Criminal J
deefer
IncidentReport_DCI-600F11.pdf
DCI-600F Rev. 3/92
Agency Name
ORI
OCA
Date / Time Reported
Crime / Incident(s)
Crime Incident
Crime Incident
At Found Last Known Secure
Location of Incident Offense Tract
Premise Type Victim Residence Type
How Attacked or Committed Forcible Weapon / Tools
# of Victims Type: Injury: Drug/Alcohol Use:
Victim/Business Name (Last, First, Middle) Victim of
Crime #
DOB / Age Race Sex Relationship To Offender
Resident Status
Home Address Home Phone
Business PhoneEmployer Name/Address
VYR Make Model Style Color Lic/Lis Vin
CODES:
Type:
Code Name (Last, First, Middle) Victim of
Crime #
Victim of
Crime #
DOB / Age
DOB / Age Race Sex
Race Sex
Home Address Home Phone
Business PhoneEmployer Name/Address
Home Address Home Phone
Business PhoneEmployer Name/Address
Code Name (Last, First, Middle)
Status Codes
Victim # DCI Status Value OJ QTY Property Description Make/Model Serial Number
Officer Name ID# Officer Signature Supervisor Signature
Complainant Signature Case Status Case Disposition:
Type:
L = Lost S = Stolen R = Recovered D = Damaged Z = Seized B = Burned C = Counterfeit / Forged F = Found (Check "OJ" column if recovered for other jurisdiction)
V = Victim (Denote V2, V3) O = Owner (if other than victim) R = Reporting Person (if other than victim)
Number of Vehicles Stolen Number of Vehicles Recovered
Person Business Society Government Financial Institute Religious L.E. Officer Line of Duty Other/Unknown
Person Business Society Government Financial Institute Religious L.E. Officer Line of Duty Other/Unknown
V1
INCIDENT/INVESTIGATION REPORT
Attempt Complete
Attempt Complete
Attempt Complete Single Family Multi Family
Yes No
N/A
Person Society Government Financial Institute Religious L.E. Officer Line of Duty Other/Unk
Business None Minor Loss of Teeth Broken Bones Severe Lacerations Internal Unconscious Other Major
Yes No N/A
Unknown
Resident Non-Resident Unknown
Further Investigation Inactive Closed/Cleared Closed/Leads Exhausted
Unfounded Juvenile/No Custody Extradition Declined Cleared by Arrest Cleared by Arrest by Another Agency
Refuse to Cooperate
Death of Offender Prosecution Declined
Month Day Yr Time Hrs.
Month Day Yr Time Hrs.
S M T W T F S
S M T W T F S Month Day Yr Time
Hrs.
Page of
#1
#2
#3
Located
1
NC0410500
S M T W T F S
INCIDENT/INVESTIGATION REPORT
Offender Used Primary Offender Resident Status
Name (Last, First, Middle) Alias or Nickname Home Address
Occupation Business Address
DOB / Age Race Sex
Race Sex
Height Weight Build Hair Color Hair Style Hair Length Eye Color Glasses
Scars, Marks, Tatoos, or other distinguishing features (i.e. limp, foreign accent, voice characteristics)
Hat Jacket Shirt/Blouse Tie/Scarf Coat/Suit Pants/Dress/Skirt Socks Shoes
Was Suspect Armed? Type of Weapon Direction of Travel Mode of Travel
Name (last, first, middle) DOB / Age OCA
Home Address Home Phone Employer Phone
Suspect Hate / Bias Motivated:
Narrative
Check up to 3 types of activity for each DCI Status Quantity Type Measure Suspected Type
Possess Buy Sale Mfg. Importing Operating
L = Lost S = Stolen R = Recovered D = Damaged Z = Seized B = Burned C = Counterfeit / Forged F = Found
OCA
Status Codes
Alcohol/Drugs
Computer
Age: Race: Sex:
Age: Race: Sex:
Age: Race: Sex: Age: Race: Sex:
Age: Race: Sex:Age: Race: Sex:
Yes No N/A
Unk
Yes No N/A
Unk Resident Non-Resident Unknown
Yes No
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