Thanks for downloading this police report worksheet to use with any work of literature!

In the download, you’ll find a PDF version of the assignment (see next page) to print and use in your
classroom and a Google Drive version to use with online learners. If you’re a Microsoft Teams user, you can
export the Google file to create a PowerPoint version of the interactive worksheet.

To access the digital worksheet, click the link below. You’ll be prompted to make a copy that will add the file
to your Google Drive.

Police report worksheet for Google Drive:

https://docs.google.com/presentation/d/17GGyhNnElOSsbfpCEWK4oEpIFfXKi5r-KyrduV1ebJ4/copy

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understanding and respect of copyright law.

If you have questions or concerns about any of the materials in my collection, please don’t hesitate to reach
out via email at laurarandazzo@yahoo.com. I hope these materials ease your prep load and help students
maintain their enthusiasm as they work through literature units.

Thanks so much!
Laura Randazzo

Blog: https://laurarandazzo.com
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YouTube: https://www.youtube.com/channel/UCkLWlURymmMmvyD6lm2qBoQ/videos
 County Sheriff’s Office
Case Number:

COUNTY

Offense/Incident Report
SHERIFF Date of Report:

Report Status: If this is an OFFENSE:

(Check one) OFFENSE or INCIDENT (Check one) Felony or Misdemeanor or Petty Offense

Reporting Officer: Date & TIme of Offense/Incident:

(Your name goes here)

Name of Person who Reported the Offense/Incident:

For all people on report, use the following codes:
V = Victim Ex:
Address and/or Location of Offense/Incident: W = Witness Sam Smith (V) reported that...
S = Suspect

Reporting Officer’s Summary of Offense/Incident:

I hereby attest that the following report is an accurate representation of witness accounts reported to me and my own personal
observations of the offense/incident scene.

Signature of Reporting Officer

Suspect Information
Name, if known: Gender: Age: Height: Weight: Hair: Eyes:

Was an arrest made? (Check one) If no, the suspect’s last known location:
YES or NO

On the reverse side of this paper, Reporting Office must draw a sketch of the crime scene/incident layout. Be sure to label any important details.
 County Sheriff’s Office
Case Number:

COUNTY 123abc
Offense/Incident Report
SHERIFF Date of Report:

09/12/1937
Report Status: If this is an OFFENSE:
(Check one) X OFFENSE or INCIDENT (Check one) X Felony or Misdemeanor or Petty Offense

Reporting Officer: Date & TIme of Offense/Incident:

(Your name goes here)
Officer Peter Pupil 09/12/1937, 2:25 p.m.
Name of Person who Reported the Offense/Incident:
For all people on report, use the following codes:
Harry Hayseed (W), local farmer V = Victim Ex:
Address and/or Location of Offense/Incident: W = Witness Sam Smith (V) reported that...
Smith ranch on Highway 17 in Weed, Calif. S = Suspect

Reporting Officer’s Summary of Offense/Incident:

Hayseed called police when Shelly Smith (V), age 18, ran to his house, crying,
with scrapes on her hands and knees and wearing a ripped red dress. Shelly
Smith was interviewed at the Hayseed residence. Victim stated that a worker at
her father’s ranch grabbed the back of her dress. When she told him to let go
of her, he continued to tighten his grip, knocking her to the ground. Smith said
she screamed for help as the man towered over her. Another worker at the
ranch, later identified as George Milton, came upon the attack and grabbed
the larger man, pulling him away from Smith, the victim reported. Both men
were last seen running toward Highway 17. Attacker was identified as Lennie
Small (S). Police dogs were released to track the men, but neither was located.

I hereby attest that the following report is an accurate representation of witness accounts reported to me and my own personal
observations of the offense/incident scene.

Peter Pupil, Sheriff’s Deputy

Signature of Reporting Officer

Suspect Information
Name, if known: Gender: Age: Height: Weight: Hair: Eyes:
Lennie Small male 27 6 ft, 10 in. 320 lb. lt. brw. green
Was an arrest made? (Check one) If no, the suspect’s last known location:
YES or X NO Last seen running toward Highway with George Milton
On the reverse side of this paper, Reporting Office must draw a sketch of the crime scene/incident layout. Be sure to label any important details.