

THE LAW ENFORCEMENT OFFICER NAMED IN THIS ORDER WILL APPEAR AT THE
APPROPRIATE COURT FOR THE PURPOSE OF OBTAINING WARRANT(S) FOR THE ABOVE
STATED CHARGES.

THIS FORM MAY NOT BE USED FOR TICKABLE OFFENSE

REASON FOR A TEMPORARY HOLD:

____ NO MAGISTRATE IS AVAILABLE AT TIME OF CUSTODY EXCHANGE.

____ THE ARRESTEE IS TOO COMBATIVE TO APPEAR BEFORE A MAGISTRATE AT THIS TIME.

____THE ARRESTEE IS IMPAIRED DUE TO DRUGS/ALCOHOL.

____ THE POLICE AGENCY IS EXPERIENCING AN UNUSUALLY HIGH BACK-LOG OF CALLS.

AUTHORIZING LAW ENFORMENT OFFICER: RECEIVING DETENTION OFFICER:

_________________________________________ ___________________________________
SIGNATURE BADGE# DATE/TIME SIGNATURE BADGE# DATE/TIME

168
 Fingerprint Card Information
Criminal = Red
Applicant = Blue
Juvenile = Yellow

BELOW IS GENERAL INFORMATION THAT IS REQUIRED ON FINGERPRINT CARDS. THE

INFORMATION IS GATHERED AT THE TIME OF BOOKING AT THE JAIL.

Police Dept ORI ________________ Name of Police Dept ______________________

Police address _______________________________
Date of arrest ______________________ Date of offense __________________________
Suspect’s place of birth (State) ___________ Country of Citizen ______________________
Suspect’s Name ________________________ AKA ______________________________
Residence _________________________________________________________________
SSN ________________ Sex __ Race ___ Height ____ Weight ____ Hair ____ Eyes____
Tattoos, marks, scars ___________________________ Photo Available ___ Yes ___ No
FBI # ___________________ State Criminal ID # __________________
Local ID # (MUG #) ________________________________________
Signature of suspect _______________________________________
Name of officer who fingerprinted suspect _____________________
Suspect’s Employers _______________________________________
Suspect’s Occupation ______________________________________
Charge _________________________ Code ___________________
Father ___________________ Address _______________________
Mother __________________ Address _______________________
Spouse __________________ Address _______________________
Reason for Caution _______________________________________
Person to be notified in case of emergency ____________________

169
 Example - Latent Print Card
Date: 01-07-2014

Case # 2014-1107-2304

Lift # 5

Type of Offense: Kidnapping

Victim: Jane Doe

Address Location from which prints were obtained: 38348 Alberta St

Aiken, SC 29801 Parking Lot 6

Prints Lifted From (Object) Compact Disk

Prints Lifted By Trp. Chris Rachwal Badge # 717

Print Sketch (of a CD)

Print

170
 Latent Print Card
Date: __________________

Case # _________________

Lift # ___________________

Type of Offense: _________________________________________________

Victim: _________________________________________________________

Address Location from which prints were obtained: ______________________

________________________________________________________________

Prints Lifted From (Object) __________________________________________

Prints Lifted By _________________________________ Badge # ___________

Print Sketch

171
 PROBABLE CAUSE DECLARATION - BAIL SETTING INFORMATION

_____________________POLICE DEPARTMENT BOOKING NO. _________________

DEFENDANT (LAST, FIRST, MIDDLE) DOB

ADDRESS (RESIDENCE)

BOOKING CHARGE(S) CODE(S) HOLDS

DATE/TIME OF ARREST 48 HR. EXP DATE/TIME

ARRESTING AGENCY ARRESTING OFFICER & BADGE #

FACTS ESTABLISHING ELEMENTS OF CRIME(S):

________________________________________________________________________________________________________________

________________________________________________________________________________________________________________

________________________________________________________________________________________________________________

________________________________________________________________________________________________________________

________________________________________________________________________________________________________________

□ SEE ATTACHED REPORTS

□ VICTIM’S AGE: _____ VICTIM’S INJURIES____________________________________________________

□ WEAPON DESCRIPTION____________________________________________________________________

□ VALUE OF PROPERTY LOSS_________________ TYPE OF PROPERTY ___________________________

□ TYPE OF ILLEGAL DRUGS__________________________________________ QTY___________________

□ WHOLESALE VALUE________________________ STREET VALUE_______________________________

I DECLARE UNDER PENALTY OF PERJURY THAT THE FOREGOING INFORMATION IS TRUE AND
ACCURATE.

_______________________________________________________________________________
OFFICER NAME SIGNATURE BADGE# DATE/TIME

172
 NARCOTICS OR INTOXICATION REPORT

___________________ Police Department Case # ______________________

Offense Location of Occurrence County

Name AKA

Address DOB Place of Birth

Sex Race Age Height Weight Hair Eyes Occupation

Any Recent Illnesses? What On prescription medicine? Name of current prescription

When? medications?
□ Yes □ No

Advisement of Rights
You have the right to remain silent
Anything you say may be used against you in court
You have the right to an attorney before and during questioning
If you cannot afford an attorney, one will be appointed for you before questioning if you wish (Do you
understand?)

I NOW WISH TO TALK WITHOUT A LAWYER ___________________________ Individual’s Signature

Examination Location

Method of Consumption
What? Circle all that apply. Name of drug ___________________________

Depressant Inhalant Phencyclidine Cannabis Stimulate Hallucinogen Narcotic

Physical Consequences: Nystagmus: □ Yes □ No Pupils: □ Dilated □ Constricted

Pulse Blood Pressure _______ Body Temperature _______ Obsessive Scratching □ Yes □ No

Officer’s Name (printed) Officer’s Signature & Badge # Date Approved by Supervisor

□ Yes □ No

173
 CORRECTIONAL MEDICAL SURVEY
INTAKE SCREENING AND TRIAGE

Date Booked In _______NAME_________________ BOOKING#____________ DOB_______ SEX ___

STATEMENT OF BOOKING OFFICER

DOES THE INMATE SEEM TO BE UNDER THE INFLUENCE OF DRUGS, IMPAIRED, OR
INJURED IN ANY WAY? ___YES___NO Comments _______________________________________

OFFICER’S SIGNATURE: DEPT: DATE:

MEDICAL/MENTAL QUESTIONNAIRE
1. DO YOU HAVE ANY OF THE FOLLOWING PROBLEMS?
__ASTHMA __ENT PROBLEMS __HERNIA __INTESTINAL DISORDERS
__BACK INJURIES __FX/SPRAINS __HIV/AIDS __MENATL PROBLEMS
__DEFORMITIES __HEART TROUBLE __HIGH BLOOD PRESSURE __PSYCH. HOSPITAL
__TUBERCULOSIS __DENTAL PROBLEMS __STD __HEPATITIS: TYPE____
__DIABETES __SEIZURES __PREGNANT/DUE DATE:________________
__OTHER______________________ ALLERGIES______________________

Y N
2. ARE YOU TAKING OR DO YOU NEED TO TAKE ANY PRESCRIBED MEDICATIONS
(INCLUDING PSYCHIATRIC, BIRTH CONTROL PILLS)?
3. HAVE YOU EVER BEEN TREATED FOR TUBERCULOSIS?
4. HAVE YOU HAD A COUGH FOR MORE THAN THREE WEEKS WITH ANY OF THE
FOLLOWING: FEVER, WEIGHT LOSS, FATIGUE, NIGHT SWEATS?
5. HAVE YOU HAD A HEAD INJURY/TRAFFIC ACCIDENT OR ALTERCATION IN THE
PAST 7 HOURS?
6. ARE YOU AN ALCOHOLIC? DATE OF LAST DRINK:
HOW MUCH DO YOU DRINK?

7. ANY SEIZURES OR DTS?

8. DO YOU USE ANY STREET DRUGS SUCH AS HEROIN, COCAINE,

METHAPHETAMINE, MARIJUANA OR ANY OTHER DRUGS?
9. ARE YOU RECEIVING METHADONE? __DETOX OR __MAINTENANCE
10. DO YOU HAVE ANY RASHES, CUTS, BOILS, ABSCESSES, OR OTHER SKIN
DISEASES?
11. DO YOU HAVE ANY ARTIFICIAL LIMBS, BRACES, DENTURES, HEARING AID,
CONTACT LENSES OR EYEGLASSES?
12. HAVE YOU EVER TRIED TO HARM YOURSELF OR TAKE YOUR OWN LIFE?
WHEN:
13. ARE YOU THINKING OF HARMING YOURSELF NOW?
14. ARE YOU CURRENTLY RECEIVING PSYCHIATRIC TREATMENT?
15. HAVE YOU BEEN A PATIENT IN A HOSPITAL WITHIN THE LAST 3 MONTHS?
16. HAVE YOU EVER BEEN TREATED AT A REGIONAL CENTER OR DIAGNOSED WITH
DEVELOPMENTAL PROBLEMS?
17. DO YOU KNOW OF ANY MEDICAL REASON WHY YOU CANNOT WORK IN JAIL?
TRIAGE DISPOSITION WORK STATUS
__ACCEPTABLE FOR BOOKING __GENERAL
__MEDICAL __KITCHEN
__REFER TO MENTAL HEALTH __LITE DUTY/NO KITCHEN
__REFUSED ASSESMENT __NO WORK
__E.R. REASON __HOLD FOR FOLLOW-UP/RECHECK ON:

174
175
 Crime Scene Entry Log Sheet
ALL PERSONS ENTERING THE CRIME SCENE MUST SIGN THIS SHEET

AGENCY: _____________________________ Case #: __________________

SCENE LOCATION: _______________________________________________

Note: Officers assigned to maintain scene security must also log in and out on this sheet and
should state their reason as “Log Officers.”

Name
In Out Reason for Entering
&
Signature Agency Date/Time Date/Time Scene
Title

/ /

/ /

/ /

/ /

/ /

/ /

Page ________ of __________

176
Photography Log Sheet pg ___ of ____ pgs

AGENCY: ______________________________ Case #: __________________

SCENE LOCATION: _______________________________________________

Photo # Evidence Marker # Description of Evidence Photographed

________________ _______ ____________ _____________________

Name & Title Badge # Signature Agency

177
 Evidence Bag Example
(Information that should be written on evidence bag.)

/\/\/\/\/\/\/\/\/\/\/\/\/\/\/\/\/\/\/\/\/\/\/\/\/\/\/\/\/\/\/\/\/\/\/ Edge of Tape

---------------------------------------------------------------------------Edge of bag ( bag opening)
/\/\/\/\/\/\/\/\/\/\/\/\/\/\/\/\/\/\/\/\/\/\/\/\/\/\/\/\/\/\/\/\/\/\/\ Edge of Tape

Case # _______________________________________

Date ________________________________________

Suspect ______________________________________

Property Record & Receipt # _____________________

Item # _______________________________________

Item Description ______________________________

Officer ______________________________________

Badge # _____________________________________

Dept _______________________________________

Note: Place your initials across the edge of the evidence tape where it meets the bag/box.
Initial at the top, bottom, and side edges of the tape. The purpose of the tape is to detect
unauthorized entry. Do not use masking tape. Use evidence tape or wide scotch tape.

178
POLICE PROPERTY RECORD & RECEIPT FORM - CHAIN OF CUSTODY

(α → ∑∆ → Ω) PRR # ___________
Name of Investigating Officer Badge Number Report # / Citation #

Name of officer submitting evidence to lab Badge Number Lab # (issued by lab)

Date of Evidence Collection Time of Evidence Collection Who was evidence collected from

Location of recovery County

Witnesses to recovery

Specific detail or title of offense (use law book if a crime) Offense code (only if criminal case)

Evidence Description for Lab (quantity, serial #, identifying marks, color, etc.)
Item #

Item #

Item #

Item #

Item #

Chain of Custody (If no subjects involved when items

recovered, use word “recovered” in “From” box.)
Item Date/Time From: Signature & Badge # To: Signature & Badge # Code Location Remarks
#

179
Code: T = Transferred; S = Stored; R = Released; D = Destroyed

180
POLICE PROPERTY RECORD & RECEIPT FORM - CHAIN OF CUSTODY

(α → ∑∆ → Ω) PRR # ___________
Name of Investigating Officer Badge Number Report # / Citation #

Name of officer submitting evidence to lab Badge Number Lab # (issued by lab)

Date of Evidence Collection Time of Evidence Collection Who was evidence collected from

Location of recovery County

Witnesses to recovery

Specific detail or title of offense (use law book if a crime) Offense code (only if criminal case)

Evidence Description for Lab (quantity, serial #, identifying marks, color, etc.)
Item #

Item #

Item #

Item #

Item #

Chain of Custody (If no subjects involved when items

recovered, use word “recovered” in “From” box.)
Item Date/Time From: Signature & Badge # To: Signature & Badge # Code Location Remarks
#

181
Code: T = Transferred; S = Stored; R = Released; D = Destroyed

182
 REQUEST FOR POLICE LABORATORY EXAMINATION

□ New Case □ Supplemental Case Lab Assigned Report # _________________

Name of Investigating Officer Badge Number Case # PRR #

Police Agency & Address Phone # ORI #

Date Time County of Occurrence

Type of Case Investigation (most serious criminal violation) Police Case Report #

Suspect Name Victim Name

Delivered to lab by / Badge # Received in lab by / Date & time

Evidence Description for Lab (quantity, serial #, identifying marks, color, etc.)
Item # Description of Items being submitted to lab

Lab Exam Request (Specify each item number to be tested. For example, state, “Test item X for
……”)

183
 REQUEST FOR POLICE LABORATORY EXAMINATION

□ New Case □ Supplemental Case Lab Assigned Report # _________________

Name of Investigating Officer Badge Number Case # PRR #

Police Agency & Address Phone # ORI #

Date Time County of Occurrence

Type of Case Investigation (most serious criminal violation) Police Case Report #

Suspect Name Victim Name

Delivered to lab by / Badge # Received in lab by / Date & time

Evidence Description for Lab (quantity, serial #, identifying marks, color, etc.)
Item # Description of Items being submitted to lab

Lab Exam Request (Specify each item number to be tested. For example, state, “Test item X for
……”)

184
 CERTIFICATE OF PROOF OF CHAIN OF PHYSICAL CUSTODY
(Transfer of evidence from evidence storage to a non-law enforcement party)

__________________Police Department Case #_____________________

Defendant ________________________________

This is to certify that I ___________________________________________________ (name) am employed by

______________________________________________________ (department) and that on _________ (date)

I seized from _______________________________________ (location or person) pursuant to

______________________________ (State Whether Subject to a Warrant, Lawful Arrest or Otherwise)

at or near __________________________________________________________(location where items seized)

The following substance(s) or container(s): (Describe substance or container with sufficient particularity to

distinguish it.)

_________________________________________________________________________________________

_________________________________________________________________________________________

_________________________________________________________________________________________

_________________________________________________________________________________________

_________________________________________________________________________________________

On (date) ________ I made delivery of the above describe items to _______________________________

(person receiving items) with ID _____________________of (agency) ____________________________ in

substantially the same condition as when I received it.

Place: ___________________________________________________________ Date: __________________

_________________________ ___________________________
(Delivering Officer’s Signature) (Receiving Officer’s Signature)

185
 Tape Review Request

_________________Police Department
Communications Bureau

Directions: All requests for reviewing recorded conversations must be authorized by

the Communications Supervisor, or the designee.

Conversation Type: Telephone____ Radio_____ Video _______

Incident Date: ___________________ Approximate Time: ___________________

Agency: ________________________ Case Number: ______________________

Complainant: ______________________________________________________

Requesting Officer & Badge #:_________________________________________

Reason for Request: _________________________________________________

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

Received by:________________________________Date:__________________

Communications Bureau Authorization:__________________________________

186
 SUBPOENA
◊ County ◊ City of _________________
_______________________________ Court

STATE OF ___________________
Cause Number: ______________________
vs.
___________________________ Subpoena for (charge title & code):
___________________________
___________________________ Charge ________________; Code___________

To:

YOU ARE HEREBY COMMANDED to appear in the above named court at the place, date, and
time specified below to testify in the above case.

Place: Courtroom:

______________________________ Court

______________________________ Date and Time:

Court Address

Ph: ______________________

This subpoena shall remain in effect until you are granted leave to depart by the court or by
an officer acting on behalf of the court.

Date
________________ Court Judge or Clerk of the ____________________ Court

This subpoena requested by:

This subpoena is based upon application of the: Address of requesting Party:

◊ State/Plaintiff ◊ Defendant

187
 IN FIELD SHOW-UP REPORT

_________________ Police Department

CASE NO._______________________________ PRIORITY __YES __NO

OFFENSE LOCATION OF OCCURRENCE

VICTIM DATE OF OCCURRENCE COUNTY

ADMONITION OF VICTIMS AND WITNESSES:

It is requested that you look at an individual who has been temporarily detained by police. You are under no
obligation to participate. This person may or may not have committed the crime. It is just as important to
eliminate innocent persons from suspicion as it is to identify the perpetrator. Do not let handcuffs or police
presence influence your decision. Please do not discuss the case with any other witnesses.

BY SIGNING THIS FORM, I AM INDICATING THAT I FULLY UNDERSTAND THE ADMONITION

PRESENTED TO ME BY OFFICER_______________________________, REGARDING THE IN FIELD
SHOW-UP.
___________________________ _____________________________ _________
Printed Name of Witness Signature of Witness Date

IDENTIFICATION:

□ I CANNOT IDENTIFY THIS INDIVIDUAL AS THE SUSPECT.

□ I CAN IDENTIFY THIS INDIVIDUAL AS THE SUSPECT.
ADDITIONAL COMMENTS OF VICTIM/WITNESSES: _________________________________________

________________________________________________________________________________________

SIGNATURE OF WITNESS: __________________________ DATE: ______________________________

WITNESSED BY OFFICER: __________________________ DATE/TIME: _________________________
LOCATION OF IN FIELD SHOW-UP________________________________________________________
DATE & TIME OF IN FIELD SHOW-UP_____________________________________________________
NAME AND DOB OF PERSON VIEWED____________________________________________________

Officer’s Name (printed) Officer’s Signature & Badge # Date Approved by Supervisor

□ Yes □ No

188
 PHOTOGRAPIC LINEUP PROCEDURES
A LINE-UP THAT IS SUGGESTIVE IS INADMISSIBLE IN COURT. TO BE SURE
YOUR LINEUP IDENTIFICATION WILL NOT BE EXCLUDED AT TRIAL AS
UNFAIR, FOLLOW THESE GUIDELINES.

1. THE PHOTOGRAPIC LINEUP MUST CONSIST OF AT LEAST (6)

PHOTOGRAPHS.
2. USE ALL COLOR OR ALL BLACK AND WHITE PHOTOGRAPHS, DO NOT
MIX.
3. EVERYONE IN THE DISPLAY SHOULD BE OF THE SAME SEX, RACE,
APPROXIMATE AGE AND GENERAL FEATURES.
4. TRY TO USE PHOTOGRAPHS OF THE SAME APPROXIMATE SIZE,
DEPICTING THE SAME APPROXIMATE SHOTS OF THE FACES (SUCH AS
ALL CLOSE UPS OR NOT CLOSE UPS).
5. LABEL EACH PHOTOGRAPH WITH A NUMBER FROM ONE (#1) THROUGH
SIX (#6).
6. IF YOU HAVE TWO OR MORE WITNESSES, SEPARATE THEM BEFORE
VIEWING THE LINEUP, SO THAT ONE WITNESS DOES NOT IMPROPERLY
INFLUENCE ANOTHER WITNESS (THE OPINIONS NEED TO BE
INDEPENDENT FROM ONE ANOTHER).
7. READ THE ADMONITION STATEMENT TO THE WITNESS AND HAVE THE
WITNESS SIGN THE ADMONITION PART OF THE REPORT.
8. DISPLAY THE PHOTOGRAPHIC LINEUP TO THE WITNESS.
9. IF POSSIBLE, RECORD THE WITNESS’ EXACT WORDS, SUCH AS, “MAYBE
IT’S HIM”, “I GUARANTEE THAT’S HIM.”

189
 PHOTOGRAPHIC LINE-UP

_______________________ Police Department

CASE NO._____________________ PRIORITY __YES __NO

Offense Code County

Location of offense Victim Date of occurrence

PHOTOGRAPHIC LINE-UP:

ON_________________________________________(DATE/TIME),

AT (Location) ___________________(Victim/Witness )__________________________

READ THE FOLLOWING ADMONITION, AND THEN ALLOWED TO VIEW THE PHOTOGRAPH LINE-UP

ADMONITION OF VICTIMS AND WITNESSES:

It is requested that you look at a group of photographs. You are under no obligation to pick out any photographs. The
suspect may or may not be in the photographic line-up. It is just as important to eliminate innocent persons from suspicion
as it is to identify the perpetrator. Please do not discuss the photographs with any other witnesses.

I FULLY UNDERSTAND THE ADMONITION PRESENTED TO ME BY OFFICER___________________________,

REGARDING THE PHOTOGRAPHIC LINE-UP □YES □ NO

___________________________ _____________________________ _________

Printed Name of Witness Signature of Witness Date

IDENTIFICATION: □ I CANNOT MAKE ANY IDENTIFICATION

□ I CAN IDENTIFY PHOTOGRAPH# ______ AS THE SUSPECT.

STATEMENT OF WITNESS/VICTIM:

__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________

SIGNATURE OF WITNESS: ____________________________________ DATE: ______________________________

WITNESSED BY OFFICER: ____________________________________ DATE/TIME:__________________________

PHOTOGRAPH# _______IS THAT OF: _________________________________________________________________

190
 CITIZEN’S ARREST
ORDER OF ARREST by PRIVATE PERSON

______________________ POLICE DEPARTMENT

TO: POLICE

PEOPLE OF THE STATE OF _______________

VS.

_________________________________________
DEFENDANT

YOU ARE HEREBY REQUESTED TO TAKE INTO CUSTODY THE ABOVE NAMED DEFENDANT
WHO I HAVE ARRESTED FOR THE COMMISSION OF A PUBLIC OFFENSE IN MY PRESENCE. I
WILL FURTHER, IN THE INTEREST OF JUSTICE, APPEAR AND SWEAR TO A COMPLAINT
AGAINST SAID DEFENDANT, AND WILL APPEAR AS A WITNESS FOR THE PEOPLE IN ANY
SUBSEQUENT ACTION WHEN MY PRESENCE IS NECESSARY FOR THE PROSECTION OF SAID
DEFENDANT.

I UNDERSTAND THAT HAVING STARTED THESE PROCEEDINGS, I MUST FOLLOW THROUGH AS

ABOVE STATE, AND IF I DO NOT, I MAY BE BROUGHT INTO COURT BY PROCESS SO THAT THE
CASE MAY BE PROPERLY DISPOSED.

DATE_________________TIME________________ _______________________________

SIGNATURE OF ARRESTING PARTY

POLICE OFFICER WITNESSES

______________________________ __________ ______________________________ _________

Signature & Badge # Date Signature & Badge # Date

191
 USE OF FORCE REPORT
INCIDENT INFORMATION
DATE TIME LOCATION COUNTY CASE #

___RESPONDING TO DISTURBANCE/INCLUDING DOMESTIC VIOLENCE

___INVESTIGATING/INTERVIEWING SUSPICIOUS PERSON
___CIVIL DISORDER ___ATTEMPTING ARREST
TYPE OF ___OFFENDER MENTALLY DERANGED ___BURGLARIES IN PROGRESS
INCIDENT ___HANDLING OR TRANSPORTING PRISONERS ___ROBBERIES IN PROGRESS
___TRAFFIC STOPS/PURSUITS ___AMBUSH
___ALL OTHER ACTIVITY

OFFICER INFORMATION

NAME BADGE# SEX RACE AGE INJURED YEARS OF SERVICE

□ YES □ NO ___1-5 ___6-10 ___11-15 ___16-20
___21-25 ___26-30 ___OVER 30

SUBJECT

NAME SEX RACE AGE

WEAPON □ YES □ NO INJURED □ YES □ NO ARRESTED □ YES □ NO
UNDER THE INFLUENCE (ALCOHOL OR DRUGS) □ YES □ NO ORIGINAL OFFENSE CODE

SUBJECT’S ACTIONS OFFICER’S MEANS OF CONTROL

(CHECK ALL THAT APPLY) (CHECK ALL THAT APPLY)
__RESISTED POLICE OFFICER CONTROL __COMPLIANCE HOLD
__PHYSICAL THREAT/ATTACK ON OFFICER OR ANOTHER __HANDS/FISTS
__THREATENED/ATTACKED OFFICER OR ANOTHER WITH BLUNT OBJECT __KICKS/FEET
__THREATENED/ATTACKED OFFICER OR ANOTHER WITH CUTTING OBJECT __CHEMICAL AGENT
__THREATENED/ATTACKED OFFICER OR ANOTHER WITH MOTOR VEHICLE __USE OF BATON OR OTHER OBJECT
__THREATENED OFFICER OR ANOTHER WITH FIREARM __OTHER (SPECIFY)
__FIRED AT OFFICER OR ANOTHER FIREARMS DISCHARGE
__ATTEMPTED TO EVADE ARREST BY FLIGHT ___INTENTIONAL
__OTHER (SPECIFY) ___ACCIDENTAL
NUMBER OF SHOTS FIRED______
NUMBER OF HITS______

OTHER OFFICERS ON SCENE

NAME: BADGE# NAME: BADGE#

Use of Firearms Diagram Information

192
 (e.g., for destruction of deer)

Not to Scale N ↑
LOCATION of INCIDENT

Point of Impact (POI)

Measurements from fixed reference point

Additional information
Once the scene is drawn, 4 items that are required on a firearms report are a) location of shooting, b) North, c)
not to scale, d) and measurements.

Always make North point upward on the diagram. This will make the report consistent and easier for others to
read.

Make sure officer is in safe position relative to deer and traffic (i.e., when traffic is clear, shoot downward
toward deer and away from traffic).

Measure all important distances from fixed reference points (points that will not likely move). Do not use the
parked police vehicle as the reference point (because it can easily be moved). At a minimum, there should be at
least 2 measurements on diagram (x and y coordinates). More measurements result in a more detailed and
accurate diagram.

Label all items on the diagram (may label one tree to represent group). Draw and label deer, individuals, and
vehicles at scene. Be sure to draw scene so that it indicates that the shooting was performed safely.

193
 FIREARMS REPORT

______________ Police Department

FIREARMS REPORT # LOCATION OF SHOOTING ON DUTY? □ YES □ NO

DATE & TIME OF SHOOTING TYPE OF AREA (Rural, Residential, etc.) WERE OFFICIAL PHOTOS TAKEN?
□ YES □ NO
TYPE OF FIREARM USED SERIAL NO. OF WEAPON OWNER OF WEAPON ISSUED TO

OBJECT(S) FIRED UPON NO. OF SHOTS:

__FIRED __HIT TARGET

WITNESS (NAME, ADDRESS, TELEPHONE NO.)

SHOOTING INCIDENT (COMPLETE DIAGRAM ON NEXT PAGE)

Narrative:

Officer’s Name (printed) Officer’s Signature & Badge # Date Approved by Supervisor

□ Yes □ No

194
 Firearms Diagram

Officer’s Name (printed) Officer’s Signature & Badge # Date Approved by Supervisor

□ Yes □ No

195
 VEHICLE PURSUIT CRITIQUE FORM
____________________________POLICE DEPARTMENT
INSTRUCTIONS: THIS FORM IS TO BE COMPLETED BY THE FIELD SUPERVISOR WHEN AN OFFICER IS
INVOLVED IN A VEHICULAR PURSUIT.

CASE NUMBER:_________________________ INCIDENT DATE:______________ INCIDENT TIME:__________

OFFICER(S) INVOLVED BADGE # UNIT #

INITIATING OFFICER

BACK-UP OFFICER(S)

OTHER OFFICER(S)

APPROVING SUPERVISOR(S):

OTHER AGENCIES INVOLVED (LIST DEPARTMENTS)

1. WAS THE PURSUIT INITIATED BY THIS AGENCY? ___YES ___ NO

2. LOCATION WHERE PURSUIT BEGAN:_____________________________________________________________

3. LOCATION WHERE PURSUIT ENDED:______________________________________________________________

4. DID THE PURSUIT LEAVE THE CITY LIMITS? ___YES ___ NO

5.DID THE PURSUIT LEAVE COUNTY LIMITS? ___YES ___ NO

6. WHAT WAS THE INITIAL VIOLATION COMMITTED?_____________________________________________

7. WHAT WAS THE REASON FOR THE PURSUIT? CHECK ALL THAT APPLY.

A.____ THE IMMEDIATE OR FUTURE DANGER TO THE PUBLIC CREATED BY THE PURSUIT WAS LESS

THAN THE IMMEDIATE OR FUTURE DANGER TO THE PUBLIC IF THE SUSPECT OF A VIOLENT

CRIME REMAINED AT LARGE.

B.____ THE SUSPECT OF A VIOLENT CRIME ATTEMPTED TO AVOID DETENTION OR APPREHENSION BY

USING HIGH SPEED OR OTHER EVASIVE TACTICS THAT CREATED A DANGER TO THE PUBLIC.

C.____ THE SUSPECT OF A VIOLENT CRIME FAILED TO YIELD TO THE OFFICER’S VISIBLE & AUDIBLE

SIGNAL TO STOP.

D.____ ASSIST ANOTHER AGENCY (NAME OF AGENCY) ________________________________________

196
8. HOW MANY PUBLIC SAFTEY VEHICLES WERE INVOLVED IN THE PURSUIT?________________________

9. WERE ANY UNMARKED UNITS INVOLVED? ___YES ___ NO HOW MANY?_______________________

10. WERE ANY ROADBLOCKS USED ___YES ___ NO

11. WERE ANY TIRE DEFLATING DEVICES USED? ___YES ___ NO

12. WERE THERE ANY INJURIES OR FATALITIES? ___YES ___ NO

___OFFICER ___SUSPECT ___ 3RD PARTY

NAME(S):_______________________________________________________________________________

13. WAS ANY PROPERTY OR VEHICLES DAMAGED? ___YES ___ NO

14. RESULT OF PURSUIT: ___TERMINATION ___ ESCAPE ____ TRAFFIC COLLISION ____ ARREST

CHARGE(S)_____________________________________________________________________________________
ADMINISTRATIVE REVIEW

POLICY COMPLIANT? ____YES ____NO

DEPARTMENT TRAINING ADEQUATE? ___YES ___ NO

SUPERVISOR _____________________________ DATE___________

197
 Injury Report – Corrections Employee

_____________________ Department

Case Report #

Address of Incident:

Name of Officer Badge # Date of Incident Time of Incident Date of Report

On Duty Location Type of Assault

□ Yes □ Indoors □ Cut □ Stabbed □ Kicked/Punched □ Shot

□ No □ Outdoors □ Contaminated with Substance/Fluids □ Other

Location of assault on body

□ head □ eyes □ mouth □ torso □ legs □ feet □ hands □ other ___________

Did Employee Remain on Duty? Did Employee See Doctor? Name of Attending
Doctor
□ Yes □ No □ Yes □ No
Employee’s Statement

Witnesses’ Statements

Supervisor’s Statement

Supervisor’s Name & BADGE #

198
 INMATE VIOLATION REPORT
_________________ Police Department
Case Report #

Address of Incident:

Name of Inmate Inmate ID # Date of Incident Time of Incident Date of Report

Injuries Involved Injured (check all that apply) Names of Injured

□ Yes □ Inmate □ Facility Employee 1) ________________
□ No □ Visitor □ Other __________ 2) ________________

3) ________________

Types of Treatment for

Injured person # 1 ______________________________________________________

Injured person # 2 ______________________________________________________

Disposition of Injured for

Injured person # 1 ______________________________________________________

Injured person # 2 ______________________________________________________

Nature of Violation (Code Violation):

Recommendation of Corrections Officer

□ Criminal Charges □ Loss of Privileges □ Loss of Wages □ Other (describe below)

Employee’s Name & Badge # Supervisor’s Name & Badge #

199
 Custody Request Form - Detention Division

_________________________Police Department

Inmate’s Name:____________________________ Housing Unit:_____________________

Charges:_________________________________________ Code(s)___________________

Requesting Officer:___________________________________________________________

Police Agency:__________________________________ Phone:______________________

Reason for Custody Request (Check One)

□ Serve Warrant □ Interview □ Court □Other _______________________

I will assume responsibility for the safety and security of the above named inmate while
he/she is in my custody.

____________________________________ ___________________________
Receiving Officers Signature Date

………………………………………………………………………………………………..

Detention Center Use Only

Date and Time Out_____/______ Releasing Deputy_________________________

Badge#_________________________________

Date and Time In______/______ Receiving Deputy_________________________

Badge#__________________________________

Remarks:___________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
________________________________________________________________________

200
 APPLICATION FOR EMERGENCY PROTECTIVE ORDER

___________________ Police Department Case # _______________

1. PERSON(S) TO BE PROTECTED BY THIS ORDER (insert all names):____________________________

________________________________________________________________________________________

2. PERSON TO BE RESTRAINED (name):_____________________________________________________

DOB __________ Sex ____ Race ____ Ht ____ WT ____ Hair _____ Eyes _____
Tattoos or marks _____________________________________________________

3. The events that cause the protected person to fear immediate and present danger for self and/or
children are described below.

4. ___The person to be protected lives with the person to be restrained and requests an order that the
restrained person move out immediately.
5. ___The person to be protected has minor children in common with the person to be restrained.
6. ___ A temporary custody order ___ does ___does not exist.
7. ___The person to be protected is a minor child, who is in immediate danger of being abducted by
the person to be restrained.

Applicant’s Name: _________________________ Address: ________________________________________

Judge: __________________________________ Signature: ________________________________________

Court:___________________________________________ Telephone No.:___________________________

201
 EMERGENCY PROTECTIVE ORDER

Issued by ____________________________ Court __________________ County _________ State

Police Case # ________________________ Police Department _________________________________

Persons Protected by Restraining Order _______________________________________________________

_______________________________________________________________________________________

To restrained person (name): _______________________________________________________________

1. You must not harass, strike, threaten, communicate with, destroy any personal property, or disturb the peace
of all persons named above.
2. You must stay away at least
____ yards from each person named above
____ yards from address___________________________________________________________________
3. You are
____ not required to move out of residence (address) _____________________________________________
____ immediately required to move out of residence (address):______________________________________
4. __________________________ (name) is given temporary care and control of the following minor children
of the parties (names and ages):________________________________________________________________

Reasonable grounds for the issuance of this order exist and an emergency protective order is necessary to
prevent the occurrence or recurrence of violence or abuse.

THIS EMERGENCY PROTECTIVE ORDER WILL EXPIRE AT __________ (time) ON: _______ (date)

PROOF OF SERVICE
5. Person served (name):___________________________________________________________________
6. I personally delivered copies to the person served on DATE:_________ Time:______________
7. Location Served (address):________________________________________________________________

Name of Server ______________________________________ Signature ___________________________

Department ________________________________________ Address _____________________________

I declare under penalty of perjury that the foregoing is true and correct.

202
 DOMESTIC VIOLENCE SUPPLEMENTAL
___________________ POLICE DEPARTMENT CASE # __________________

VICTIM’S NAME DOB OFFENSE CODE

I RESPONDED TO A CALL OF AT

I FOUND THE VICTIM (LOCATION):

CONDITION OF VICTIM THE VICTIM DISPLAYED THE FOLLOWING EMOTIONAL AND

PHYSICAL CONDITIONS:
__ANGRY __COMP OF PAIN
__APOLOGETIC __BRUISE(S)
INITIAL OBSERVATIONS/CRIME DESCRIPTION

__CRYING __ABRASION(S)
__FEARFUL __MINOR CUT(S)
__HYSTERICAL __LACERATION(S)
__CALM __FRACTURE(S) SUSPECT’S NAME DOB
__AFRAID __CONCUSSION(S)
__NERVOUS __THREATENING HOME ADDRESS PHONE
__IRRATIONAL __OTHER EXPLAIN
SUSPECT WORK ADDRESS PHONE
__ANGRY __COMP OF PAIN
__APOLOGETIC __BRUISE(S)
PRIOR HISTORY OF DOMESTIC VIOLENCE? ___YES ____NO
__CRYING __ABRASION(S)
__FEARFUL __MINOR CUT(S)
__HYSTERICAL __FRACTURE(S) PRIOR HISTORY OF VIOLENCE DOCUMENTED? ___YES ___NO
__CALM __ LACERATION(S)
__AFRAID __CONCUSSION(S)
__IRRATIONAL __ OTHER EXPLAIN NUMBER OF PRIOR INCIDENTS ___MINOR ___SERIOUS
__NERVOUS
__THREATENING
__OTHER EXPLAIN
CASE NUMBER(S)_________________________________________

INVESTIGATING AGENCY:_________________________________
EXPLAIN ________________________

RELATIONSHIP BETWEEN VICTIM AND SUBJECT

MARK ALL THAT APPLY

LENGTH OF RELATIONSHIP _____ YEAR(S) ______ MONTH(S)

___SPOUSE ___FORMER SPOUSE ___COHABITANTS ___FORMER COHABITANTS

IF APPLICABLE,

___DATING/ENGAGED ___SAME SEX ___FORMER DATING DATE RELATIONSHIP ENDED __________

___EMANCIPATED MINOR ___PARENT OF CHILD FROM RELATIONSHIP

MEDICAL TREATMENT
EVIDENCE

PARAMEDICS AT SCENE: ___YES ___NO HOSPITAL:____________________

__NONE
UNIT NUMBER:____________________ ATTENDING
__WILL SEEK OWN DOCTOR
__FIRST AID NAME(S) ID#______________________ PHYSICIAN(S): ____________
__PARAMEDICS
__________________________________ _______________________________
__HOSPITAL
__REFUSED MEDICAL AID ______________________________

203
 EVIDENCE COLLECTED FROM
___CRIME SCENE ___HOSPITAL ___OTHER (EXPLAIN)

PHOTOS ___YES ___NO PHOTO LOG NUMBER: ____________________

PHOTOS OF VICTIM’S INJURIES ___YES ___NO

PHOTOS OF SUSPECT’ INJURIES ___YES ___NO

WEAPON USED DURING INCIDENT ___YES ___NO

TYPE OF WEAPON USED_____________________________

WEAPON(S) IMPOUNDED ___YES ___NO

FIREARM(S) IMPOUNDED FOR SAFETY ___YES ___NO

PROPERTY RECORD & RECEIPT (PRR) # ____________________________________

DESCRIBE ALL EVIDENCE AND ITS DISPOSITION

Officer’s Name (printed) Officer’s Signature & Badge # Date Approved by

Supervisor
□ Yes □ No

204
 Trespass Warning

____________________________ Police Department

Case Number _________________________

(Name)_____________________________________ (Race) _________

(Sex)_____ (DOB) _______________ (SSN) _______________________

Was warned □ by me or □ in my presence to stay off the

property

at (address) _____________________________________________________

This warning was given on (date) ___________ at (time) _______________

By (business/property owner) ____________________________________

The above named person was advised that if he/she returns onto
Said property, he/she will be in violation of law and subject to arrest.
There are no time limits for this warning. The person so warned
was given notice of this warning.

Police Officer (printed name) _____________________________

Police Officer signature ___________________________________

Badge# ___________________

205
 SUSPECTED CHILD ABUSE REPORT

_______________________ Police Department Case # _________________________

OFFICER NAME & BADGE # SIGNATURE

REPORTING
PARTY

ADDRESS PHONE DATE OF ARREST

___POLICE DEPARTMENT ___SHERIFF’S OFFICE ___COUNTY WELFARE ___COUNTY PROBATION

REPORT SENT TO

AGENCY ADDRESS

OFFICIAL CONTACTED PHONE DATE/TIME

NAME OF PERSON WATCHING CHILD PHONE DOB SEX RACE

GUARDIANS/PARENTS/SIBLINGS/VICTIMS

PRESENT LOCATION OF CHILD (ADDRESS)

INVOLVED PARTIES

NAME ROLE IN FAMILY ADDRESS PHONE DOB SEX RACE

1.__________________________________________________________________
2.__________________________________________________________________
3.__________________________________________________________________
4.__________________________________________________________________
5.__________________________________________________________________
6.__________________________________________________________________

DATE/TIME OF INCIDENT PLACE OF INCIDENT

IF CHILD WAS IN OUT-OF-HOME AT THE TIME OF INCIDENT, CHECK TYPE OF CARE:

__FAMILY DAY CARE ___CHILD CARE CENTER ___FOSTER FAMILY HOME

___SMALL FAMILY HOME ___GROUP HOME OR INSTITUTION

TYPE OF ABUSE: (CHECK ONE OR MORE)

INCIDENT INFORMATION

___PHYSICAL ___MENTAL ___SEXUAL ASSAULT ___NEGLECT ___OTHER

NARRATIVE DESCRIPTION:

SUMMARIZE WHAT THE ABUSED CHILD OR PERSON ACCOMPANYING THE CHILD SAID HAPPEN

EXPLAIN KNOWN HISTORY OF SIMILAR INCIDENT(S) FOR THIS CHILD:

206
 Police Department - Victim’s Notification and Wavier
Name of Victim______________________________ Case # __________________________ Date
__________

_______________________________________________________________________________________________
Victim Address Home
Phone

_______________________________________________________________________________________________
Place of Work Address Work
Phone

Emergency contact: __________________________________________ Phone ____________________________

Name of Suspect:__________________________________________ AKA_________________________________

Warrant/Summons Number:_____________________________ County

__________________________________

Offense Charged:____________________________________________ Code ______________________________

Children Present:__________________________________________________________________ Ages:_________

You are responsible for informing the Police Department and the appropriate court of
any changes in your residency, employment, or phone number.

As the victim of a criminal offense being investigated by the Police Department:

I would like to be notified when an arrest has been made in this case: □ Yes □ No
As the victim of a criminal offense (Court Date, if known:___________________________)

I would like to be present when a person arrested in this case appears for a

Bond Hearing: □ Yes □ No

Preliminary Hearing: □ Yes □ No
Plea: □ Yes □ No
Trial or Sentencing: □ Yes □ No
As the victim of an individual who is being detained in a jail or other detention facility for a criminal offense, I would
like to be notified:

When a person arrested in this case is

released: □ Yes □ No
transferred: □ Yes □ No
escapes: □ Yes □ No

Waiver: I fully understand my rights as a victim and do not wish to be notified of any court proceedings: □ Yes □ No

___________________________________ ______________________ ________________________________

Victim’s Signature Date Officer’s Signature & Badge #

207
 For Criminal Domestic Violence Cases Only

Under provisions of Law, I am advising you of the following information:

1.You have the right to “Petition for an order of Protection” in this incident from the Family Court.

2. If you wish to seek an “Order of Protection” in this incident, you must preserve evidence and/or may
need witnesses to assist you in your case. You also may have to testify in court.

3. Do you have an “Order of Protection” from the Family Court?

□ Yes □ No

4. Do you seek protection at this time?

□ Yes □ No

5. Do you need transportation to a shelter or hospital?

□ Yes □ No

6. Do you need an officer to accompany you to your residence to remove personal items?
□ Yes □ No

I acknowledge that the reporting officer has advised me of my rights as a victim in this matter, and I
understand them completely.

Victim Signature __________________________________ Date __________________

Officer Signature & Badge # _________________________ Date ___________________

Victim Rights: As a victim of a crime, you have the following rights and
responsibilities.

To be treated with fairness and dignity, and to be free from intimidation, or harassment, or abuse, throughout
the criminal and juvenile justice process.

To be informed of your constitutional rights provided by statute.

To be reasonably informed when the accused or convicted person is arrested, released from custody, or has
escaped.

To be reasonably informed of and be allowed to submit either a written or oral statement at all hearings
affecting bond or bail.

Victim Acknowledgement

As a victim of crime, I have received a copy of the Victim/Witness Rights and Responsibilities sheet provided
to me by a Police Officer and I agree that if I should have a change of address, I must notify the appropriate
agency in order for Law Enforcement to make a reasonable attempt to contact me for court proceedings and
inmate status.

208
 Wanted/Missing Person Report
Case # Police Dept.

Officer: Badge:

Wanted/Missing Person
Last Name First Name

Social Security Number ID (Number & State)

DOB ID (Type)

Race/Sex Skin Tone

Height/Weight Jewelry

Eye Color/Hair Color Clothing Description

Blood Type Emancipation Date

Caution Indicator (If applicable)

Aliases
Scars, Marks, Tattoos Check One

__ Disabled
__ Juvenile Runaway
__ Crime Victim
__ Suspect
__ Person of Interest
__ Other

Vehicle Information
Vehicle License No. & State Number of Doors

VIN Color/Make/Model

Comments: _________________________________________________________________________

I attest to the validity of the above information.

___________________________________________________________________________________
Name(printed) Signature Badge# Date

209
 MISSING CHILD REPORT
_______________________ Police Department Case # _________________________
NAME (LAST, FIRST, MIDDLE) ALIAS

RACE PLACE OF BIRTH (CITY & STATE)

SEX __M __F __ASIAN __INDIAN __BLACK __WHITE __UNKNOWN
DOB AGE NAME & ADDRESS OF LAST DAY CARE CENTER

HT WT EYE COLOR HAIR STYLE

__ BROWN __ BLUE __ GREEN __ HAZEL __OTHER__________ __AFRO __CURLY __ BRAIDED

__ PONYTAIL __STRAIGHT
HAIR COLOR HAIR LENGTH

__ BLACK __ BROWN __ RED __ NO HAIR __EAR __SHOULDER __COLLAR __ BELOW SHOULDER __N/A

__ BLONDE __ OTHER _______________

FACIAL HAIR

__ NONE __ UNSHAVEN __ MUSTACHE __ BEARD __ GOATEE

SKIN TONE TEETH

__ FAIR/LIGHT __ MEDIUM __ DARK __PROTRUDING __ GAPS __ GOLD-CAPPED

__BLACK __ RUDDY __ OTHER __ CHIPPED __ DECAYED __ STRAIGHT

BUILD

__ THIN __ MEDIUM __ HEAVY __ MUSCULAR

SCARS, MARKS, TATTOOS, ETC.

SSN DL # STATE

DATE & TIME: LAST SEEN TIME(MILITARY) LOCATION LAST SEEN

LAST SEEN WEARING (LIST ALL AVAILABLE DESCRIPTORS:

HOBBIES, INTERESTS, ASSOCIATIONS, HANGOUTS:

POSSIBLE DESTINATION (NAME & LOCATION):

POSSIBLY IN COMPANY WITH (NAME & AGE):

LICENSE PLATE # STATE VEHICLE YR MAKE MODEL STYLE COLOR

CORRECTED VISION BLOOD TYPE MEDICATION REQUIRED (REASON & TYPE)

__ YES __ NO __ GLASSES __CONTACTS

JEWELRY TYPE/ DESCRIPTION INITIAL ASSESSMENT

__FAMILY ABDUCTION __NON-FAMILY ABDUCTION

__ RUNAWAY __OTHER_______________________________

210
 CRIME SCENE CHECKLIST

__________________________ POLICE DEPARTMENT Case #

___________________

REPORTING OFFICER BADGE # Date

CALL TIME ARRIVAL TIME DEPART TIME

SCENE DESCRIPTION

INDOORS □ YES □ NO FORCED ENTRY □ YES □ NO

RESIDENTIAL □ YES □ NO HOMEOWNER PRESENT □ YES □ NO
COMMERCIAL □ YES □ NO BUSINESS OPEN □ YES □ NO
OUTDOORS □ YES □ NO POINT OF ENTRY □ YES □ NO
VEHICLE □ YES □ NO MAKE AND MODEL □ YES □ NO
ROADWAY □ YES □ NO HIGHWAY □ YES □ NO
FIELD □ YES □ NO TYPE (HAY, COTTON, ETC)

SCENE DOCUMENTATION

PHOTOS TAKEN □ YES □ NO VIDEO TAKEN □ YES □ NO SKETCH DONE □ YES □ NO

VICTIM #1: INFORMATION

NAME DOB AGE HAIR EYES

ADDRESS SSN HT WT

VICTIM SHOT □ YES □ NO AREA OF INJURY (HEAD, ARM, ETC)

DECEASED □ YES □ NO AMOUNT OF DECOMPOSITION
ALIVE □ YES □ NO APPROX. TIME OF DEATH (HOURS)
INJURED □ YES □ NO WEAPON USED (KNIFE, GUN, ETC.)

VICTIM #2: INFORMATION

NAME DOB AGE HAIR EYES

ADDRESS SSN HT WT

VICTIM SHOT □ YES □ NO AREA OF INJURY (HEAD, ARM, ETC)

211
 DECEASED □ YES □ NO AMOUNT OF DECOMPOSITION
ALIVE □ YES □ NO APPROX. TIME OF DEATH (HOURS)
INJURED □ YES □ NO WEAPON USED (KNIFE, GUN, ETC.)
SUBJECT # 1 INFORMATION

NAME DOB AGE HAIR EYES

ADDRESS SSN HT WT

WAS SUSPECT ARRESTED? □ YES □ NO WAS SUSPECT ARRESTED ON SCENE? □ YES □ NO

SUSPECT CLOTHES COLLECTED? WAS A WEAPON COLLECTED FROM SUSPECT?
□ YES □ NO □ YES □ NO
DESCRIPTION OF CLOTHING COLLECTED AS EVIDENCE:
TYPE OF WEAPON COLLECTED FROM SUBJECT OR FROM LOCATION DURING INVESTIGATION

WEAPON INFORMATION: WAS WEAPON COLLECTED? □ YES □ NO

TYPE (REVOLVER, SEMI AUTO, PISTOL, RIFLE, ETC) MAKE

MODEL SERIAL#

CALIBER TYPE AMMO

WHERE WAS WEAPON COLLECTED? # OF NON-SPENT ROUNDS IN CYLINDER

# OF SPENT ROUNDS IN CYLINDER

WAS WEAPON LOADED? □ YES □ NO WAS WEAPON STOLEN? □ YES □ NO

Draw the cylinder’s chambers and the position of each casing. Label each spent and
non-spent round.

CYLINDER POSITION

212
 EVIDENCE
TYPE OF EVIDENCE COLLECTED DESCRIPTION
WEAPON □ YES □ NO
FOOTWEAR/TIRE WEAR □ YES □ NO
LATENT □ YES □ NO
SEROLOGICAL □ YES □ NO
TRACE □ YES □ NO
NARCOTICS □ YES □ NO
OTHER □ YES □ NO
WAS EVIDENCE PACKAGED AND SEALED? □ YES □ NO
WERE ITEMS SUBMITTED TO EVIDENCE ROOM? □ YES □ NO

213
 Stolen Items Notification

_________________ Police Department

STOLEN
VEHICLE VEHICLE TAG GUN ARTICLE
LIC. # LIC. # MAKE TYPE OF ARTICLE

LIC. STATE

VIN LIC. STATE SERIAL # BRAND NAME

MAKE

MODEL OFFICER CALIBER MAKE

COLOR SERIAL #

# DOORS BADGE # TYPE OF GUN

MODEL YEAR (Pistol, Rifle, etc.) Owner Applied #

DATE OF THEFT DEPT

OFFICER OFFICER

BADGE # CASE# BADGE # BADGE #

DEPT DEPT DEPT

CASE# CASE# CASE#

Comments: ________________________________________________________________

I attest to the validity of the above stolen item.

Victim’s Printed Name __________________________________ Date __________________

Victim’s Signature __________________________________

Officer Signature & Badge # _________________________ Date ___________________

214
 JUVENILE INFORMATION
TO BE OBTAINED BY POLICE OFFICERS

JUVENILE’S NAME:__________________________________________________________________________

JUVENILE’S ADDRESS:______________________________________________________________________

DOB:____________ SOC. SEC. #_________________ ID #:__________________ ID Type _________

SCHOOL ATTENDED:___________________________________________ GRADE:__________________

CUSTODIAL PARENT’S NAME:______________________________________________________________

ADDRESS:_____________________________________________________________________________________

HOME PHONE:_________________________ WORK PHONE:____________________________________

PLACE OF EMPLOYMENT:___________________________________________________________________

NON-CUSTODIAL PARENT’S NAME:________________________________________________________

ADDRESS:______________________________________________________________________________________

HOME PHONE:___________________________ WORK PHONE:__________________________________

PLACE OF EMPLOYMENT:___________________________________________________________________

STEP-PARENT’S NAME:______________________________________________________________________

PLACE OF EMPLOYMENT:___________________________________________________________________

PRIOR JUVENILE DELINQUENCIES: [LIST YEAR, COUNTY, AND TYPE OF CHARGE]:

__________________________________________________________________________________________________

COMMENTS BY OFFICER: _____________________________________________________________________

____________________________________________________________________________________________________

____________________________________________________________________________________________________

215
 Juvenile Notice of Violation

_____________________ Police Department Tracking # ______________

ATTENTION PARENT/GUARDIAN: YOU AND THE BELOW NAMED JUVENILE

WILL BE NOTIFIED BY MAIL WHEN TO REPORT TO THE POLICE
PROBATION DEPARTMENT.

JUVENILE NAME (LAST, FIRST, MIDDLE) SEX RACE DOB AGE

ADDRESS PHONE SCHOOL GRADE

VEHICLE (YR, MAKE, MODEL) LICENSE # DRV LIC # OTHER ID

PARENT/GUARDIAN NAME ADDRESS HOME PHONE WORK PHONE

VIOLATIONS DATE TIME

STATUTE___________________ LOCATION

COMPANIONS AGE
ORDINANCE________________
AGE
__CURFEW
__POSS ALCOHOL/DRUGS
AGE
__WEAPON(S)
__DISTURBANCE/ASSAULT
OFFICER’S SIGNATURE BADGE #
__TRESPASSING/PROWLING
__GANG ACTIVITY
__VANDALISM
__OTHER___________________ JUVENILE’S SIGNATURE

REMARKS:

DATE TIME OFFICER & BADGE #

CONTACT WITH PARENTS/GUARDIANS □YES □NO
NAME:

216
 RELEASE TO CUSTODY
STATE OF _____________________ COUNTY OF ___________________

IN THE FAMILY COURT

I, ____________________________________________________________________

Hereby agree to be responsible for my child and to have my child __________________ ,

with a DOB of _____________ , AVAILABLE AT THE TIME OF HEARING in the

Family Court at such time as the Court may direct, if he/she is released to my custody.

Failure to comply with this agreement will result in the issuance of an

arrest warrant for my arrest.

□ Mother □ Father □ Guardian

_______________________________ ____________________________

Printed Name of Parent or Guardian Signature of Parent or Guardian

___________________

Date

Witnesses: __________________________ ______________________________

Name & Badge # Name & Badge #

217
 Juvenile Fingerprint Card - Final Disposition

(Below is some information that might be asked for the final disposition that involves a juvenile.)

Original Charge ________________________ Code ______________

Filed Charge __________________________ Code _______________

Amended Charge ______________________ Code _______________

□ Dismissed □ True □ Not True □ Waived to Adult Court □ Informal Adjustment

DOC Commitment (# days) _____ Suspended: □ YES □ NO

Counseling (# days) __________

Court Cost ________ Fine ________ Restitution ____________________

Suspended DL: □ YES □ NO

218
 APPENDIX

GENERAL INFORMATION FOR REPORTS (fictitious)

Police Department
1) Aiken City Police Department

111 Laurens St Aiken, SC 29802

District 2 ph: 803-555-0911; ORI # 00049004400

2) Aiken County Sheriff Office

2423 Hampton Ave Aiken, SC 29801

District 43 ph: 803-555-9110; ORI # 00390005300

ORI # s
1) 330053000; 2) 74000543000; 3) 440054000; 4) 8800056000

Dispatch
1) Badge # 394 2) Badge # 126 3) Badge # 292

Post Command
1) Badge # 1 2) Badge # 2 3) Badge # 11

Court Information

1) Aiken County Superior Court 2) Aiken Town Court 3) Aiken Co. Circuit Court

121 Laurens St Aiken, SC 29802 22 US HWY 1 Aiken, SC 29802 48 Laurens St

ph: 803-555-1212 ph: 803-555-5492 Aiken, SC 29803

ph: 803-555-4444

219
 Vehicles
(Fictitious information; VINS are variables only and may not represent proper format)

1. WASHINGTON, D.C. REGISTRATION

Plate: 8SU95 Expires: 6/1/2017

Yellow 2004 Honda Civic 3 Door

Vehicle No.: JF2HF72J34154930

2. NEW JERSEY REGISTRATION

Plate: GD32KH Expires: 8/5/2018

Purple 2007 Ford F-150 2 Door

Vehicle No.: 1F2HF72J37154930

3. OHIO REGISTRATION

Plate: HAPPY Expires: 7/4/2017

Red 2003 Volkswagen Jetta 4 Door

Vehicle No.: WF2HF72J33154930

4. MISSOURI REGISTRATION

Plate: ALP138 Expires: 8/5/2019

Green 2001 Hyundai Accent 2 Door

Vehicle No.: KF2HF72J31154930

5. SOUTH CAROLINA REGISTRATION

Plate: 8SU95 Expires: 6/1/2017

Yellow 2004 Ford Mustang 2 Door

Vehicle No.: JF2HF72J34154930

220
6. GEORGIA REGISTRATION

Plate: HJ32HF Expires: 8/15/2019

Black 2014 Ford Crown Victoria 4 Door

Vehicle No.: 1F2HF72J47199394

7. NORTH CAROLINA REGISTRATION

Plate: TX5728 Expires: 7/4/2019

Yellow 2013 Rolls Royce Phantom 4 Door

Vehicle No.: WF2HF72J43154544

8. FLORIDA REGISTRATION

Plate: 85H77 Expires: 11/22/2022

White 1986 Chevy Caprice 2 Door

Vehicle No.: KF4HF52J31959432

9. CALIFORNIA REGISTRATION

Plate: CA5714 Expires: 7/4/2017

Orange 2014 BMW 328i Sedan 4 Door

Vehicle No.: WF2HF72J94154930

10. TEXAS REGISTRATION

Plate: P4489P Expires: 8/5/2019

Green 1981 Ford Granada 4 Door

Vehicle No.: KF2HF72J81193381

11. _______ REGISTRATION

Plate H3478 Expires: ____

Silver 2014 Honda Accord 2 Door

Vehicle No.: JF2HF72J94361276

221
 REPORT NUMBERS

Case Report #
1) C2014-0716-0900

2) C2015-0879-3949

3) C2016-1111-1930

Incident #

1) I2014-33304

2) I2015-57476

3) I2016-1212-120

Property Record & Receipt #

1) PRR # 4959

2) PRR # 2912

3) PRR # 3X23

Crash Report #

1) 76-2014-0711-013

2) 44-2015-0831-303

3) 11-2015-1111-202

Firearm Report #

1) FAR2014-33

2) FAR2015-41

Mug #

1) AA-4082

2) BB-30003

3) CC-4948
222
 Drivers/Suspects/Victims/Witnesses (fictitious)

1) Jacquelyn D. LoGiudice dob= 7-19-1992 b/f/5-0/95/brn/blue; SSN = 000-88-3321

2) James S. King dob= 3-6-1980 w/m/6-1/211/brn/haz/tattoo: skull on F/R shoulder; SSN = 000-44-1441

3) Phillip D. Carl dob=9-11-1957 b/m/6-0/195/brn/brn; SSN = 000-76-3021

4) Heather D. Danielle dob=7-23-1993 a/f/5-1/100/red/blu; SSN = 000-19-3042

5) Ashley D. Brooke dob=9-17-1994 b/f/5-7/140/brn/brn; SSN = 000-34-3234

6) Juan Gonzalas dob= 5-8-1988 h/m/5-8/177 brn/brn; tattoo:marijuana leaf L-forearm; SSN = 000-91-3948

7) Olga E. Hernandez dob=11-15-1977 h/f/5-0/110/brn/brn/tattoo:“O” on back of neck; SSN = 000-11-2038

8) Brandon A. McHenry dob=10-01-2000 b/m/5-8/155/bln/blu; SSN = 000-21-7673

9) Gina F. Fortuna dob=2-28-1982 w/f/5-3/110/bln/brn; SSN=000-77-8959

10) Angela Davis dob=10-17-1936 w/f/4-10/121/brn/grn; SSN = 000-10-1936

11) Glenn D. Dean dob=11-7-1960 b/m/5-8/180/brn/hazel; SSN = 000-12-1023

12) David C. Lee dob=08-31-1966 w/m/5-4/140/bln/brn; SSN = 000-65-7798

ID #s (fictitious)
1) SC 473832044

2) MI D203291020

3) TN 4939393

4) OH 48293675

5) Ontario (Canada) 5R40G368

6) MO 5838320

7) NJ 5905030

8) DC 6849309

9) MO 48943832

10) GA 58949839

223
 DL #s (fictitious)
1) AK H583359

2) DC 5737203

3) RI G35128H2

4) MA 583894939

5) Puerto Rico P76774R

6) OH 5949309

7) MO K58398

8) OR F683932

9) TX T472829

10) FL 5738202

11) GA 48393298

12) KY 5839209

13) NC N583929

14) NJ 583302

15) CA 4829292

16) SC 49209277

17) MI D411529

Phone #s (fictitious)
1) ph: 260-555-3392

2) ph: 803-555-2935

3) ph: 313-555-5948

4) ph: 410-555-0932

5) ph: 503-555-1199

224
 Address/Roadway Locations (fictitious)

1) 1134 Laurens St Aiken, SC 29801

2) 3374 Sims Street Graniteville, SC 29829

3) 34 Laurens St Aiken, SC 29801

4) 1203 US HWY 1 Graniteville, SC 29829

5) 48 Wall Lake Orland, MO 63005

6) 4900 Avondale Greenville, SC 29602

7) 9450 Tin Lane Alpine, NJ 07620

8) 1121 Lincoln Ave Ashley, SC 29821

9) 23947 Richland Ave Aiken, SC 29801

10) US HWY 1 at Sudow Lake Rd (EB) (Graniteville, SC)

11) 2276 US HWY 1 Graniteville, SC 29829

12) 2276 US HWY 1 Graniteville, SC 29829 Parking Lot 5

13) I-20 MP 11 (WB) (Aiken, SC)

14) I-20 MP 22 (EB) (Aiken, SC)

15) Laurens St south of Richland Ave (SB) (Aiken, SC)

16) Pine Tree road at Maple Tree Ave (SB) Burnettown, SC 29829

17) Kalamazoo Lane south of Battle Ax Ave (EB) Warrenville, SC 29828

18) 483 N 102 E Washington, DC 20001

19) 4838 Simms Ave Augusta, GA 30912

20) 5783 Washington Street Augusta, GA 30912

21) 538 Green Street Westland, MI 48185

22) 11969 Fourth Street Marion, NC 28752

23) 244 Starr Ave Sunbury, OH 43074

225
 Insurance Information (fictitious)

1) Insurance Co. Progressive; policy # 3834704

Agent: T.A. Marakus ph: 800-555-2944

2) Insurance Co. Traveler’s; policy # T4929Y2

Agent: Templeton Smith ph: 800-555-5383

3) Insurance Co. Nationwide; policy # NW3829265

Agent: Jennifer Armstrong ph: 800-555-9090

4) Insurance Co. State Farm; policy # 3834704

Agent: Kirk Allen ph: 800-555-3214

5) Insurance Co. All State; policy # 3834704

Agent: Tiffany Jones ph: 800-555-4444

County of Residence
1) Wayne

2) Cass

3) Aiken

4) Lexington

5) Lagrange

6) Richland

7) Elkhart

226
 Tractors

1) Kenworth 2010 Conventional; VIN 1K24321490J48734

OH Registration XC3821; expires 12/21/2020

2) Peterbuilt 2013 Cab Over; VIN 1P283424733H41123

MI Registration AB4396; expires 2/15/2019

3) Freightliner 2014 Conventional; VIN 1F28574824G03495

MO Registration B58311; expires 07/17/2021

Trailers

1) Strick 2011 Box; VIN 1S77621491J54134

NJ Registration TC4832; expires 11/11/2020

2) Talbert 2012 Flatbed; VIN 1T237524723H44443

IN Registration AB4923; expires 12/05/2021

3) Dorsey 2013 Box; VIN 1D22121823G03275

CA Registration C38243; expires 08/27/2022

227
 Exercises
Daily Activity Report
Today you wrote 25 citations; you changed one flat tire for a driver; you obtained 33 completed traffic
dispositions from the courthouse; you gave two Alco-sensor tests (.03% BAC & .26% BrAC); you gave one
DataMaster test (.25% BrAC); you made one DUI arrest (felony); you investigated one crash and issued one
citation during the crash investigation (expired DL); you went to traffic court for 1 hour during your shift; and
you gave 7 warnings total.

Shift: 8:00 am - 7:00 pm; (your shift included ½ hour lunch break & 2 hours overtime for seatbelt patrol)

Entire shift mileage: 50,403 - 50,693; Seatbelt patrol mileage: 50, 655 - 50, 693

Breakdown of the 25 citations:

19 citations to cars; 5 citations to tractor-trailers; 1 citation for public intoxication (no vehicle)

19 citations to cars 5 citations to tractor-trailers

8 for excessive speed 3 for excessive speed

3 for following too close 1 for running lights violation

2 adult seatbelt violations 1 possession of police radio (case 2014-0110-102)

2 child restraint violations

1 broken taillight

1 expired driver’s license (given at crash)

1 driving with a suspended driver’s license (misdemeanor)

1 DUI citation (felony)

Breakdown of the 7 warnings:

5 warnings to cars; 2 warnings to tractor-trailers

5 warnings to cars 2 warnings to tractor-trailers

3 for excessive speed 2 for excessive speed

1 seatbelt violation

1 child restraint violation warning

228
 PURPOSE OF REPORTS

Match report with its purpose

___ To remove the vehicle from the scene

___ Provides free fuel to drivers

___ To collect suspicious criminal activity, but do not have PC for an arrest

___ Involves chain-of-custody

___ Form used to record when a police officer changes a tire for a driver

___ A criminal charge filed by a police officer

___ Includes field sobriety test results

___ Report that records damage to vehicles

___ A report of criminal activity when PC exists

___ Form used to record a high school anti-drug speech

A) Crash Report

B) Public Speaker –Community Relations Form

C) Salvation Army Voucher

D) Police Service Report

E) Information

F) Vehicle Impound Form

G) DUI PC Affidavit

H) Case Report

I) Intelligence Report

J) Property Record & Receipt Form

229
 Crash: Collision vs. Non-Collision

Check the appropriate box.

Remember, collisions may involve “other participants”.

Indicate type of crash. Each incident sustained some sort of damaged to vehicle or injury to person.

Collision Non-collision

1 A car backs into another car.

2 Car turns too fast and rolls over. There is much damage to car.

3 Semi tanker leaks hazardous material onto parking lot surface at

gas station.

4 Car hits traffic sign. Sign is damaged; no damage to car.

5 Flood waters cover car.

6 Hail hits car and causes dents.

7 Man stands on motorcycle and falls off. Man hurt; no damage to

motorcycle.

8 A tractor-trailer stops too fast and the cargo shifts, which

damages the wall of the trailer.

9 A brake fire expands and consumes a tractor.

10 A rock flies from the tire of a truck and cracks the windshield of
a car.

11 A tractor trailer jackknifed and damaged its trailer.

12 A u-joint on the drive shaft breaks and the drive shaft bounces off
of the ground and damages the undercarriage of the car.

13 As a vehicle approaches a bridge, a suspect throws a brick from

the bridge and the brick hits the vehicle’s windshield, which
damages the windshield.

14 A car slides off of the roadway and hit a pile of snow/ice in the
median, which damages the front of the vehicle.

15 A person shoots a car as it passes and the bullet shatters the

passenger side window.

230
 SCENARIOS

Citation and Warning

You work at Aiken City Police Department; District 22 ORI #

23294844; Badge No. 1342

Initial Contact: You observe and stop car for speeding and following too close
at 8:30 am on today’s date: US Hwy 1 at Flute Ave (EB) Aiken, SC in Aiken
County

Driver: James Ward dob= 1-13-73 w/m/5-8/190/blu/bln

Address: 2055 Wallace St Aiken, SC 29803

OLN = SC 3745637 (regular DL)

Vehicle: Washington, D.C. REGISTRATION

Plate: 88X95 Expires: 7/1/2019

Yellow 2004 Honda 2 Door

Vehicle No.: 1F2HF72J34154930

Write Citation for following too close

Write Warning for speed
Directions: use Aiken City Court 111 Anywhere St Aiken, SC 29801 (803)555-1217;

Provide 30 day notice to respond

231
 Citation & Warning

1) Write citation for running red light

2) Write warning for speed (68MPH in 55 MPH zone)

You work for Aiken County Sheriff Office, Traffic Division, Badge # 3934

Aiken County Sheriff Office 3848 Walton Avenue Aiken, SC 29801 ph: (803)555-1825

Court Information: Aiken Superior Court 1212 Laurens St Aiken, SC 29801

(803)555-1373; Traffic Court date = last Wednesday of Month @ 9:00 am

Use current date and time

Offense Location: US HWY 1 at Sudow Lake Rd (EB) (Graniteville City in Aiken County)

Driver 1: person 3; DL 3; address 3; Owner of V1: same as D1

V1 South Carolina REGISTRATION

Plate: GH323N Expires: 9/5/2022

Red 2009 Hyundai Accent 2 Door

Vehicle No.: 1F2HF72J399783709

Insurance: All State policy # AS58374; Agent: Matthew Murdock ph: 803-555-1313

232
 Case Report
Complete a case report

You work at Aiken County Police Department 123 Yale Ave, Aiken, SC 29802

District 44 ph: 803-555-1316 ORI # 23251114

Post Command Badge No. 5450

Use current date and time. You stop the vehicle described below at 2276 US HWY 1 in
Graniteville, SC for speed (30 MPH in a 15 MPH zone). The vehicle has two occupants.
You smell what appears to be marijuana. You ask the driver to open the ash tray and
the driver complies, and you see what appears to be marijuana in the ash tray. You ask
the driver what it is and the driver states that it is marijuana. You ask the passenger if
it is also hers and she states that it is not hers because she has her own, which she pulls
out of her purse and shows you. You use the NIK Presumptive Drug Test Kit and
perform a field test, which indicates positive for marijuana on both samples.

Case # 2015-0501-11711

PRR # 4132 (use sequential numbers as needed)

MUG # BB-2320 (use sequential numbers as needed)

Use King Wench to tow vehicle: 979 Laurens St in Aiken (803-555-9201)

Vehicle: OH REGISTRATION (owned by driver)

Plate: OH4894 Expires: 6/30/2019

Yellow 2004 Honda 2 Door

Vehicle No.: 1F2HF72J34154930

2031 Buckeye Lane Fremont, OH 43420

Driver: From information provided in the Appendix, use person # 2, DL # 6, address # 18,
phone # 1, Police Dept. = 1, Dispatch = 1, Post Command = 1, Court = 1.

Passenger: Use person # 1, ID # 10, address # 20, phone # 2

233
 Crash Report

Complete a crash report.

Crash Location: 2276 US Hwy 1 Graniteville, SC 29829 Parking Lot 8

Use today’s date and time. Dent to front left fender of car. Crack in wall/barrier.

D1 stated that the he was EB in parking lot 8 and turned right into the loading
dock when he collided with the wall. The front left of V1 hit the wall. D1
stated that the passenger’s Samsung Galaxy S4 phone that fell off of the center
console and broke during the crash. This was corroborated by the passenger.
Serial # 47322002. Cost of phone = $99.

Passenger (front seat): Passenger 1 stated that she has been living with driver since Jan
2012.

Passenger 1 stated that she hurt her neck but that she does not want any treatment.

Use the following information obtained from the Appendix.

Crash report # 1

Use Vehicle Registration 6

Driver 1: person 3, DL 16, address 9, phone # 2, business phone # 3, county of residence 3,

insurance 1

Passenger 1: person 9, DL 12, phone # 3

Owner of vehicle = same as Driver 1

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 Vehicle Crash Proof of Insurance

Use the information below. Complete Vehicle Crash Proof of Insurance

form for D1/V1.

One vehicle crash. Driver 1 has a sore neck. No one dead.

You work for Aiken County Sheriff Office, Traffic Division, Badge # 3934 ph: (803)555-
1825

Use current date

Crash Report # 2014-1014-140 Notified 9:02 am Arrived 9:24 am

Location: I-20 MP 10 WB (11 miles NW of Graniteville, SC)

Vehicle at Fault
V1 South Carolina REGISTRATION

Plate: GH323N Expires: 9/5/2021

Red 2009 Hyundai Accent 2 Door

Vehicle No.: 1F2HF72J399783709

Driver 1: person 3; DL 3; address 3

Owner of V1: same as D1

Insurance: All State policy # AS58374; Agent: Tim Murdock ph: 803-555-1313

235
 Personal Illness
Complete a Police Employee Personal Illness Report.

You work for Aiken County Sheriff Office, Traffic District, Badge # 3934 ph: (803)555-
1825

Aiken County Sheriff Office 3848 Hampton Avenue Aiken, SC 29801

You were supposed to work yesterday from 8:00 am – 5:00 pm today. You called in sick at
4:00 am prior to your shift.

You stayed at home. You did not go to the doctor.

You only missed one day. You have returned to work today at 8:00 am.

Abandoned Vehicle

Complete an Abandoned Vehicle Form.

You work for Aiken County Sheriff Office, Traffic District, Badge # 3934 ph: (803)555-
1825

Aiken County Sheriff Office 3848 Hampton Avenue Aiken, SC 29801

Use current date and time

V1 Colorado REGISTRATION
Plate: CA3843 Expires: 1/7/2022

Red 2010 Ford F150 2 Door

Vehicle No.: 1F2HF72J305123215

236
 Public Speaker
Complete a Public Speaker – Community Relations Form.

South Aiken High School requests that you give a talk about saying “no” to drugs. You gave
the talk yesterday at 8:30 am.

South Aiken High School address: 232 East Pine Log Road Aiken, SC 29803

There is a classroom of students. You talk for about 20 minutes, and you pass out a brochure to each
student called, It’s called Dope for a reason.

The teacher stated that she would like you to talk about youth services and traffic safety in the future.

Police Service Report

Complete a Police Service Report.

Use current date and time. Driver 11, DL 17, address 21

You are on duty and you see a car with a flat tire. You change the tire.

Location: I-20 MP 21 WB

Michigan REGISTRATION

Plate: IRICH Expires: 9/5/2021

Red 2006 Ford Mustang 2 Door

Vehicle No.: 1F2HF72J858304372

Driver: SSN 100-45-4953; ph: 583-555-3042

237
 Permit for Possession of Deer
Give a Permit for Possession of Deer to the driver from the Police Service Report. You
shot and destroyed a wounded button buck at I-20 MP 21 in the south ditch.

Salvation Army Voucher

Complete a Salvation Army Voucher.

The driver to whom you provided the deer permit has just run out of gas. Provide him fuel.

Department Authorization #: ACSO384

Location: I-20 MP 21 WB

Michigan REGISTRATION

Plate: H84812 Expires: 9/5/2020

Red 2006 Ford Mustang 2 Door

Vehicle No.: 1F2HF72J858304372

Driver: SSN 100-45-4953; ph: 583-555-3042

Provided fuel at:

Marathon Station
3523 Sheldon Rd
Graniteville, SC 29802

Merchant HQ Address
Marathon Station
1231 Money Lane
Columbia, SC 29814

238
 CRASH DIAGRAM
Vehicle 1 was traveling on I-26 MP 11 (NB) in the driving lane and collided with a deer
head-on. The deer came out of the east ditch.

Draw a crash diagram. Place the 5 items on the crash diagram that every crash diagram
must have on it. In addition, complete the lines of travel and vehicle direction/labels. In
other words, make the vehicle and directional lines look right.

239
 DUI: Probable Cause Affidavit

Complete a DUI Probable Cause Affidavit.

You are investigating a vehicle crash at I-20 MP 16 EB in Aiken, SC. The driver stated that
she has a sore neck but she refuses any medical attention. During the crash investigation,
you notice empty beer cans in the vehicle. You also smell a strong odor of an alcoholic
beverage on the driver’s breath. The driver stated that she had a few drinks a couple of hours
ago. She stated that there was no passenger with her. You run her record and discover that
she has been arrested last month by the Ohio Highway Patrol in Erie County for DUI. You
give the driver an Alco-sensor test at 9:56 am and the result was 0.11% BAC.

Suspect SSN 000-54-5663

HI REGISTRATION

Kim, Roger

465 S. King St, RM 102

Honolulu, HI 95813

Plate: T472L Expires: 7/4/2021

Red 1980 Ford Granada 4 Door

Vehicle No.: 1F2HF72J30154930

Crash # 2017-1129-2342; Use Aiken Superior Court

Time notified: 9:31 am; Time arrived: 9:44 am, current date

Post command badge # 3234; ORI = 00076001400

DataMaster # = 1938934; Result = .13 BrAC at 11:59 am.

Location of DataMaster = Aiken County Dept. of Public Safety

240
James Nibert (223), a certified DataMaster operator, provided you the results.

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