Crime/Incident Report

Related Reports Addn’l Property Addn’l Offenses Page Case Number

C Y N Y N Listed in Narr.
R Y N A       Of            
I Code Section and Description (one incident only) Month Day Year Day of Week Time
M       HC OV OAK                              
E Location of Incident (or address) City Seat District
                 
V SP W-type Victim’s Name (Last, First, Middle/or organization) Residence Address City State Zip
V W DC                  
I RP
C Residence Phone See race code Race Sex Date of Birth ID type ID Number Interpreter Relation to
T       legend on top of                               required? victim/suspect
I back page Y N      
M Status Employer (rank if military) Business or military address City State Zip Days off Work hrs.
                             
/ Business Phone Additional Information (Victim vehicle info, if applicable)
           
W V SP W-type Victim’s Name (Last, First, Middle/or organization) Residence Address City State Zip
I W DC                  
T
RP
N
Residence Phone See race code Race Sex Date of Birth ID type ID Number Interpreter Relation to
E
      legend on top of                               required? victim/suspect
S
back page Y N      
S
Status Employer (rank if military) Business or military address City State Zip Days off Work hrs.
                             
Business Phone Additional Information (Victim vehicle info, if applicable)
           
Total # of witnesses at Witness type: Arresting officer Other lay witness Narc chemist Status: Employed Student
crime       Other expert Investigator Other police Unemployed Non-salaried Worker
Place
of attack: Business Vehicle Street/Alley Lot/Park/Yard       Vessels Other      
Description of Surrounding area:
Residential Business Industrial/Mftg. Recreational Institutional Open Space School Marine/Water Other      
Force Tool Weapon Specify:       How Used:      

Force Tool Weapon Specify:       How Used:      

M
O Narrative on place/method of crime:

I
N
F
O
R
M
A
T
I
O
N

Item Stolen Identification Brand/Make or Model Name and Miscellaneous Description Value
P No. Article Name Received Numbers Manufacturer Model Number
R 1                                          
O      
P 2                                          
E      
R      
T
Y
A Victim injured Y N
D Reporting officer ID # Division Approved by ID # Detective(s) assigned ID # Division
M                                                
I Date and time of report Case station Agency Crime type
N Mo.       Day       Year       Time                        
Race code legend: A – Other Asian B – Black C – Chinese D – Cambodian F – Filipino G – Guamanian H – Hispanic I – Indian Case #      
J – Japanese K – Korean L – Laotian O – Other P – Pacific Islander S - Samoan U - Hawaiian V – Vietnamese W – White Z – Asian
Indian
Arrested Suspect #1 (Last, First, Race Sex Age DOB Height Weight Build Hair Eye
Y N Middle, Nickname/AKA                                           color color
                 
Suspect’s address City State Zip Phone ID type ID Number
                       
 Additional information/Further suspect description (i.e., glasses, tattoos, teeth, birthmarks, jewelry, scars, etc.
     
S Suspect’s clothing
U      
S Arrested Suspect #2 (Last, First, Race Sex Age DOB Height Weight Build Hair Eye
P Y N Middle, Nickname/AKA                                           color color
E                  
C Suspect’s address City State Zip Phone ID type ID Number
T                        
S Additional information/Further suspect description (i.e., glasses, tattoos, teeth, birthmarks, jewelry, scars, etc.
     
Suspect’s clothing
     
Hair Hair Style Facial Hair Complexion General Demeanor Speech Voice
Length/Type Appearance
1 Suspect 2 1 Suspect 2 1 Suspect 2 1 Suspect 2 1 Suspect 2 1 Suspect 2 1 Suspect 2 1 Suspect 2
Unknown Unknown Unknown unknown Unknown unknown Unknown Unknown
Bald Afro/nat. Clean shave Acne Causal Angry Accent Disguised
Collar Braided Full beard Dark Dirty Apologetic Lisp High Pitch
Long Bushy Fu Manchu Freckled Disguse Mumbles Loud
Neck Greasy Goatee Flashy Calm Offensive Low pitch
Short Military Lower lip good-looking Quiet Medium
Shoulder Ponytail Mustache Light Military Disorganized Rapid Monotone
Coarse Processed None/ fuzz Medium Unkempt Slow Nasal
Fine Straight Sideburns Pale Unusual odor Irrational Stutters Pleasant
Thick Wavy/curly Unshaven Pocked Nervous Talkative Raspy
Thinning Wig Van Dyke Rudy Polite Other Soft
Other Other Other Tanned Well groomed Professional       Other
                  Other      
      Other Stupor
      Other
     
Suspect Year Make Model Color/Color Type License No. Lic. State
Vehicle                                          
Additional vehicle identifiers (damage, chrome wheels, etc.) Vehicle Impound Towing Company
      Y N      
E Evidence obtained: None Fingerprints Other prints Weapon/Tools Vehicle Photos Hair Stains Blood/Semen
V Other      
I Disposition of evidence:       Tag Nos.       Addn’l persons Witness check
D listed Y N
Y N
N Headings; Crime description; Victim(s) statement; Officer’s statement/investigation; Evidence disposition; Witness statement/Witness checks;
A Injuries/Property damage
R      
R
A
T
I
V
E
415 Susp CIR/person 5150
489 Transporting All other
211 Traffic stop
Other arrest Pursuit
Civil disorder Ambush