Date of
incident:
Time
of Incident:
Place
of incident:
Officers
(name or badge numbers):
Police
Car License No. or car number:
Arrestee/Victim's
name:
Other
Information on Victim:
Suspected
charge:
Witness
(names & phone numbers):
Was there any injuries?
Yes No Don't know
Is there any photos or tapes?
Yes No Maybe
Does arrestee need a lawyer? Yes No Maybe
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