Sample Format of Crime Report

Republic of the Philippines

Department of the Interior and Local Government
PHILIPPINE NATIONAL POLICE
______________________________________
_______________________

CRIME REPORT

NATURE OF CASE : __________________________________________________

COMPLAINANT/VICTIM : ___________________________________________________
(NAMES, PERSONAL CIRCUMSTANCES OF COMPLAINANT)

___________________________________________________
(IN RAPE CASES, ENCLOSE THE
MEDICAL FINDING)

DATE/TIME/PLACE : __________________________________________________
OF OCCURENCE : __________________________________________________
SUSPECTS : __________________________________________________
(NAMES, PERSONAL CIRCUMSTANCES)

__________________________________________________
ADDRESS, IF KNOWN, AND PHYSICAL

__________________________________________________
DESCRIPTION, IF AT-LARGE

EVIDENCE : __________________________________________________
WITNESSES : __________________________________________________
(NAMES AND ADDRESS)

FACTS OF THE CASE:

____________________________________
NAME OF OFFICER-ON-CASE
____________________________________
RANK PNP
____________________________________
DESIGNATION

NOTED AND FORWARDED:

_________________________________
CHIEF OF GOUP/UNIT
_________________________________
RANK PNP
_________________________________
DESIGNATION