AGE, SEX, RACE, AND ETHNICITY OF PERSONS ARRESTED 1-708 (Rev.

12-19-11)
18 Years of Age and Over OMB No. 1110-0005

This report is authorized by law Title 28, Section 534, United States Code. While you are not required to respond, your cooperation in using this form to report the age, sex, race, and ethnicity of all persons 18 years of age
and over arrested by your department during the month will assist the FBI in compiling comprehensive accurate data on a timely basis. Instructions appear of the reverse of this form. Any questions regarding this report may
be addressed to the Federal Bureau of Investigation, Criminal Justice Information Services Division, Attention: Uniform Crime Reports/Module E-3, 1000 Custer Hollow Road, Clarksburg, West Virginia 26306; telephone
304-625-4830, facsimile 304-625-3566.

City

County

State

Month and Year of Report

Prepared by / Telephone number / E-mail address Title

Chief, Sheriff, Commissioner, or Superintendent

Date Prepared

Recorded
Edited
Entered
Adjusted
Corres.
 AGE, SEX, RACE, AND ETHNICITY OF PERSONS ARRESTED, 18 years of age and over
(Include those released without having been formally charged)
AGE RACE ETHNICITY

Native
American Hawaiian
65 Black or Indian or or Other Not
CLASSIFICATION and African Alaska Pacific Hispanic Hispanic
OF OFFENSES SEX 18 19 20 21 22 23 24 25-29 30-34 35-39 40-44 45-49 50-54 55-59 60-64 over Total White American Native Asian Islander or Latino or Latino
Murder and
Male
Nonnegligent
Manslaughter 01a Female
Manslaughter by Male
Negligence 01b Female
Male
Forcible Rape 02 Female
Male
Robbery 03 Female
Aggravated Assault Male
(Return A - 4a-d) 04 Female
Burglary - Breaking Male
or Entering 05 Female
Larceny-Theft (Except Male
Motor Vehicle Theft) 06 Female
Male
Motor Vehicle Theft 07 Female
Other Assaults Male
(Return A - 4e) 08 Female
Male
Arson 09 Female
Forgery and Male
Counterfeiting 10 Female
Male
Fraud 11 Female
Male
Embezzlement 12 Female
Stolen Property; Buying, Male
Receiving, Possessing 13 Female
Male
Vandalism 14 Female
Weapons; Carrying, Male
Possessing, etc. 15 Female
Prostitution and
Male
Commercialized Vice
Total 16 Female
Male
Prostitution a Female
Assisting or Male
Promoting Prostitution b Female
Male
Purchasing Prostitution c Female
Sex Offenses (Except
Male
Forcible Rape and
Prostitution) 17 Female
Drug Abuse Violations Male
Grand Total 18 Female
(1) Sale/Manufacturing Male
Subtotal 180 Female
Opium or Cocaine and
Their Derivatives Male
(Morphine, Heroin,
Codeine) a Female
Male
Marijuana b Female
Synthetic Narcotics -
Manufactured Narcotics Male
Which Can Cause True
Drug Addiction c Female
Other - Dangerous
Nonnarcotic Drugs Male
(Barbiturates,
Benzedrine) d Female
(2) Possession Male
Subtotal 185 Female
Opium or Cocaine and
Their Derivatives Male
(Morphine, Heroin,
Codeine) e Female
Male
Marijuana f Female
Synthetic Narcotics -
Manufactured Narcotics Male
Which Can Cause True
Drug Addiction g Female
Other - Dangerous
Nonnarcotic Drugs Male
(Barbiturates,
Benzedrine) h Female
Gambling
Male

Total 19 Female
Bookmaking (Horse Male
and Sport Book) a Female
Male
Numbers and Lottery b Female
Male
All Other Gambling c Female
Offenses Against the Male
Family and Children 20 Female
Driving Under Male
the Influence 21 Female
Male
Liquor Laws 22 Female
Male
Drunkenness 23 Female
Male
Disorderly Conduct 24 Female
Male
Vagrancy 25 Female
All Other Offenses Male
(Except Traffic) 26 Female
Male
Suspicion 27 Female
Human Trafficking/ Male
Commercial Sex Acts 30 Female
Human Trafficking/ Male
Involuntary Servitude 31 Female

Total
 INSTRUCTIONS

1. Show in the report all persons 18 years of age and over taken into custody during the month for committing an offense of the indicated types within the local jurisdiction. (Include those released without having been
formally charged.)

2. Arrests of persons under 18 years of age are tallied on the Age, Sex, Race, and Ethnicity of Persons Arrested, Under 18 Years of Age reporting form.

3. The offenses are taken from the uniform classification of offenses and cover all the Part I and Part II offenses except traffic. In compiling the data, follow definitions of offenses in the Uniform Crime Reporting
Handbook .

4. Enter opposite each offense the number of persons taken into custody listing them according to age and sex of the persons arrested and according to race and ethnicity without regard to sex.

5. The race totals should equal the age totals for each offense class.

6. Total all columns.