Use Of Force Report Form Page 2
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2KUTZTOWN BOROUGH POLICE DEPARTMENT
Subject Compliance Supplemental Report Form
PAGE: _____ OF _____
Incident Log Number:
Date and Time of Incident:
Date and Time of Report:
L o c a t i o n o f I n c i d e n t
Street Address:
City:
State:
Zip Code:
Duty Status:
Attire:
:
Badge #
Rank:
Reporting Officer’s Full Name
(Circle one)
(Circle one)
On
/ Off
Uniform / Civilian
DESCRIBE IN DETAIL: The nature of the enforcement action; the reason for the force used; including the actions and
demeanor of the arrestee; presence of others [police officers, possible friends of the subject, disinterested witnesses,
etc.]; and other types of force that were considered.
Continuation of Subject Compliance Report Form and Narrative
For continuation complete additional Subject Compliance Supplemental Report Forms
Officer Signature/Badge No.:
Supervisor Signature/Badge No.:
KPD SCSRF 06/01
SUBMIT TO CHIEF
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