Instructions on Utilizing Police Report
Filling out the Police Report form requires careful attention to detail. Each section is designed to gather specific information about the incident and the individuals involved. Make sure to provide accurate and complete information to ensure that your report is processed effectively.
- Begin by entering the DEPARTMENT ORI NO. and INTERNAL AFFAIRS CASE NO. if available.
- Fill in the NAME of the person making the report. If you prefer to remain anonymous, this can be left blank.
- Provide your ALIAS, ADDRESS, CITY, DOB (Date of Birth), STATE, ZIP, and PHONE number.
- Optionally, include your RACE for statistical purposes.
- Enter your AGE and SEX.
- Fill out your EMPLOYER/SCHOOL name and PHONE number.
- Provide the ADDRESS, CITY, STATE, and ZIP of your employer or school.
- Describe the NATURE OF COMPLAINT.
- List the NAME(s) of the person(s) you are complaining against and their BADGE NO(s).
- Enter the DATE and TIME of the incident.
- Fill in the DATE/TIME REPORTED and how the incident was REPORTED.
- Provide the INCIDENT LOCATION, including DIST/AREA and BEAT if known.
- Write a detailed DESCRIPTION OF INCIDENT.
- Include any DESCRIPTION OF ANY INJURIES that occurred.
- Fill out the PLACE OF DOCTOR’S TREATMENT and the DATE OF TREATMENT.
- Provide the NAME of the doctor who treated you.
- Sign the report with your SIGNATURE OF COMPLAINANT (this is optional) and date it.
- Add any COMMENTS you feel are necessary.
- Finally, sign again with your SIGNATURE, include your BADGE NO. if applicable, and the DATE RECEIVED.

