Offense Incident Report Page 2
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223a. EVIDENCE
23b. TAG NO.
23c. TYPE
TIME
22. NOTIFICATION
YES
NO
NOTIFIED
ARRIVED
23d. WHERE STORED
a. Other Police
Agency
24. ATTACHMENTS (Mark “X” where applicable)
b. Fire Department
a. CONTINUATION SHEET
d. STATEMENT(S)
b. GSA FORM 3157
c. Ambulance
c. PROPERTY RECEIPT(S)
e. SUPPLEMENTAL
f. OTHER ATTACHMENTS (Specify)
d. Building Manager
e. OTHER (Specify)
26. DISPOSITION OF SUSPECT
25. SUSPECT STATUS
a. NOT IDENTIFIED
a. ARRESTED
b. NOT ARRESTED
b. GOVERNMENT EMPLOYEE
c. RELEASED
d. N/A
c. GOVERNMENT CONTRACT
CITATION NUMBER
►
d. NON-GOVERNMENT EMPLOYEE
d. CITATION ISSUED
e. N/A
NOTE: Complete GSA Form 3157 where this is a Suspect, Att. Burglary, Burglary, Att. Robbery, Robbery, or a Weapon is used.
27. TIME
28. REVIEWED BY
a. RECEIVED
b. ARRIVED
a. TYPE
b. SIGNATURE
d. DATE
FPS
c. RETURNED TO SERVICE
c. NAME (Printed)
GG
29a. BADGE
29b. NAME (Printed)
29c. SIGNATURE
29d. DATE
30. CASE REFERRED TO
32. APPROVING OFFICIAL
31. CASE
a. FPS DETECTIVE
b. LOCAL POLICE
c. STATE POLICE
a. SIGNATURE
b. DATE
a. OPEN
d. FBI
e. IG
f. N/A
g. OTHER (Specify)
b. CLOSED
c. NAME (Printed)
c. UNFOUNDED
33. DETECTIVE STATUS
a. CASE NUMBER
b. HOW CLOSED
c. SUSPECT
d. ENTERED NCIC
INACTIVE
ARREST
OTHER MEANS
DEVELOPED
ARRESTED
YES
NO
N/A
f. VALUE OF PROPERTY
g. CLEARED NCIC
h. REFERRED TO
e. PROPERTY
YES
NO
N/A
RECOVERED
i. DATE REFERRAL ACCEPTED
21. NARRATIVE (If additional space is needed, use blank sheet and attach.)
GSA
3155
PAGE 2
FORM
(REV. 3/200)
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