Nm Courts Home Security Incident Report
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1
2NEW MEXICO STATE JUDICIARY
SECURITY INCIDENT REPORT
4. Victim(s) of Incident (check all that apply):
INSTRUCTIONS
Law Enforcement
Court Staff
Attorney
You are an employee of the New Mexico
FILL OUT IF:
Judge
Litigants
Spectators
Judiciary or security personnel for the court
___Juror
___Witness
(COMPLETE ONLY ONE REPORT
Other(s):
PER INCIDENT).
You see or are involved in a security
WHEN:
incident such as a threat (in-person, phone,
5. Weapon(s) Used in Incident:
or written), assault, battery, display or use of
Gun/Firearm
Knife
Car
a weapon, escape from custody, robbery or
Bomb
Other:
theft, or any other act that caused you to feel
threatened in or around the court facility or
parking lot.
Please submit this form to your court
REPORT TO:
6. Description of Person:
administrator or chief clerk within 24 hours
Name (if known)
of the incident.
Height
Weight
Sex
Your court administrator or chief clerk shall
FAX COPY TO:
Ethnicity
Age Range____ Hair Color______
fax this report to the Administrative Office
Eye Color_________ Male___ Female___
of the Courts, Fax: 505-827-4824, within 48
Distinguishing Marks________________________
hours of the incident. If the incident is a
Dress (describe)
personal or bomb threat, made by telephone,
also complete the Telephone Threat Form.
Unusual Characteristics/Behavior: ______________
PLEASE COMPLETE ALL ITEMS
1. Date of incident:
Time:
7. Description of Incident:
2. Location of Incident & Room #
:
Please describe the Incident in detail on the
Front Door
Bathroom
following page.
Courtroom
Clerk’s Window
Parking Lot
Lobby
8. Witnesses:
Hallway
Judge’s Chambers
Name:___________________ Phone # __________
Clerks’ Office
Holding Cell/Area
Name:___________________ Phone # __________
Stairwell
Elevator
Name:___________________ Phone # __________
Other: (Specify Location)
9. Person(s) Completing this Report:
Name:
3. Nature of Incident:
Title/Position:
Personal Threat (specify):
Name:
Telephone
In-Person
Title/Position:
Mail/Package
___E-mail/Computer
Name:
___Fax
Title/Position:
Bomb Threat
Act of Violence
Theft
Vandalism
Court:
Unauthorized entry into a secured area
Address:
Other Property Damage (explain)
Phone Number:
Other:
Date Report Sent to AOC:
__________________________________________
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