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Police report example

[Police Department Logo]

Incident Report

Date: [Date]

Time: [Time]

Location: [Address/Location]

Reporting Officer: [Officer's Name and Badge Number]

Involved Parties:

Complainant/Victim:

Name: [Full Name]

Date of Birth: [DOB]

Address: [Address]

Phone Number: [Phone Number]

Statement: [Brief statement from the complainant]

Suspect/Offender:

Name: [Full Name, if known]

Date of Birth: [DOB, if known]

Address: [Address, if known]

Description: [Physical appearance, clothing, any identifiable features]


Relationship to Complainant: [If applicable]

Incident Details:

On the above-mentioned date and time, Officer [Officer's Name] responded to a call at
[Address/Location] regarding [nature of the incident]. Upon arrival, Officer [Officer's Name] made
contact with the complainant, [Complainant's Name], who reported [brief description of the incident].

According to the complainant, [provide a detailed account of the incident, including any statements
made by the victim and/or witnesses]. The complainant stated that [include any relevant information
about the suspect's actions, motives, or any weapons involved].

The officer conducted a preliminary investigation at the scene, collecting evidence such as [list any
evidence collected, e.g., photographs, witness statements]. The complainant was advised of their rights
and provided with information on victim services.

Actions Taken:

[Describe any immediate actions taken by the officer at the scene, e.g., administering first aid, securing
the area]

[Specify any additional law enforcement personnel or agencies involved]

Follow-up:

This case is currently under investigation. Additional follow-up actions may include interviewing
witnesses, obtaining surveillance footage, and conducting further inquiries to identify and locate the
suspect.

Conclusion:

This report is submitted for documentation and investigation purposes. Any updates or developments in
this case will be promptly reported. The complainant has been provided with a case number for future
reference.

Officer's Signature: _______________________


Badge Number: [Badge Number]

[Police Department Contact Information]

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