Investigative Report

Report Header

Agency Name

Report Of (Type of Crime)

UCR Code

Invest. Div.

Inc. #

DR #

Combined Evid. Report Multiple DRs on this Report

Case Screening Factor(s)

Suspect/Vehicle not seen Prints or other evidence not present MO not distinct Property loss less than $5,000 No serious injury to victim Only one victim involved

Premises (Specific Type)

ATM

Victim

Last Name, First, Middle (or Name of Business)

Sex

Desc.

Age

DOB

Ht.

Wt.

Residential Address

City

Zip

Phone

Dr. Lic. No. (or Other ID & No.)

Foreign Language Spoken

E-mail Address

Cell Phone

Occupation

Occurrence & Entry

Point of Entry

Point of Exit

Res. / Bus.

Location of Occurrence

Method

Date & Time of Occurrence

Date & Time Reported to PD

Instrument / Tool Used

Type Property Stolen/Lost/Damaged

$ Stolen/Lost

$ Recovered

$ Est. Damage

Vict's Veh. (Year, Make, Type, Color, Lic. No.)

Notification(s) (Person & Division)

Connected Report(s) (Type & DR #)

M.O.

MO (List unique actions; include any weapon used)

Incident Flags

Threat of school violence Transit-related incident Mandatory Marsy's Rights card provided to the victim Motivated by hatred/prejudice Domestic violence

Reporting Employee(s)

Person Reporting

Received by phone

Suspect's Vehicle

Year

Make

Model

Type

Color(s)

Veh. Lic. No.

State

Body Damage / Unique Features (wheels, paint, decals, windows)

Suspect(s)

Involved Person(s)

Combined Evidence Report

Loc. Evid. Bkd.

10.10.00 Given?

Narrative

Narrative (Source of Activity, Investigation, Arrest, Injuries, Photographs, Evidence, Court Information...)

Victim's property marked with owner-applied ID number?

Approval & Review

Supervisor Approving

Serial No.

Division

Detective Supervisor Reviewing

Serial No.

Date & Time Reproduced

Clerk