ARREST REPORT
AGENCY INFO
Agency Name
PD
Arrest Date
Arrest Time
Case Number
Taken
Arrest Tract
Residence Tract
Arrest Number
ARESTEE INFO
Name (Last, First, Middle)
,
D.O.B.
Age
Race
Sex
Place of Birth
Current Address
Apt.
Phone
Occupation
Also Known As (Alias Names)
Hgt
Wgt
Hair
Eyes
Scars, Marks, Tattoos
Social Security #
OLN and State
Misc. # and Type
Nearest Relative Name
Address
Phone
ARREST INFO
If Armed, Type of Weapon
N/A
Type of Arrest
Place of Arrest
Charge #1
Type
Counts
IBR Code
Warrent/Summons #
Statute #
Warr. Date
Charge #2
Type
Counts
IBR Code
Warrent/Summons #
Statute #
Warr. Date
Charge #3
Type
Counts
IBR Code
Warrent/Summons #
Statute #
Warr. Date
VEHICLE INFO
VYR
2001
Make
Model
Style
Color
Plate #/State/Plate Year
VIN
Vehicle
CONFINED BOND
Date/Time Confined
Place Confined
Committing Magistrate
Type Bond
Bond Amount
Trial Date / Time
Court of / City
Arresting Officer Name/ID #/Bureau
Assisting Officer Name/ID #/Bureau
Released By (Name/Department/ID#)
Date/Time Released
CODES
1 = None
2 = Burned
3 = Counterfeit/Forged
4 = None
5 = None
6 = None
7 = None
8 = None
DRUGS AT ARREST
Code
Status
Quantity
Suspected Type
Up to 3 Types of Activity for Each
NARRATIVE
STATUS
Arresting Officer Signature/ID #/Bureau
Case Status
Arestee Signature