Report HeaderBasic memorandum information for the investigative report.Report Date(Required) MM slash DD slash YYYY Prepared By(Required)First name, middle initial, last name.Rank / Title of Investigator(Required)Case / Control Log Number(Required)Subject Employee Name(Required)Subject Employee Rank(Required)Badge NumberAlleged Violation / ComplaintComplaint Type(Required) External Complaint Internal Complaint Complainant NameIncident Date(Required) MM slash DD slash YYYY Approximate Incident Time Hours : Minutes Incident LocationBrief Summary of Allegation(Required)Describe what the employee is alleged to have done.Specific Alleged ActionsProvide more detail about the alleged actions only. Do not include investigative conclusions in this section.Chapter 143 RequirementsDate Department Discovered Incident MM slash DD slash YYYY Supervisor First AwareHow the Department Discovered or Became AwareComplaint Basis Citizen complaint Peace officer complaint Supervisor / employee observed possible violation Domestic violence allegation involving officer Integrity concern involving officer or department Preventable crash investigation Other StatementsComplainant Statement SummaryCitizen Witness Statements Add RemoveAdd one row per witness. Include name, statement type, date, relationship, and summary.Principal Officer Interview / Written Statement SummaryWitness Officer Statements Add RemoveAdd one row per witness officer. Include rank, name, statement date, and summary.48-Hour Notice / Administrative Interview DetailsDate 48-Hour Notice Given MM slash DD slash YYYY Time 48-Hour Notice Given Hours : Minutes Supervisor Providing NoticeDate Statement / Interview Received MM slash DD slash YYYY Time Statement / Interview Received Hours : Minutes Was the 48-Hour Notice Waived? Yes No Not Applicable Notice / Waiver ExplanationPhysical EvidenceIncident Report SummaryIndicate whether an incident report was generated and summarize relevant details.Video Evidence SummarySummarize BWC, in-car, Evidence.com, media, or other video evidence.Video Minute Marker Log Add RemoveAdd one row per timestamp and event summary.Supporting Documents Included News media coverage Roll call sheet Calls for service log Unit history Ambulance records Booking / jail records MCD records Significant event report Response to resistance forms Court records / criminal history Training records Medical records Other Miscellaneous Evidence Included Photo lineups Photographs Dispatch recording Audio recording Other Additional InformationConclusion and ClassificationInvestigation Conclusion(Required)Classification(Required) Sustained Not Sustained Unfounded Exonerated Select all that apply if there are multiple alleged violations.Policy Violated / General Order ReferenceInclude each cited policy or general order when applicable.Respectfully Submitted By(Required)Supervisor Signature / Typed Name(Required) Δ
