Sample Format of Crime Report

Republic of the PhilippinesDepartment of the Interior and Local GovernmentPHILIPPINE NATIONAL POLICE

CRIME REPORT

NATURE OF CASE :

COMPLAINANT/VICTIM :

(NAMES, PERSONAL CIRCUMSTANCES OF COMPLAINANT)

(IN RAPE CASES, ENCLOSE THE MEDICAL FINDING)

DATE/TIME/PLACE : OF OCCURENCE : SUSPECTS :

(NAMES, PERSONAL CIRCUMSTANCES)

ADDRESS, IF KNOW N, AND PHYSICAL

DESCRIPTION, IF AT-LARGE

EVIDENCE :W ITNESSES : (NAMES AND ADDRESS)

FACTS OF THE CASE:

NAME OF OFFICER-ON-CASE

RANK PNP

DESIGNATION

NOTED AND FORWARDED:

CHIEF OF GOUP/UNIT

RANK PNP

DESIGNATION

Sample Format of Coordination Report

Republic of the PhilippinesDepartment of the Interior and Local GovernmentPHILIPPINE NATIONAL POLICE__

COORDINATION FORM

UNIT: ____

DATE/TIME:

PLACE OF OPERATION:_

TEAM LEADER:_

MEMBERS: __

____

__

__

__

__

VEHICLE USED:

_

_

_

___

___

RECEIVED BY:

Sample Format of Lifting Of Alarm

Republic of the PhilippinesDepartment of the Interior and Local GovernmentPHILIPPINE NATIONAL POLICE

REQUEST FOR LIFTING OF ALARM

Name of Applicant:

Address:

Registered Owner

Address:

Description of Motor Vehicle:

Make/Type/Yr Model : Color : Motor Number : Chassis Number : Plate Number :

In connection with my request. I hereby submit the following:

( ) Motor Vehicle for macro-etching examination( ) Alarm Sheet( ) Spot Recovery Report() Turn-Over/ Release Receipt of MV to owner by the covering PNP van. (if MV was recovered by other PNP Units)

() Original Official Receipt (OR) & Certificate of Registration (CR) if Xerox/photo copy, it must be authenticated by C, Inves-OADI, investigator,/processing officer.( ) Deeds of Sale (If motor vehicle is not registered in the name of the applicant/ present owner) ( ) Release of claim/subiogation/Deeds of Sale (if the applicant is an insurance company.( ) Special Power of Attorney (if applicant is a representative)() Affidavit of requesting Party/Owner that she/he is still the registered owner and she/ he has not made any claim with any insurance company re-loss of said MV( ) If MV was submitted/cited as evidence in a case filed in court, an order of release from court/ fiscaltaking cognizance of the case. ( ) Others

||Signature

||

||PHOTO||Print Name

||

| |

Drivers License Number

Sample Format of CSI Form 1: First Responders Form

Republic of the PhilippinesDepartment of the Interior and Local GovernmentPHILIPPINE NATIONAL POLICE

FIRST RESPONDERS FORM(This Form shall be brought by the First Responder and/or Investigator at the Crime Scene and shall be accomplished by the First Responders at the On Scene Command Post (OSCP)

DateTHIS IS TO CERTIFY that the Crime Scene (CS) described hereunder was turned over by the First Responder (FR) to the Duty Investigator /Investigator-On-Case (IOC) with the following gathered information:

Primary Place of Occurrence:

Secondary Place of Occurrence:

Type/Nature of Incident:

Rank and Names of First Responders:

Time/Date Report of Incident was received by FRs:

Time FRs Arrived at the Crime Scene:

Weather Condition

Time CS Cordoned Off and Secured/Signs Posted:

Time Flash Alarm/Request for Support Relayed by FR to TOC:

A. Names of Victims and Status (Safe/Injured/Hospitalized/Deceased, etc.,):

_ _ (Note: Use the overleaf or back page for extra entries)

B. Names of Persons Found at (inside) the Crime Scene by FR (Address/Contact Nrs):

__

C. Names of Suspects and Status (Arrested/At-large, etc..) and W eapons, if any:

D. Name of Person Found Near or at the Vicinity of CS (Address/Contact Nr):

E. Names of Persons Interviewed by the FR (Address/Contact Nr):

F. Names of Persons Who Entered the CS after the Arrival of FR and Prior to Arrival ofInvestigator (Medics, Local Officials, etc) (Address/Contact Nr):

(Note: Use the overleaf or back page for extra entries)

G. List of Evidence That May Have Been Seized or Collected by the FR (If Any): Description Disposition

H. Areas where Initial Search were conducted:

On-Scene Command Post (OSCP) established at:

Time and Date of Arrival of Investigator at the CS:

This further certifies that the Crime Scene and all the evidence therein by the FRs have been properly secured and preserved and that all the information contained herein is true and correct to the best of our ability:

Name and Signature of First Responders:

--

--

CS Received By Duty Investigator/ IOC:

Time/Date:

Witnessed By:

Prepared and Submitted by:

Rank/Name/Designation of Officer/ Signature over Printed Name

(Note: Use the overleaf or back page for extra entries)

Sample Format of CSI Form 2: Request for the Conduct of SOCO

Republic of the Philippines Department of the Interior and Local Government NATIONAL POLICE COMMISSIONPHILIPPINE NATIONAL POLICE

REQUEST FOR THE CONDUCT OF SOCO(This shall be brought to the Crime Scene by the Investigator/SOCO Team and to be accomplished by the Investigator/Investigator-On-Casebefore the SOCO Team process the Crime Scene)

Time and Date

FOR : Chief, _, CLO

FROM :

SUBJECT : SOCO Assistance

1. Request for the availability of SOCO Team to process the crime scene located at _.

NATURE OF CASE :Time and Date of Incident: _

_

2. This request is made with the assurance that the Duty Investigator/ Investigator-On-Case, being in- charge of the Crime Scene shall remain and provide all the necessary security and support to the SOCO Team during the whole process until after the crime scene is released.

3. Further request that this Office be furnished a copy of the list of evidence gathered and the result of the examination conducted thereon.

4. For consideration and approval.

For the Chief of Police:

(Duty Investigator/Investigator-On-Case)

Sample Format of Technical Inspection for Vehicle

Republic of the PhilippinesDepartment of the Interior and Local GovernmentPHILIPPINE NATIONAL POLICE

Technical Inspection and Inventory Report for Recovered Motor VehicleAccomplished:

MOTOR VEHICLE DESCRIPTIONInside FeaturesEngineCompartment

Make/TypePlate No.Steering WheelAir-con Compressor

Engine No.FuelShifting Rod with KnobRadiator

Chassis No.ColorHand BrakeRadiator Cover

Registered Owner:AmmeterRadiator Inlet Hose

Owners AddressOil Pressure GaugeRadiator Outlet Hose

OUTSIDE FEATURES FRONTTemperature GaugeWater Bypass Hose

Bumper FrontFog LightsRPM GaugeIgnition Coil

Brand EmblemMarking

HeadlightsLRHeadlight KnobHigh Tension Wire

Radiator Grill

WindshieldwiperParking/Hazard KnobDistributor Cap

Signal Lights L/R

WindshieldGlassWiper KnobDistributor Assembly

Hazard Lights L/R

WindshieldWiper BladeDimmer SwitchContact Point

Headlights Guard

WindshieldWiper MotorDirectorial LevelCondenser

Left Side Portion:SpeedometerAir-con Condenser

Right side Portion:

Side MirrorSide MirrorFuel GaugeRotor

Wind Tunnel Glass

Wind TunnelGlassCars Seats FrontAdvancer

Window GlassFront SeatWindowGlass FrontSeatCar Seat BackOil Dipstick

Weather/Window StripCar Seat CoverAir-con Driver Belt

Rear Back Portion:Floor CarpetCarburettor Assembly

Luggage Compartment:

Rear BumperSpare TireFloor MattingAlternator

Brand EmblemMarkingSpare TireMounting- Note: no spare tirecover.Steering WheelAlternator VoltageRegulator

Computer Box

Plate LightFloorLuggageMatSeat Adjustment KnobAir Cleaner

Tail Light AssemblyMechanicalToolsACCESSORIES:Fuel Pump

TIRES:Air-condition UnitOil Filter

Brand/Make:Car StereoSteering Gear Box

Size: 235/75 R15Interceptor CableWater PumpAssembly

Condition: UsedStereo SpeakersEngine Fan

TypeTwittersAuxiliary Fan

No. of Studs:Car RadioFan Belt

General Condition of the MV:EqualizerSpark Plugs

RunningCD ChangerBattery

DeadlineLighterBattery Cable

REMARKSBarometerBattery Terminal

Fire ExtinguisherHorn Assembly

AntennaeHorn Relay

GENERAL APPEARANCE:Accelerator Cable

Newly paintedIntake Manifold

Paint DiscoloringExhaust Manifold

Good body shapeEngine Mounting

Body in Bad ShapeIgnition wiring

Body ongoing repairTransmission

For RepaintingSuspension Assembly

Beyond Economical Repair and corrosion have set in which requires a major body repair.Tie Rod End

Idler Arm

Front Coil Spring

Pitman Arm

Recovering Personnel:WITNESS/OWNER/BarangayOfficial:NOTED BY (HEAD OFOFFICE):

Rank/Name

Date:Date:Date:

8 - 31 -

Sample Format of Inventory/Receipt of Property

Republic of the PhilippinesDepartment of the Interior and Local GovernmentPHILIPPINE NATIONAL POLICE _ _ _

Date:_ _

INVENTORY SHEET/RECEIPT FOR PROPERTY / GOODS RECOVERED

Inventory Sheet of article/items seized from the premise/establishment of

8 - 39 -

__ located at _ _ _ _

_ by virtue of

ITEMS/ARTICLES QUANTITY/UNITS

_ _ _ _ _ ___ _ _ _ _

_ _ _ _ _ _ _ _ _ _

_

_

_ _

_

_

_ _

_ (Seizing Officer)

Witness by:

_ _

Sample Format of Impounding Receipt

Republic of the PhilippinesDepartment of the Interior and Local GovernmentPHILIPPINE NATIONAL POLICE

Date:_

IMPOUNDING RECEIPTDescription of the MV:

Make/Type :

Chassis No. :

Motor No. :

Plate No. :

Color :

CR/OR NO. :

LTO File No. :

Registered Owner:

Address :

VIOLATIONS:1.2.3.

Subject MV was apprehended by Anti-Carnapping Operatives of this office for violation/s as stated above on at about along the vicinity of and same was brought toHQS TMG, Camp Crame, Quezon City, for safekeeping subject for the investigation/verification and proper disposition.

Note: Subject MV shall only be released upon presentation of its pertinent original documents and upon notation/approval of the ADI.

APREHENDING OFFICERS:

Team Leader:

Conformed:

Owner/Driver/Possessor

Sample Format of Evidence Custodian Report

Republic of the PhilippinesDepartment of the Interior and Local GovernmentPHILIPPINE NATIONAL POLICE _ _

_

RECEIPT OF EVIDENCE CONFISCATED

THIS IS TO CERTIFY that the undersigned receiving Police Officer seized/confiscated the following described properties/ items from the custody and control of _ _ , by virtue of Search W arrant

No._ _

issued by Honorable Judge

_ _ ,Executive/ Presiding Judge of Branch _ _,

RTC, _ _ :

dated _

_ _ for Violation of

PROPERTIES/ ITEMS CONFISCATED _ _ _ _ _ _ _ _ _

_ _ _

_

_ _

_

_ _ _

_ _ _ _ _ _

_ _ _

_ _

_ _ __ __ _

SIGNED IN THE PRESENCE OF:

1.) _ _

2.) _ __

_ __ (Evidence Custodian)

Sample Format of Certification of Legally, Peacefully and Orderly Execution of Search Warrant

Republic of the PhilippinesDepartment of the Interior and Local GovernmentPHILIPPINE NATIONAL POLICE _ _

_

CERTIFICATION OF LEGALLY, PEACEFULLY AND ORDERLY EXECUTION OF SEARCH WARRANT:

TO WHOM IT MAY CONCERN:

THIS IS TO CERTIFY that elements of

_

stationed at Camp Crame, Quezon City, have today __ _,200__conducted Search and Seizure in my residence/premises located at _ _ , _ ___ _ by virtue of SearchW arrant No. _ _ issued by Honorable Judge _ _ ,Executive/ Presiding Judge of Branch _ _, RTC, _ _ dated _ _ _:

That during the course of their search, they found and recovered the following personal properties of mine which is the subject of the Search W arrant, to wit;

_ _ _ _ _

_ _ _ _ _ _ _ _ _ _

_ _ _ _ _

_

_ _ __ _

_

_ _

_

_ _ _ _ _ _ _ _ _ _ _ _

_ _ _ _

_ _ _ _ _ _ _ _ _ _ _ _ _ _ _

I FURTHER CERTIFY that the search was done in peaceful, appropriate and orderly manner and nothing were taken by the searching party aside from those enumerated above.

_ (Signature over printed name of owner)

SIGNED IN THE PRESENCE OF:

1.) _ _ 2.) _ _ _ (Signature over printed name) (Signature over printed name)

SEARCHING PARTY/TEAM LEADER:

_ _ Signature over printed name)

SUBSCRIBED AND SWORN to before me this __ day of 20_

at_ _

_ _ _ ,

_ _.

_ _(Administering Officer)

Sample Format of Compliance/Return of Search Warrant

Republic of the PhilippinesREGIONAL T RIAL COURT

Branch

_

PEOPLE OF THE PHILIPPINESPlaintiff

Versus

Search Warrant no.

For violatio n of

Respondents

X - - - - - - - - - - - - - - - - - - - - - - - - X

COMPLIANCE/RET URN OF SEARCH WARRANT

Comes no w, the undersigned applicant, _

_of the and unto this

Honorable court, respectf ully return the herein original copy of the Search Warrant No. _ issued by the Ho norable

Presiding Judge _, Branch _, RTC for violatio n of

_. ( Attached hereto as annex

A is the original copy of Search Warrant No. ) and manifest the following:

Thatatabo ut of , elements of the

led bythe undersigned implemented the search warrant no.

_ at the premises of

located at _.

That as a result thereof, the following items/articles which are subjects of the search warrant were confiscated/seized under proper receipt as follo ws;

That the raid was conducted in a legally, peacefully and orderly manner and in the presence of Two (2) Barangay Officials

namely: Brgy Kagawad

and Brgy Executive Officer

both of . A correspo nding receipt of the evidence confiscated was furnished to the representative of . T he registered o wner of , was not aro und during the raid, ho wever, was represented by _ _, the office administrator. (Attached hereto as annex B is a copy of Receipt of Evidence Confiscated and a Certification of Orderly Execution of Search Warrant as annex C)

WHEREFORE, it is most respectfully prayed to this Ho norable Court that the return of the Original Search Warrant No. and its annexes together with the seized items be accepted.

LIKEWISE, it is respectf ully prayed that the undersigned be authorized by this Ho norable Court or grants the

purposes.

_ to conduct Forensic Examinatio n on the seized computers and other electronic devices for evidentiary

Other reliefs just and equitable in the premises, are likely prayed for.

Done this _ day of 20__, City of , Philippines.

Applicant/Team Leader

SUBSCRIBED AND SWORN to before me this _ day of _ 20 at City of Manila, Philippines.

Presiding Judge

Sample Format of Booking and Arrest R eport

Republic of the PhilippinesDepartment of the Interior and Local GovernmentPHILIPPINE NATIONAL POLICE__

BOOKING AND ARREST REPORT

Picture2x2

_(Last Name) (First Name) (Middle Name)

DATE:

ADDRESS :PLACE & DATE OF BIRTH : OCCUPATION : NATIONALITY :

SEX : _

Tel No. __

MARITAL STATUS :_ WEIGHT : _

_ _

_ HEIGHT:

AGE : _

EDUCATIONAL ATTAINMENT : _

NAME OF SCHOOL: _ SCARS AND MARKS : _NAME & ADDRESS OF FATHER: _ NAME & ADDRESS OF MOTHER: NAME & ADDRESS OF RELATIVES: _

_LOCATION OF SCHOOL:_ OTHER IDENTIFYING MARKS:

__

OFFENSE CHARGE:

_(NATURE OF OFFENSE) (CRIM/IS NO.)

ARRESTED BY: WHERE ARRESTED: _ BOOKED BY : _

_ UNIT: _ _ DATE/TIME ARRESTED: _ BRANCH/SECTION:

SIGNATURE OF PERSON ARRESTED: _ NAME OF ARRESTING OFFICER:

RIGHT HAND

THUMB INDEX MIDDLE RING LITTLE

LEFT HAND

w. Sample Format of Explosive-Related Incident Report

(With Evidence Recovery Log and Custody Log)

Republic of the Philippines

Department of the Interior and Local GovernmentNATIONAL POLICE COMMISSIONPHILIPPINE NATIONAL POLICE INTELLIGENCE GROUPPHILIPPINE BOMB DATA CENTER

2nd Floor Maritime BuildingCamp Crame, Quezon CityTel. Nos. (02) 4120065 / 7230401 loc 4496 Email: do_pbdc@yahoo.comNN

EXPLOSIVE-RELATED INCIDENT REPORT FORM

BDC Incident NumberDate Received

Police Blotter Case Number

Reporting PNP Unit

Chief of Office

Investigator-on-Case

Unit Contact DetailsAddress

Phone

E-mail

Bomb Squad Unit

Team Leader

Unit Contact DetailsAddress

Phone

E-mail

SOCO Unit

Unit Contact DetailsAddress

Phone

E-mail

Date/Time of Incident

Location

Incident CategoryBombingAttempted BombingTheftRecoveryOther

CasualtiesYesNoNumber:

DeathsYesNoNumber:

Pre-Incident ThreatYesoMethod of Threat:

Post-Incident ThreatYesoMethod of Threat:

Delivery MethodDeliveredDropped Thrown Placed SuicideBuriedOther

Details

Initiation MethodTime

Victim

Environmental

Command

Other

Details

Power SourceBatteryMains

Details

Explosive TypeCommercialMilitary / OrdnanceImprovisedOther

Details

Detonator TypeCommercialMilitary Improvised Other

Details

Container TypePlasticMetal Carton Bag ClothWoodOther

Details

MotiveVandalismTerrorist Criminal ReligiousDomestic DisputeExperimentationExtortionOther

Details

TargetGovernmentCommercial Private Other

Details

Suspected Group: Details:

Device/Component DescriptionThis box needs to include a device description and a components list. This requires as much information as possible.

Incident DetailsInclude information on injuries, property damage, motive and incident description, device location and any other relevant information.

Render Safe ProcedureList action taken by reporting unit and any information considered urgent for promulgation to other law enforcement agencies and first responders. e.g. Device rendered safe by remote approach utilizing disruptor.

Photographs/Media

List and describe any photos, diagrams attached to the report.

Signature _

Date: / /

Name:

Note: Please transmit to PBDC-IG through fax or Email.

ADMINISTRATIVE LOG

Location:Personnel Involved:

Date:

Case Identifier/Number:

Preparer/ Assistants:

TimePertinent Description / Information

NARRATIVE DESCRIPTION

Location:

Date:

Case Identifier/Number:

Preparer/ Assistants:

PHOTOGRAPHIC LOG

Location:Camera:

Date:Type of film:

Case Identifier/Number:

Preparer/ Assistants:Remarks

Photo#Description of Photograph ic SubjectCamera Settings and Lens TypeDistanceUse ofScale

Sketch (of Applicable)

CRIME SCENE DIAGRAM / SKETCH

Location:Reference

Date:Scale of Disclaimer

Case Identifier/Number:Compass Orientation

Preparer/ AssistantsEvidence

Fixed Objects

Measurements

Key / Legend

EVIDENCE RECOVERY LOG

Location:Personnel Involved:

Date:

Case Identifier/Number:

Preparer/ Assistants:

Item #Description ofItemLocationRecovered by:PhotoLog #Marking Direct = D Indirect = IPackagingMethodComm ents

CUSTODY LOG

Item #Case Number:

Delivered By:DateTime

To:

Returned To:DateTime

By

Delivered By:DateTime

To:

Returned To:DateTime

By

Delivered By:DateTime

To:

Returned To:DateTime

By

Delivered By:DateTime

To:

Returned To:DateTime

By

Delivered By:DateTime

To:

Returned To:DateTime

By

BOMB SUMMARY CHART

Incident #Incident LocationBombContainerTypeExplosivePipeMethod Initiation

BOMB SUMMARY CHART

BatteryWireTapeGlueSwitchClockContact ScrewSolder

R/C Devices #Construction SimilaritiesFingerprintsRemarks

x. Sample Format of Detainees Report

Republic of the PhilippinesDepartment of the Interior and Local GovernmentNATIONAL POLICE COMMISSION PHILIPPINE NATIONAL POLICECRIMINAL INVESTIGATION DETECTION GROUPCIDG DETENTION CENTER Camp Crame, Quezon City

C E R T I F I C A T I O N

THIS IS TO CERTIFY that the undersigned Incoming Duty Jail Guards assumes theduties and responsibilities from the Outgoing Duty Jail Guards from to and received the following to wit:

D E T A I N E E S R E P O R T

NameOffensesArrest UnitDateCourtRemarks

Male

1.

2.

Female

1.

2.

Current Detainees... = 41Female = 08Total = 49

Actual Detainees... = 41Female = 08Total = 49

INCOMING DUTY JAIL GUARDS OUTGOING DUTY JAIL GUARDS

TEAM LEADER DESK GUARD GATE GUARD

NOTED/INSPECTED: NOTED/INSPECTED:

y. Sample Format of After Case Hearing Report(During Trial)

Republic of the PhilippinesDepartment of the Interior and Local GovernmentNATIONAL POLICE COMMISSION PHILIPPINE NATIONAL POLICE _ _ _ _

MEMORANDUM FOR : FROM :SUBJECT : After Case Hearing Reports

DATE :

1. This has reference to the Court Hearing which was attended today by the

undersigned together with _ _

relative to the case filed by

_

against _ _ _ docketed under CC#

_ _ is scheduled for arraignment at the sala of

_

_ .

2. However, said court hearing/arraignment was set because _ _ counsel of the respondents submitted/filed a motion forreinvestigation of the case and was presented to City Prosecutor and after examining the motion, it was only approved by the court.

3. For information.

_ (CHIEF OF OFFICE)

y. Sample Format of After Case Hearing Report(During Promulgation)

Republic of the PhilippinesDepartment of the Interior and Local GovernmentNATIONAL POLICE COMMISSION PHILIPPINE NATIONAL POLICE _ _ _

_

MEMORANDUM FOR : FROM :SUBJECT : After Promulgation of Judgment Reports

DATE :

1. This pertains to the promulgation of Judgment in PP vs in CC.

2. On or about o clock in the afternoon on even date, was found guilty beyond reasonable doubt on the said three (3) cases, to wit:

Case Number Crime Committed Sentence

_

_ _

3. In addition to the following, the accused is also directed to pay the heirs ofdeceased _ _ of the Decision, twelve (12) pages are hereto attached.

4. According to the Provincial Jail W arden, accused will be transferred to National Penitentiary, Muntinlupa City as soon as the commitment order issued by the Judge.

5. Information.

_ __ (CHIEF OF OFFICE)