Illinois State Police
Page 2
Person Determined to Pose a Clear and Present Danger
DETERMINATION OF CLEAR AND PRESENT DANGER
Provide a detailed narrative of the facts supporting the determination of “Clear and Present Danger.” Include specific
behaviors witnessed and statements made. Also include dates and times as well as any witnesses to the specific
behaviors or statements. Any attachments or supporting documentation must be referenced in the narrative and
submitted with this form.
The reporting official certifies that ________________________________ poses a clear and present danger in that they
Individual’s First Name, Middle Initial, Last Name
demonstrate threatening physical or verbal behavior, such as violent, suicidal, or assaultive threats, actions, or other
behaviors, as determined by a school administrator or law enforcement official. (430 ILCS 65/1.1)
Signature of Reporting Official:
Date:
Notice: The Department shall make the final determination regarding whether a clear and present danger exists for
purposes of revoking a FOID card pursuant to Section 8(f) of the Act. The Department shall maintain a record of those
persons who are determined to present a clear and present danger for the purpose of denying or revoking a FOID card
pursuant to Section 8(f) of the Act but shall not maintain a record of those persons who are not determined to present a
clear and present danger for such purposes.