Domestic Incident Report printable pdf download

Domestic Incident Report

New York State

Standardized

DOMESTIC INCIDENT

REPORT (DIR)

(Form 3221 (6/2005))

WHERE TO SEND DIRS

HOW TO REQUEST MORE DIRS

Using a DCJS requisition form, or your agency’s letter head,

New York City (NYC) DIRS are sent to NYPD and there-

FAX your request to:

fore, do not need to be sent directly to DCJS.

The NYS Division of Criminal Justice Services

Office of Customer Services

For Non-NYC agencies, the DCJS copy of the DIR form

FAX: (518) 457-6109

should be sent to one of the following locations:

PHONE: (518) 457-5891

Members of the STATE POLICE:

* Be sure to include the total number of DIRs you are requesting.

Forward DCJS copies of the DIR through

channels to:

HELPFUL TRAINING ON THE DIR

Troop Headquarters

Go to

Uniform Lieutenant’s Office

to download the reference manual or obtain a copy

ATTN: Domestic Violence Coordinator

of the CD-ROM training module.

All OTHER AGENCIES, send the DCJS copies

For questions, call the criminal justice coordinator at OPDV:

of the DIR to:

(518) 457-6438

The NYS Division of Criminal Justice Services

Bureau of Statistical Services

REMEMBER:

4 Tower Place, Stuyvesant Plaza

Whenever possible, ask complainant the DIR questions

Albany, New York 12203-3764

1-800-342-9862 for questions

OUT of earshot and eyeshot of suspect

Domestic Incident Report