INSTRUCTIONS FOR PREPARING REPORT
When an officer is assaulted in the line of duty, the reporting agency should enter the type of weapon (columns B through E) and type of
assignment (columns F through L) next to the appropriate type of assignment (lines 1 through 11). The reporting agency should also indicate
injury (line 13) or no injury (line 14) and total number of assaults by the time of day on line 15. Reporting agencies are reminded that the
Hierarchy Rule applies to those incidents involving aggravated assaults on law enforcement officers while responding to or taking necessary
action at the scene of a crime. For example, if an officer is assaulted at the scene of a robbery, only the robbery is scored on the Return A,
but the assault is recorded on this form. However, if the officer as assaulted during a burglary incident, only the assault is scored both on the
Return A and on this form.
The reporting agency should use column M next to the appropriate activity to indicate that an assault on a law enforcement officer was
cleared by arrest.
At the end of the month, the reporting agency should add across each line, B through E, and enter total in column A. (The total of F through
L should equal the total of B through E as entered in A.) Finally, the reporting agency should enter a total for each column (B through M) on
line 12.
COLUMNS B-E:
Columns B through E pertain to type of weapon. The reporting agency should enter one weapon for each assault. If more than one type
of weapon is used to commit a single assault, the weapon which is first encountered in moving from column B to column E should be the
weapon selected.
COLUMNS F-L:
Column F (Two-Officer Vehicle) and columns G and H (One-Officer Vehicle) pertain to uniformed officers, columns I and J (Detective
or special assignment) to non-uniformed officers. Columns K and L (Other) pertain to officers assaulted functioning in a capacity not
represented by columns F through J such as foot patrol, off duty, etc.
COLUMN M:
Enter the number of officer assaults cleared. Column M should not be used to count the number of persons arrested for such offenses.
Include exceptional clearances in this column.
LINES 1-11:
Enter the type of law enforcement activity in which the officer was engaged at the time of assault.
LINE 12:
Enter the total of lines 1 through 11.
LINE 13:
Enter the number of assaults from line 12 that resulted in personal injury to the officer.
LINE 14:
Enter the number of assaults from line 12 in which there was no injury to the officer.
LINE 15:
Enter the total number of assaults on officers occurring within the appropriate two-hour intervals.
YOUR AGENCY’S INCIDENT OR CASE NUMBER(S)
(Complete this block only if the assaulted officer was injured with a firearm or a knife or other cutting instrument.)