Professional Documents
Culture Documents
BOOK
RETURN A
AND
SUPPLEMENTARY
REPORT OF
OFFENSES
_______________ _______________
MONTH YEAR
MURDER & NONNEGLIGENT MANSLAUGHTER
1 2 3 4 5 6
Classification of Offenses Offenses reported Unfounded, i.e. Number of actual Total offenses Number of clearances
or known to police false or baseless offenses (column 2 cleared by arrest involving only
(Include unfounded complaints minus column 3) or exceptional means persons under 18
and attempts) include attempts (Includes col.6) years of age
Number Club, Poison, etc.) (Husband, Wife, Son, killed by patron during barroom brawl, etc.)
Date
Father, Acquaintance
Neighbor, Stranger, etc.)
Race
Race
Age
Age
Sex
Sex
*Age – 01 to 99. If 100 or older use 99. New born up to one-week-old use NB. If over one week, but less than one year old use BB. Use two characters only in age columns.
Sex – M for Male and F for Female. Use one character only.
Race – White – W, Negro – N, American Indian – I, Chinese – C, Japanese – J, Other – O, Unknown – U. Use only these as race designations. 2
MANSLAUGHTER BY NEGLIGENCE
1 2 3 4 5 6
Classification of offenses Offenses reported Unfounded, i.e., Number of actual Total offenses Number of clearances
or known to police false or baseless offenses (column 2 cleared by arrest involving only
(Include unfounded complaints minus column 3) or exceptional means persons under 18
and attempts) include attempts (includes col. 6) years of age
b. MANSLAUGHTER BY NEGLIGENCE
Number Knife etc.) (Husband, Wife, Son, children playing with gun, etc.)
Date
Father, Acquaintance
Neighbor, Stranger, etc.)
Race
Race
Age
Age
Sex
Sex
Use only one victim/offender situation code per set of information. The utilization of a new code will signify the beginning of a new murder situation. 3
FORCIBLE RAPE
1 2 3 4 5 6
Classification of offenses Offenses reported Unfounded, i.e., Number of actual Total offenses Number of clearances
or known to police false or baseless Offenses (column 2 cleared by arrest Involving only
(include unfounded complaints minus column 3) or exceptional means persons under 18
and attempts) include attempts (includes col. 6) years of age
2. FORCIBLE RAPE TOTAL
a. Rape by Force
b. Attempts to Commit Forcible Rape
Explanation: List under the heading the value of property stolen in connection with offenses of forcible rape. When all entries
for the month have been made, obtain a total of the columns and transfer them to Supplement to Return A, page 2.
5
ROBBERY
1 2 3 4 5 6
Classification of offenses Offenses reported Unfounded, i.e., Number of actual Total offenses Number of clearances
or known to police false or baseless offenses (column 2 cleared by arrest involving only
(include unfounded complaints minus column 3) or exceptional means persons under 18
and attempts) include attempts (includes col. 6) years of age
3. ROBBERY TOTAL
a. Firearm
b. Knife or Cutting Instrument
c. Other Dangerous Weapon
d. Strong Arm – Hands, Fists, Feet, Etc.
Explanation: list under the appropriate heading the value of property stolen in connection with individual offenses of robbery
When all entries for the month have been made, obtain a total for each column and transfer the figures to the Supplement
to Return A, Page 2.
Enter “$0” if nothing is stolen
NUMBER OF ACTUAL OFFENSES AND VALUE OF PROPERTY STOLEN
Agency A B C D E F G
Case Highway Commercial House Gas or Service Convenience Store Residence Bank Miscellaneous
Number (Streets, alleys, etc.) (not C.D.F.) Station (Anywhere on premises)
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
7
ASSAULT
2 3 4 5 6
Offenses reported Unfounded, i.e., Number of actual Total offenses Number of clearances
1
or known to police false or baseless offenses (column 2 cleared by arrest involving only
Classification of offenses
(include unfounded complaints minus column 3) or exceptional means persons under 18
and attempts) include attempts (includes col. 6) years of age
4. ASSAULT TOTAL
a. Firearm
b. Knife or Cutting Instrument
c. Other Dangerous Weapon
d. Hands, Fists, Feet, Etc. - Aggravated
e. Other Assaults – Simple, not Aggravated
Reporting agency officers assaulted or killed in another jurisdiction are recorded in the number of law enforcement officers killed
or assaulted block on the Return A for the reporting agency; the death or assault is scored in the appropriate classification on
the Return A submitted by the reporting agency covering the jurisdiction in which the death or assault occurred.
Submit completed monthly law Enforcement Officers Killed or Assaulted Report if an officer was assaulted or killed this month
9
BURGLARY
1 2 3 4 5 6
Classification of offenses Offenses reported Unfounded, i.e., Number of actual Total offenses Number of clearances
or known to police false or baseless offenses (column 2 cleared by arrest involving only
(include unfounded complaints minus column 3) or exceptional means persons under 18
and attempts) include attempts (includes col. 6) years of age
5. BURGLARY TOTAL
a. Forcible Entry
b. Unlawful Entry – No Force
c. Attempted Forcible Entry
Explanation: List under the appropriate heading the value of property stolen in connection with individual offenses of burglary.
When all entries for the month have been made, obtain a total for each column and transfer the figures to the Supplement
to Return A, Page 2.
Enter “$0” if nothing is stolen
NUMBER OF ACTUAL OFFENSES AND VALUE OF PROPERTY STOLEN
Agency A Agency A
Case RESIDENCE (Dwelling) Case RESIDENCE (Dwelling)
Number Number
1 2 3 1 2 3
Committed Committed Unknown Committed Committed Unknown
During Night During Day During Night During Day
(6 p.m. – 6 a.m.) (6 a.m. – 6 p.m.) (6 p.m. – 6 a.m.) (6 a.m. – 6 p.m.)
1
2
3
4
5
6
7
8
9
10
BURGLARY
(CONTINUED)
Agency 1 2 3 Agency 1 2 3
Case Committed Committed Unknown Case Committed Committed Unknown
Number During Night During Day Number During Night During Day
(6 p.m. – 6 a.m.) (6 a.m. – 6 p.m.) (6 p.m. – 6 a.m.) (6 a.m. – 6 p.m.)
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
11
LARCENY-THEFT
1 2 3 4 5 6
Classification of offenses Offenses reported Unfounded, i.e., Number of actual Total offenses Number of clearances
or known to police false or baseless offenses (column 2 cleared by arrest involving only
(include unfounded complaints minus column 3) or exceptional means persons under 18
and attempts) include attempts (includes col. 6) years of age
Agency Case Number (A) $200 and over (B) $50 to $200 (C) Under $50
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
12
LARCENY-THEFT (TYPE OF THEFT)
6X CATEGORIES
Agency A B C D E F G H I
Case Pocket Purse Shoplifting From Motor Motor Vehicle Bicycles From From any Coin- All
Number Picking Snatching Vehicles Parts and Buildings Operated Machine Other
(Except E) Accessories (Except C and H) (Parking meters,
etc.)
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
13
MOTOR VEHICLE THEFT
(Include alleged joy ride)
1 2 3 4 5 6
Classification of offenses Offenses reported Unfounded, i.e., Number of actual Total offenses Number of clearances
or known to police false or baseless offenses (column 2 cleared by arrest involving only
(include unfounded complaints minus column 3) Or exceptional means persons under 18
and attempts) include attempts (includes col. 6) years of age
14
TALLY FOR MOTOR VEHICLES RECOVERED
7X CATEGORIES
Tally each vehicle recovered on the appropriate line. Note the values of the vehicles are not recorded. At the end of each
month, total the lines and transfer the total to the Supplement to Return A, page 2, 7X.
15
VALUE OF PROPERTY STOLEN
(GROUPED AS TO TYPE OF PROPERTY)
Explanation: List under the appropriate heading the value of property stolen in connection with Part 1 Offenses. List only that
property stolen from within your jurisdiction. When all entries from the month have been made, obtain a total for each
column and transfer the figures to the Supplement to Return A. Page 1.
Case# Value Case# Value Case# Value Case# Value Case# Value Case# Value Case# Value Case# Value Case# Value Case# Value Case# Value
16
VALUE OF PROPERTY STOLEN (CONTINUED)
(GROUPED AS TO TYPE OF PROPERTY)
Case# Value Case# Value Case# Value Case# Value Case# Value Case# Value Case# Value Case# Value Case# Value Case# Value Case# Value
17
VALUE OF PROPERTY RECOVERED
(GROUPED AS TO TYPE OF PROPERTY)
Explanation: List under the appropriate heading the value of property recovered, which was stolen in connection with Part 1
Offenses committed in your jurisdiction. Exclude property recovered for other departments. Include property recovered by other
jurisdictions, which was originally stolen in your jurisdiction. When all entries for the month have been made, obtain a total for
each column and transfer the figures to the Supplement to Return A, Page 1.
Case# Value Case# Value Case# Value Case# Value Case# Value Case# Value Case# Value Case# Value Case# Value Case# Value Case# Value
18
VALUE OF PROPERTY RECOVERED (CONTINUED)
(GROUPED AS TO TYPE OF PROPERTY)
Case# Value Case# Value Case# Value Case# Value Case# Value Case# Value Case# Value Case# Value Case# Value Case# Value Case# Value
19