Use Of Force Report Form – Fill Out and Use This PDF

Under INCIDENT DESCRIPTION, fill in Type of call, Case #, Date, Time, Day of week, Address of occurrence and Weather/Lighting.

For the justification for using force, mark the box for To protect oneself or others from harm, To restrain or subdue a resistant individual, To bring an unlawful situation under control, or Other (explain).

Under SUSPECT INFORMATION, fill in Last name, First name, MI, Address, Sex (M or F), Age, Race (White, Black, Hispanic, Asian or Native American), Height and Weight.

Write the Precise activity prior to use of force (i.e. assaulting, fleeing, passive resistance, etc.), then mark the suspect's Weapon(s): N/A, Knife, Vehicle, Bite, Blunt object (type), Other, Hands/feet (technique) or Firearm (type).

Mark the suspect's Under influence: Alcohol, Drugs, Prescription, Unknown or N/A.

Write the Type of clothing worn. For Injured, mark No or Yes (If yes, describe), then mark Treated by: Officer, Fire department, Emergency room, Refused or N/A.

Under OFFICER INFORMATION, fill in Last name, First name, MI, ID#, Race (White, Black, Hispanic, Asian or Native American), Sex (M or F), Duty assignment, Age, Height and Weight.

Mark the officer's Uniform: Patrol uniform, Tactical, Plain clothes or Bike Patrol. Mark the Duty status at time of incident: On, Off, Light, Suspended or Secondary Employment.

On the continued page, under OFFICER INFORMATION (continued), write the Officer's precise activity at time of incident (i.e. handcuffing, interviewing, etc.).

Mark the officer's Weapon(s): Firearm (type), ASP, TASER (probe or drive stun) with the Number of TASER Cycles, Flashlight, OC spray, CS, Hands/feet(technique), Canine, Baton or Less Than Lethal Projectile.

For a Weapon of opportunity, mark the box and write its (type).

Describe impact locations, Describe weapon usage and write the Effectiveness of applied weapon(s).

For Injured, mark No or Yes (If yes, describe), then write the Reporting officer's signature/ ID & date at SIGN.

Write the Supervisor's name & ID and Comments.

Mark the Required documents attached: Photo-copy of officer's report documenting the use of force, and TASER dataport download if applicable.

Write the Platoon/Unit commander's name & ID and Comments.