Police Incident Form Fillable PDF Details

Municipal police departments require officers to document their daily activities and interactions with the public using a police incident form. This form is an officially mandated record of the events that occurred and the actions taken by officers during a specific incident. The information collected on this form can be used to help improve policing strategies, identify problem areas, and track officer performance over time. In order to complete the form accurately and in a timely manner, officers must have access to up-to-date instructions and guidance. This blog post provides an overview of the police incident form fillable, including how to complete it correctly.

This figure contains specifics of police incident form fillable. It is worth spending some time to learn this before starting filling in your document.

QuestionAnswer
Form NamePolice Incident Form Fillable
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namestheft police report sample, ca oakland police identity theft, theft report example, fillable fill identity fillable

Form Preview Example

 

 

XYZ POLICE DEPARTMENT

 

Gen. 11

 

 

 

 

 

 

USE OF FORCE REPORT FORM

 

 

 

 

 

 

 

 

 

1) DATE

2) TIME

3) LOCATION

 

 

4) CASE #

 

 

 

 

 

 

 

5) SUBJECT'S NAME

 

 

6) DATE OF BIRTH

7) HEIGHT

8) WEIGHT

9) PHONE #

 

 

 

 

 

 

 

10) REASON THE USE OF FORCE WAS NECESSARY (Check all that apply):

TO EFFECT AN ARREST

TO DEFEND ANOTHER OFFICER / PERSON

TO DISPATCH ANIMAL

TO DEFEND SELF

PROTECTIVE CUSTODY / SUBJECT SAFETY

PREVENT ESCAPE

OTHER:

11) LIST MOST SERIOUS OFFENSE(S) AT TIME FORCE USED:

12) WAS SUBJECT INJURED?

YES

NO

13) WAS REPORTING OFFICER INJURED?

 

14) MEDICAL TREATMENT PROVIDED TO/BY:

15) PHOTOS TAKEN BY:

 

 

YES

NO

 

 

DESCRIBE

 

 

DESCRIBE

 

 

 

INJURIES:

 

 

INJURIES:

 

 

 

 

 

 

 

 

 

 

 

16) # SUBJECTS THAT RESISTED:

 

17) # OFFICERS PRESENT:

 

18) SUPERVISOR NOTIFIED / TIME / BY WHOM:

 

 

 

 

 

 

 

 

 

 

 

19) AT THE TIME OF ARREST, THE SUBJECT WAS:

SUSPECTED TO BE UNDER THE INFLUENCE OF ALCOHOL OR DRUGS

UNDER THE INFLUENCE OF ALCOHOL OR DRUGS

MENTALLY IMPAIRED / EMOTIONALLY DISTURBED

OTHER

20) OFFICER'S PERCEPTION OF INDIVIDUAL'S ACTIONS (USE NARRATIVE TO DESCRIBE PERCEIVED THREAT(S) POSTED BY INDIVIDUAL):

PASSIVE RESISTANCE -

(Dead weight or non-compliance to Officer's lawful verbal direction, but offering no actively resistive movement)

ACTIVE OR ESCAPE RESISTANCE -

(Actions such as pushing, pulling, evasive arm movement, flailling, flight, muscle tension, etc. to avoid control. Does not include attempt to harm the Officer)

ASSAULTIVE / HIGH-RISK -

(Agitated, combative state, physically assaultive actions and/or behavior that poses threat of injury to another (e.g., punching, kicking, clenching of fists, etc.)

LIFE THREATENING / SERIOUS BODILY INJURY -

(Actions that may result in death or serious bodily injury)

21) OFFICER'S RESPONSE OPTION(S) (PROVIDE FURTHER DETAILS IN ATTACHED NARRATIVE REPORT(S)):

PRESENCE:

FULL UNIFORM

PARTIAL UNIFORM

PLAINCLOTHES

NOTE: Officers not in full uniform, describe means of visual police identification (e.g., raid vest or jacket, displayed badge/ID, etc.)

VERBAL COMMANDS (Describe details in Narrative Report):

COMPLIANCE TECHNIQUES (Describe details in Narrative Report):

(Force used to gain control - restraint, come-along, takedowns - use of hands, arms, feet, legs)

CHEMICAL SPRAY / CHEMICAL AGENT (Describe details in Narrative Report:

Number of Bursts:

 

Duration of Bursts:

 

Distance from Subject:

 

 

Impact Location:

 

 

 

 

 

Time between application / decontamination:

 

 

IMPACT WEAPON / TEMP. INCAPACITATION (Describe details in Narrative Report):

ELECTRONIC CONTROL DEVICE (Describe details in Narrative Report):

Laser Only

Spark Check

Drive Stun

Probe Deployment

Impact Location:

 

Number of Cycles:

POINT A FIREARM (Describe details in Narrative Report):

DEADLY FORCE - Firearm or other (Describe details in Narrative Report):

OTHER:

22) RESTRAINT METHOD USED:

 

HAND or FLEX CUFFS

 

LEG RESTRAINTS

 

BODY GUARD

 

SPIT SHIELD

 

 

NONE

 

OTHER:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

23) OFFICERS PRESENT AT SCENE DURING FORCE APPLICATION:

 

 

 

 

 

24) SHIFT SUPERVISOR(S):

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

25) OTHER WITNESS(ES) / PERSON(S) PRESENT AT SCENE:

 

 

 

 

 

26) SHIFT OFFICER(S):

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

27) AUDIO-VISUAL EVIDENCE:

 

YES

NO

 

 

 

 

 

28) SUPERVISOR(S) WHO RESPONDED TO SCENE:

 

 

 

 

 

If NO, explain:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

COMPLETING OFFICER(S): IF ADDITIONAL SPACE IS REQUIRED IN ANY BOX USE THE SUPPLEMENTAL REPORT;

 

 

 

 

 

 

 

 

 

ATTACH ALL RELATED NARRATIVE REPORTS, SUPPLEMENTS AND STATEMENTS AND

 

 

 

 

 

 

 

 

 

 

 

FORWARD TO SHIFT SUPERVISOR PRIOR TO END OF TOUR OF DUTY

 

 

 

 

 

XYZ POLICE DEPARTMENT

OFFICER NARRATIVE

Case #:

29)WAS SUBJECT(S) INJURED? * *(Complete Diagram Below)

YES

NO

30) OFFICER(S) TAKING PHOTOS

31) TOTAL # OF PHOTOS

32) DESCRIBE THE EXTENT OF SUBJECT'S INJURIES AND PLACE ON THE DIAGRAM:

SUBJECT #1

Name:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

WAS OFFICER(S) INJURED? *

YES

NO

*(Complete Diagram Below)

33) DESCRIBE THE EXTENT OF OFFICER'S INJURIES AND PLACE ON THE DIAGRAM:

OFFICER #1

Name:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

34) WITNESS(ES) OR PERSON(S) WITH KNOWLEDGE:

ADDRESS:

PHONE #:

 

 

 

1)

2)

 

 

3)

 

 

4)

 

 

35) Officer's Narrative: Did officer prepare a detailed incident report describing the facts and circumstances leading to the use of force?

YES

NO If no, explain:

SUPERVISORY / COMMAND REVIEW

36) REPORTING SUPERVISOR (Name and Badge #)

37) DATE AND TIME OF SUPERVISOR RESPONSE

 

38) LOCATION

 

 

 

 

 

 

39) OFFICER WHO USED FORCE (Name and Badge #)

40) WAS SUBJECT(S) INJURED?

 

41) WAS OFFICER(S) INJURED?

 

 

YES

NO

YES

NO

42) Supervisor's Narrative: (Document steps taken to review and evaluate Officer's use of force)

43) A/V EVIDENCE AVAILABLE / REVIEWED BY SUPERVISOR:

44) A/V EVIDENCE AVAILABLE / REVIEWED BY OFFICER:

45) A/V EVIDENCE AVAILABLE / REVIEWED BY LIEUTENANT:

 

 

YES

 

NO Date:

 

 

YES

 

NO Date:

 

 

YES

 

NO

Date:

 

 

 

 

 

 

 

 

46) Lieutenant Review Narrative: (Confirm proper and complete investigation was conducted)

OFFICER REVIEW (Print / Sign / Date):

SUPERVISORY REVIEW (Print / Sign / Date):

LIEUTENANT REVIEW (Print / Sign / Date):

SUPERVISORY/COMMAND: REVIEW & CRITIQUE USE OF FORCE WITH INVOLVED OFFICER(S).

NOTE FINDINGS ABOVE AND FORWARD COMPLETED PACKET TO CHIEF OF POLICE

Use of force requires and ON-SCENE review, including a narrative report from the responding supervisor. This is REQUIRED for incidents involving - Chemical Spray,

ECD Probe deployment or Drive Stun; any incident resulting in injury or complaint of injury; or any other time deemed appropriate by a supervisor

How to Edit Police Incident Form Fillable Online for Free

Our PDF editor works to make completing files hassle-free. It is rather not hard to modify the [FORMNAME] document. Keep up with these particular actions if you would like achieve this:

Step 1: You should hit the orange "Get Form Now" button at the top of the following page.

Step 2: At the moment, you can start editing the get fillable police template. Our multifunctional toolbar is at your disposal - insert, erase, transform, highlight, and undertake many other commands with the text in the document.

The PDF document you desire to fill out will cover the next segments:

entering details in theft police template part 1

Enter the required data in the area PASSIVE RESISTANCE Dead weight or, ACTIVE OR ESCAPE RESISTANCE, ASSAULTIVE HIGHRISK Agitated, LIFE THREATENING SERIOUS BODILY, OFFICERS RESPONSE OPTIONS PROVIDE, PRESENCE, FULL UNIFORM, PARTIAL UNIFORM, PLAINCLOTHES, NOTE Officers not in full uniform, VERBAL COMMANDS Describe details, COMPLIANCE TECHNIQUES Describe, CHEMICAL SPRAY CHEMICAL AGENT, Impact Location, and Time between application.

part 2 to finishing theft police template

You should highlight the significant data within the DEADLY FORCE Firearm or other, OTHER, RESTRAINT METHOD USED, HAND or FLEX CUFFS, LEG RESTRAINTS, BODY GUARD, SPIT SHIELD, NONE, OTHER, OFFICERS PRESENT AT SCENE DURING, SHIFT SUPERVISORS, OTHER WITNESSES PERSONS PRESENT, SHIFT OFFICERS, AUDIOVISUAL EVIDENCE, and YES part.

step 3 to filling out theft police template

The WAS SUBJECTS INJURED, YES, Complete Diagram Below, XYZ POLICE DEPARTMENT OFFICER, Case, TOTAL OF PHOTOS, DESCRIBE THE EXTENT OF SUBJECTS, SUBJECT, Name, WAS OFFICERS INJURED, YES, Complete Diagram Below, DESCRIBE THE EXTENT OF OFFICERS, OFFICER, and Name box will be the place to add the rights and obligations of both sides.

Filling in theft police template stage 4

Finalize by analyzing all of these sections and filling out the suitable details: Officers Narrative Did officer, YES, If no explain, REPORTING SUPERVISOR Name and, DATE AND TIME OF SUPERVISOR, LOCATION, SUPERVISORY COMMAND REVIEW, OFFICER WHO USED FORCE Name and, WAS SUBJECTS INJURED, WAS OFFICERS INJURED, YES, YES, Supervisors Narrative Document, AV EVIDENCE AVAILABLE REVIEWED, and AV EVIDENCE AVAILABLE REVIEWED.

Finishing theft police template stage 5

Step 3: As soon as you choose the Done button, your finalized file can be transferred to any of your gadgets or to email indicated by you.

Step 4: Prepare a copy of every different document. It should save you some time and permit you to avoid worries as time goes on. By the way, your details will not be used or checked by us.

Watch Police Incident Form Fillable Video Instruction

Please rate Police Incident Form Fillable

1 Votes
If you believe this page is infringing on your copyright, please familiarize yourself with and follow our DMCA notice and takedown process - click here to proceed .