AE VA Officer Report Form
Incident Date & Time
*
/
Month
/
Day
Year
Date
Hour Minutes
AM
PM
AM/PM Option
Reporting Date & Time
*
/
Month
/
Day
Year
Date
Hour Minutes
AM
PM
AM/PM Option
Reporting Officer
*
First Name
Last Name
Physical Address of The Incident
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Incident Location (Where on the property?)
*
Reason for enforcement (why did you get involved?)
*
Involved People: Suspect, Victim, Witnesses, and Complaint. (make sure you add contact information in the incident details if it's available.)
*
Was body camera on?
*
Yes
No
Who was the supervisor that was notified?
*
Weapons Involved? (Did the suspect have a weapon?
*
Yes
No
Was Forced used? (grabs, holds, takedowns, OC, and firearms)
*
If none type none
Injuries? (if yes make sure it's in the incident details)
*
Yes
No
Was a medic called? If yes, who was it?
*
If none type none
Incident Details
*
Tell what happened
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Officer's Signature
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