Arrest Report Template
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ARREST REPORT
Agency Name
ORI
Date/Time of Arrest
OCA
Mo
Date
Year
Hrs.
Taken
Fingerprint Card Check Digit # (CKN)
Arrest Tract
Residence Tract
Arrest Number
Prints
Photos
Name (Last, First, Middle)
D.O.B.
Age
Race
Sex
Place of Birth
Country of
Citizenship
Current Address
Phone
Occupation
Resident
Unknown
Non-Resident
Employer's Name
Address
Phone
Also Known As (Alias Names)
Hgt
Wgt
Hair
Eye
Skin Tone
Consumed Drug/Alcohol
Yes
No
Unk
Scars, Marks, Tattoos
Social Security #
OLN and State
Misc. # and Type
Nearest Relative Name
Address
Phone
If Armed, Type of Weapon
Place of Arrest
On-View
Criminal Summons
Order for Arrest
Citation
Warrant
Charge #1
Counts
DCI Code
Offense Jurisdiction (if not arresting agency)
Statute #
Warr. Date
Fel
Mo Date
Yr
Misd
Charge #2
Counts
DCI Code
Offense Jurisdiction (if not arresting agency)
Statute #
Warr. Date
Fel
Mo Date
Yr
Misd
Charge #3
Counts
DCI Code
Offense Jurisdiction (if not arresting agency)
Statute #
Warr. Date
Fel
Mo Date
Yr
Misd
VYR
Make
Model
Style
Color
Lic/Lis
Vin
1.
Left at Scene
Secured
Unsecure
Date/Time
Hrs.
Vehicle:
2.
Released to other at owners request
Name of Other
3.
Impounded
Place of Storage
Inventory on File?
Date/Time Confined
Place Confined
Committing Magistrate
Hrs.
Type Bond
Amt. Bond
Trial Date
Court of
City
Written Promise
Unsecured
Secured
No Bond
Other
Assisting Officer Name/ID Number
Released By: Name/Dept/ID
Date/Time Released
Hrs.
Status
L = Lost
S = Stolen
R = Recovered
D = Damaged
Z = Seized
B = Burned
C = Counterfeit / Forged
F = Found
Codes
(Check "OJ" column if recovered for other jurisdiction)
Check up to 3 types of activity for each
DCI
Status
Quantity
Type Measure
Suspected Type
Possess
Buy
Sale
Mfg.
Importing
Operating
Name:
Complainant
Victim
Address:
Phone:
Arresting Officer Signature/ID #
Date/Time Submitted
Supervisor Signature
Mo
Date
Yr
Hrs.
Case Status:
Case Disposition:
Arrestee Signature
Futher Inv.
Cleared By Arrest / No Supplement Needed
Inactive
Closed
Arrest/No Investigation
DCI-608F
Rev. 3/92
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Parent category: Business