OFFICE OF THE CHIEF OF POLICE

ADMINISTRATIVE ORDER NO. 8 August 10, 2015

SUBJECT: INVESTIGATIVE REPORT, FORM 03.01.00 — REVISED; CITYATTORNEY DISCLOSURE STATEMENT, FORM 05.02.09 —REVISED; ARREST REPORT APPROVAL CHECKLIST,FORM 05.02.15 — REVISED; GENERAL REPORTINGINSTRUCTIONS - FIELD NOTEBOOK DIVIDER, FORM 18.30.00 —REVISED; ARREST REPORT - FIELD NOTEBOOK DIVIDER,FORM 18.32.00 — REVISED

PURPOSE: With the recent Department implementation of the Body Worn Video (BWV)the Investigative Report, Form 03.01.00; the City Attorney Disclosure

Statement, Form 05.02.09; the Arrest Report Approval Checklist, Form 05.02.15; the GeneralReporting Instructions — Field Notebook Divider, Form 18.30.00; and, the Arrest Report - FieldNotebook Divider, Form 18.32.00, have been revised to include BWV.

PROCEDURE:

I. INVESTIGATIVE REPORT, FORM 03.01.00 — REVISED. The narrativeheading "Photos, Recordings, Video, DICV and Digital Imaging" has been revised toread -Photos, Recordings, Videos, DICV, BWV, and Digital Imaging."

II. CITY ATTORNEY DISCLOSURE STATEMENT, FORM 05.02.09 —REVISED. "Video Tape (including DICV and digital imaging)" has been revised toread "Video (including DICV, BWV and digital imaging)."

III. ARREST REPORT APPROVAL CHECKLIST, FORM 05.02.15 — REVISED.The box titled "Photos, Recordings, Video, DICV, or Digital Imaging included" hasbeen revised to read "Photos, Recordings, Videos, DICV, BWV, or Digital Imagingincluded."

IV. GENERAL REPORTING INSTRUCTIONS — FIELD NOTEBOOK DIVIDER,FORM 18.30.00 — REVISED. The narrative heading "Photos, Recordings, Videos,DICV and Digital Imaging" has been revised to read -Photos, Recordings, Videos,DICV, BWV, and Digital Imaging."

V. ARREST REPORT - FIELD NOTEBOOK DIVIDER, FORM 18.32.00 —REVISED. The narrative heading "Photos, Recordings, Videos, DICV and DigitalImaging" has been revised to read "Photos, Recordings, Videos, DICV, BWV, andDigital Imaging."

ADMINISTRATIVE ORDER NO. 8 - 2 - August 10, 2015

FORM AVAILABILITY: The revised Investigative Report; City Attorney DisclosureStatement; Arrest Report Approval Checklist; General Reporting Instructions — Field NotebookDivider; and Arrest Report - Field Notebook Divider are attached for immediate use andduplication, and are accessible in F-Forms on the Department's Local Area Network. The use,completion, and distribution of these forms remain unchanged.

AUDIT RESPONSIBILITY: The Commanding Officer, Audit Division, shall review thisdirective and determine whether an audit or inspection shall be conducted in accordance withDepartment 1 Section 0/080.30.

CHARLIE BChief of Po

Attachments

DISTRIBUTION "D"

Page ofLos Angeles Police Department UCR CODE L] COMBINE, EVID REPORT

INVESTIGATIVE REPORT CC: 11 MULTIPLE DRS ON THIS REPORT

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.01. 0 08/15. REPORT OF' INVEST DIV. INC # DR #

CASE SCREENING FACTOR(S)

SUSPECTNEHICLE NOT SEEN LAST NAME, FIRST, MIDDLE (OR NAME OF BUSINESS) SEX DESC HT AGE DOBIII

II PRINTS OR OTHER EVIDENCE NOT PRESENT

• MO NOT DISTINCT 2 ADDRESS ZIP PHONE x

II PROPERTY LOSS LESS THAN $5,000 p R _

lJ

D NO SERIOUS INJURY TO VICTIM B -5.;IN ONLY ONE VICTIM INVOLVED E-MAIL ADDRESS CELL PHONE

PREMISES (SPECIFIC TYPE) E-1 ATM DR. LIC NO (IF NONE, OTHER ID & NO) FOREIGN LANGUAGE SPOKEN OCCUPATION

ENTRY 459/BFV POINT OF ENTRY POINT OF EXIT LOCATION OF OCCURRENCE SAME AS V'S fl RES • BUS. RD PRINTS BY PREL INV.

NI FRONT ATTEMPT _ Y _ N

OBTAINED Y ___ NII REAR

METHOD DATE & TIME OF OCCURRENCE DATE & TIME REPORTED TO PD0 SIDE

II ROOFINSTRUMENT/TOOL USED TYPE PROPERTY STOLEN/LOST/DAMAGE 03.04.00 GIVEN STOLEN/LOST RECOVERED EST DAMAGED

1.1 FLOOR ARSON / VAND.

IN OTHER $ $ $

VICT'S VEH ,(IF INVOLVED) YEAR. MAKE, TYPE, COLOR, LIC. NO. NOTIFICATION(S) (PERSON & DIVISION) CONNECTED REPORT(S) (TYPE & DR #)

MO IF LONG FORM, LIST UNIQUE ACTIONS IF SHORT FORM. DESCRIBE SUSPECTS ACTIONS IN BRIEF PHRASES. INCLUDING WEAPON USED. DO NOT REPEAT ABOVE INFO BUT CLARIFY

REPORT AS NECESSARY. IF ANY OF THE MISSING ITEMS ARE POTENTIALLY IDENTIFIABLE. ITEMIZE AND DESCRIBE ALL ITEMS MISSING IN THIS INCIDENT IN THE NARRATIVE.

MANDATORY MARSY'S RIGHTS("'MOTIVATED BY r-1 DOMESTIC 1r—CARD PROVIDED TO THE VICTIM l HATRED/PREJUDICE L'._ i VIOLENCE L _ I

INITIALS. LAST NAME SERIAL NO. OIVIDETAIL PERSON

SIGNATURE OR RECEIVED By PHONE 0

REPORTING REPORTING

EMPLOYEE(S) NOTE: IF SHORT FORM AND VICTIM/PR ARE NOT THE SAME. ENTER PR INFORMATIONIN INVOLVED PERSONS SECTION.

Complete below sections if any CASE SCREENING FACTOR(S) boxes are not checked.

SUSP'S

VEHICLE

YEAR MAKE MODEL TYPE INTERIOR

COLOR.

EXTERIOR0 1CUSTOM WHEELS

L ITNE6RCERI P TEl; LE V PAINTED D

0 4 RUSVPRIMER_ 5 cwuNsyricc i.4 0peAlN T

BODY

0 I DAMAGE L3 S RIGHT0 2 MODIFIED 0 6 FRONT

0 3 STICKER 0 7 REAR0 4 LEFT

WINDOWS

0 1 DAMAGE n 5 RIGHT

Ej 2 cos., D 6 FRONT0 3 CURTAINS D 7 REAR0 4 LEFT

COLOR(S) VEH. LIC. NO. STATE 01 BUCKET SEATS

L112 DAMAGED INSIDE

S-1

SEX DESC HAIR EYES HEIGHT WEIGHT AGE CLOTHING NAME, ADDRESS, DOB, IF KNOWN; NAME. BKG NO., CHARGE, IF ARRESTED.

PERSONAL ODDITIES (UNUSUAL FEATURES. SCARS. TATTOOS ETC.) (VERBAL THREATS, BODILY FORCE. SIMULATED GUN. ETC IF KNIFE OR GUN.WEAPON DESCRIBE FULLY )

0-2

SEX DESC HAIR EYES JHEIGHT WEIGHT AGE CLOTHING NAME. ADDRESS. DOB. IF KNOWN. NAME, BKG. NO., CHARGE. IF ARRESTED

PERSONAL ODDITIES (UNUSUAL FEATURES. SCARS. TATTOOS, ETC.) (VERBAL THREATS. BODILY FORCE. SIMULATED GUN, ETC. IF KNIFE OR GUN,WEAPON DESCRIBE FULLY.)

W W. WITNESS: R • PERSON RPTG.; S S. PERSON SECURING (459); D - PERSON DISCOVERING (459); P P. PARENT;INVOLVED PERSON(S) CP - CONTACT PERSON (DOMESTIC VIOLENCE)

NAME SEX DESC DOB ADDRESS CITY ZIP

R•

PHONE

DR. LIC. NO (IF NONE. LIST OTHER IL) & NO.) FOREIGN LANGUAGE SPOKEN B B.

E-MAIL ADDRESS I CELL PHONE

NAME SEX DESC DOB ADDRESS CITY ZIP

R•

PHONE

---1DR. LIC. NO (IF NONE, LIST OTHER ID & NO.) FOREIGN LANGUAGE SPOKEN El .

E-MAIL ADDRESS CELL PHONE

NAME SEX DESC DOB ADDRESS CITY ZIP

R •

PHONE

DR. LIC. NO. (IF NONE, LIST OTHER ID & NO.) FOREIGN LANGUAGE SPOKEN B •

E-MAIL ADDRESS —FELL PHONE

COMBINEDPreliminary

EVID. HPT.

USE THIS SECTION IN LIEU OFREPORT IF NO GUN AND NO MORETHREE ITEMS OF EVIDENCE

PROPERTY

THANLOC. EVID. BKD 10.10.00 GIVEN?

L- 1 Y [1 N Drug Test

SUPV./INV OFCR. TESTING SERIAL NO. WITNESS OFCR. SERIAL NO

ITEM QUAN. ARTICLE SERIAL NO./TYPE TESTOF DRUG

BRAND/DRUGWEIGHT, UNITS

MODEL NO./ DRUG TESTRESULT

MISC

NARRATIVE USE THE FOLLOWING HEADINGS TO DOCUMENT ALL INFORMATION REGARDING THE INVESTIGATION ADDITIONAL PERSONS INVOLVED (upanited by type), SOURCE OF ACTIVITY, INVEST IGATION. ARREST. INJURY/MEDICAL

TREATMENT. PHOTOS. RECORDINGS. VIDEOS. DICV. BWV. AND DIGITAL IMAGING. BOOKING: EVIDENCE. CANVASSING. ADDITIONAL. COLLISION SUMMARY. PROPERTY STOLEN/LOST/RECOVERED/DAMAGED. AND COURTINFORMATION NOTE ANY OF THESE I IF ADINGS MAY BE OMMED IF NOT APPLICABLE SEE GENERAL REPORTING INSTRUCTIONS- FIELD NOTEBOOK DIVIDER. FORM 18 3000. AND INVESTIGATIVE REPORT.FIELD NOTEBOOK

DIVIDER. FORM 18 3001, FOR FURTHER INFO

VICTIMINDEMNIFICAT ONINFORMATION (IF APPLICABLE)

IS ANY OF THE VICTIM'S PROPERTY MARKED WITH AN OWNER APPLIEDIDENTIFICATION NUMBER? YES NO LIIF YES, EXPLAIN IN NARRATIVE.

APPROVAL

AND

REVIEW

SUPERVISOR APPROVING SERIAL NO DIVISION DETECTIVE SUPERVISOR REVIEWING SERIAL NO.

DATE & TIME REPRODUCED CLERK DIVISION

CATEGORY

Page of

—03.01.00 (08115)

REPORT OF

CASE SCREENING FACTOR(S)

Los Angeles Police Department UCR CODE El COMBINED EVID. REPORT

INVESTIGATIVE REPORT CC; MULTIPLE MS ON THIS REPORT

INVF,ST D,v.rINC # DR IS

DCOODO

SUSPECT/VEHICLE NOT SEEN

PRINTS OR OTHER EVIDENCE NOr PRESENTMO NOT DISTINCT

PROPERTY LOSS LESS THAN $t.000

NO SERIOUS INJURY TO VI4)TIMONLY ONE ViC rim INVOLVED

PREMISES (SPECIFIC TYPE) Li ATM

rG

ENTRY 459/0FV POINT OF ENTRY POINT OF EXIT

O FRONTri REAR

n SIDE• ROOF

FLOOR

OTHER

LAST NAME, FIRST. MIDDLE (OR NAME OF BUSINESS) SEX UESC HT

ADDRESSR.

'ZIP

AGE I DOB

PHONE X

08•

E.MAIL ADDRESS

DR. LIC. NO. (IF NONE, OTHER ID & NO,)

METHOD

INSTRUMENT/TOOL. USED

FOREIGN LANGUAGE SPOKEN

LOCATION OF OCCURRENCE SAME AS VI RES. BUS.

DATE & TIME OF OCCURRENCE

V1CT'S VEH.(IF INVOLVED) YEAR. MAKE. TYPE, COLOR. LIC. NO.

TYPE PROPERTY STOLENILOST/DAMAGED1103.04.00 GIVEN

NOTIFICATIONS) (PERSON & DIVISION)

CELL PHONE

OCCUPATION

a:D. PRINTS BY E1EL. INV.

ATTEMPT —1YOBTAINED L....1Y

NN

DATE & TIME REPORTED TO PD

STOLEN/LOST RECOVERED EST. DAMAGEDARSON / VAND.

CONNECTED REPORT(S) (TYPE & UR #)

MO IF Vac. FORM LIST UNIQUE ACTIONS. IF Mallf2314. DESCRIBE SUSPECT'S ACTIONS IN BRIEF PHRASES. INCLUDING WEAPON USED. DO NOT REPEAT ABOVE INFO BUT CLARIFYREPORT AS NECESSARY. IF ANY OF THE MISSING ITEMS ARE POTENTIALLY IDENTIFIABLE, ITEMIZE AND DESCRIBE. ALL ITEMS MISSING IN THIS INCIDENT IN THE NARRATIVE.

REPORTINGEMPLOYEES)

MANDATTAY MARV'S RIGHTS ri MOTIVATED8Y I1 DOMESTIICARD PROVIDED TO THE VICTIM HATRED/PREJUDICE VIOLENCE

INITIALS. LAST NAME SERIAL NO. DIV./DETAILPERSON

SIGNATURE

REPORTING

OR RECEIVED BY PHONE U

NOTE: IF SHORT FORM AND VICTIM/PR ARE NOT THE SAME, ENTER PR INFORMATIONIN INVOLVED PERSONS SECTION.

THIS REPORT DOES NOT CONSTITUTE VALID IDENTIFICATION

KEEP THIS REPORT FOR REFERENCE. INSTRUCCIONES EN ESPANOL AL REVERSO.

Your case will be assigned to a detective for follow-up investigation based upon specific facts obtained during the initial investigation.Studies have shown that the presence of these facts can predict whether a detailed follow-up investigation would likely result in the arrestand prosecution of the suspect(s) or the recovery of property, in a manner that is cost-effective to you, the taxpayer. Significant decreasesin personnel have made it impossible for detectives to personally discuss each and every case with all crime victims. A detective will notroutinely contact you, unless the detective requires additional information.

TO REPORT ADDITIONAL INFORMATION: If you have specific facts to provide which might assist in the investigation of your case, pleasecontact the detective Monday through Friday, between 8:00 A.M. and 9:30 A.M., or between 2:30 P.M. and 4:00 P.M. at telephone number . If the detective is not available when you call, please leave a message and include the telephone number where youcan be reached.

COPY OF REPORT: If you wish to purchase a copy of the complete report, phone (213) 486-8130 to obtain the purchase price. Send acheck or money order payable to the Los Angeles Police Department to Records and Identification Division, Box 30158, Los Angeles, CA90030. Include a copy of this report or the following information with your request: I) Name and address of victims; 2) Type of report andDR number (if listed above); 3) Date and location of occurrence. NOTE: Requests not accompanied by proper payment will not be processed.

DR NUMBER: If not entered on this form, the DR number may be obtained by writing to Records and Identification Division and giving theintbrmation needed to obtain a copy of the report (see above paragraph). Specify that you only want the DR number. it will be forwardedwithout delay. There is no charge for this service.

CREDIT CARDS/CHECKS: Immediately notify concerned credit corporation or banks to avoid possibility of being liable for someone elseusing your stolen or lost credit card or check.

HOW YOU CAN HELP THE INVESTIGATION OF YOUR CASE:

* Keep this memo for reference.* If stolen items have serial numbers not available at time of report, attempt to locate them and phone them to the detective at the listed number.

• If you discover additional losses, complete and mail in the Supplemental Property Loss form given to you by the reporting employee,

* Promptly report recovery of property.

* Promptly report additional information such as a neighbor informing you of suspicious activity at time crime occurred.

VICTIM-WITNESS ASSISTANCE PROGRAM: The Los Angeles City and County Victim-Witness Assistance Program (VWAP) can help todetermine if you qualify for Victim of Violent Crime compensation. If you qualify, they will assist with filling your claim application. If you area victim or a witness to a crime and will be going to court, they will explain the court procedures to you. Their staff may also assist you withother problems created by the crime.

To find the program location nearest to you, call the Victim-Witness Assistance Program at the Los Angeles City Attorney's Office(213) 485-6976, or the Los Angeles County District Attorney's Office (800) 380-3811.

VICTIMS OF VIOLENT CRIME COMPENSATION: Refer to paragraph at bottom of reverse side.

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DEPARTAMENTO DE POLICIADE LOS ANGELES

MEMORANDUM DE REPORTE PARA V1CTIMAS

Si, caso sere: asignado cr wt detective para continuar la investigacion basandose en factures especificos obtenidos durance

investigacion inicial. Estudios han demonstrado que la presencia de esitos factores pueden predecir si una investigaciOn dutalladapodria resultor en el arrest° y prosecucion del responsable o la recuperaciOn de la propiedad, de una manera que es menus costosa paraud, el contribuyente. Disminuciones significantes de personal han hecho imposible a los detectives discutir per..vonalmente cada caso

con codas las victimas de crimenes. El detective no to contactara rutinarlamente a menos que requiera informacion adicional.

PARA REPORTAR INFORMACION ADICIONAL: Si tiene datos especificos que proveer que puedieran asistir en lu investigacion de suMO, favor de comunicarse con el detective de Lunes i1 Viernes, entre las 8:00 y 9:30 de la tnafiana o entre las 2:30 y 4:00 de la tarde ul

tel6lono , Si el detective no se enctienta disponible cuando usted 'lame, favor de de* un rnensaje ineluyendo un 141110E0

de tel6fono do ride sc puede comunicar con ud.

COPIA DE REPORTE: Si desea comprar una copia del reporte completo, llama al (213) 486.8133 pant obtener el procio actual. Rurnitacheque o giro postal a Los Angeles Police Department Records and Identification Division, Box 30158, Los Angeles, California 90030.Incluya con su peticien una copia de este reporte o la siguiente informaciOn: I) Nombre y domicilio de la victima(s); 2) Tipo de reporte, ynumero de DR, (si este listado en este forma); 3) Fecha y luger de los hechos. NOTA: Peticiones no a.djuntas al pago apropiado no seritnprocesadas.

Numere DR: Si no aparcee en este forma, el antler° DR se puedc obtencr escribiendo a Records and Identification Division dandoles lainlbrmaciOn neceseria para obtener una copia dci reporte (v6a el parrafo superior). Especifique quo usted quiero el Omer° DR, Ser4 mended°sin tardanzas. No hay cargos por este servicio.

TAIUETA DE CREDITO/CHEQUES: Notifique imediatamente a su eompania de crddito o Banco pare evitur Ia posibilidad de hacersesujeto a que tilguien use sus cheques o tarjeta perdida o robada.

C:OMO PUEDE AVUDAR EN LA INVESTIGACION DE SU CASO

• Mantenga este memorandum como referencia.• Si los bienes robados lienen n(imero de serie, y no los Witt al Ilenar el reporte trate de localizarlos y !lame al detective al Omer° listed°.• Si deserube perdidas adicionales, Ilene y mande la forma Supplemental Property Loss provelda por ci empleado tomando el reporte.• Reporte Ia recuperaciOn de bienes de imediato.• Reporte detalles addicional de imediato tal como un vecino informandole de actividad sospechosa en el tiempo en que occuri6 el delito.

PROGRAMA DE ASISTENCIA A VICT1MAS Y TESTIGOS: El programa de asistencia a violinists y testigos de la ciudad y del condado deLos Angeles (VWAP) puede ayudar a dcterminar si usted califica pars una compensacion como victims de on crimen violento. Si usted Mika, leayudar( n a Heuer su reclamo. Si usted es victim o testigo de un crimen y estarg asistiendo a la eorge, ellos le explicarSn el procedimiento de lacome. El personal del programa tembien lc puede ayudar con otros problems causados por el crime's.

Para encontrar el sitio del programa mas cercano a usted, Name al Programa de Asistencia a Victimas y Testigos en Ia oficina del abogado do IaCiudad de Los Angeles (213) 485-6976 o a la oficina del Fiscal del Condado do Los Angeles (800) 380-3811.

COMPENSACION PARA VICTIMAS DE CRIMENES VIOLENTOS: Si usted ha sido victima de un crimen violent() y esta herido a causade ese crimen, usted puede calificar para un reembolso de parte del Estado por gastos medicos: perdidas de sueldo o de mantenimiento,rehabilitacion o reentrenamiento vocational, Si la herida o la muerte result() a causa de un accidente automovilistico, usted o su afectadotambi6n puede calificar si el chofer culpable rue somtido a uno de los siguientes cargos: conducir bajo la influencia del alcohol o de drops;chocar y huir; user el vehiculo como arma, o huyendo del sitio de un delito violento.

Si usted pag6 los gastos firnebres de una victima de un delito violento, puede ser reembolsado haste $2,275 por los gastos. El Estado noreembolsani por daflos ni perdidas de propiedad. La ley (Session 13959 y las subsiguientes secciones del COdigo Gubernamental) requiereque la victima sea residente de California. que reporte el crirnen y que coopere con la ley para recibir el reembolso. Usted tiene un aflo, apartir de la fecha del delito, pant hacer su reclamo (este limite se puede extender si hay una causa que lo justifique).

Obtenge una solicitud como victima de crimen violento Hernando al Programa de Asistencia a Victimas y Testigos: Abogado de la Ciudad(213) 485.6976, Abogado de Distrito (800) 380.3811. Tambien puede encontrar aplicaciones en las estaciones de la policia de Los Angeles.

VICTIMS OF VIOLENT CRIME COMPENSATION: If you arc a victim of a violent crime and are injured as a result of the crime, you maybe able to be repaid by the State for medical expenses, loss of wages or support, rehabilitation or job retraining. If injury or death was theresult of an auto accident, you or your survivor may also qualify if the driver at fault was charged with one of the following: driving under theinfluence of alcohol or drugs; hit and run; using the vehicle as a weapon; or fleeing the scene of a violent crime,

If you paid the funeral/burial expenses for someone who was a victim of a violent crime, you may be repaid up to $2,275 for these expenses.Property loss or damage will not be repaid by the State. The law (California Government Code Section 13959 et seq.) requires that a victimmust be a California resident, must report the crime, and must cooperate with law enforcement in order to receive repayment. You have oneyear from the date of the crime to file a claim (may be extended for good cause).

To Obtain a victim of violent crime application, you may call one of these Victim-Witness Assistance Programs: City Attorney -(213) 485-6976, District Attorney - (800) 380-3811. Copies of the application may also be obtained at any Los Angeles police station

(MARDI,: ESTE MEMORANDUM PARA REFERENCIA

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0: NO,BOOKING NO,

MODEL NO.

•

MISC. DESCRIPTION (COLOR, size,INSCRIPTIONS, CALIBER, REVOLVAR, ETC.)

OOLLAk VALUR

CITY ATTORNEY DISCLOSURE STATEMENT

OFFICERS - FORM TO BE COMPLETED ON ALL FELONY AND MISDEMEANOR ARRESTEES

DETECTIVES - FORM TO BE FILED WITH CITY ATTORNEY ONLYAnswer all questions to the best of your personal knowledge.

Type of Report Booking No. DR No.

1. Repqrts: To your Knowledge, what reports (except personnel investigations) were prepared in relation to this investigation?

Li Arrest Li Crime LI Property Li PCD Follow-up r_J Vehicle (CHP 180) LJ CHP 885

DMV-D5367 Other:

2. The following items exist: Photographs (include C#)

Video (including DICV, BWV and digital imaging)

Audio (including officer's personal tape) LINO Other:

3. Has there been or is there a pending Use of Force investigation? Li YES

If YES, provide the name and serial number of supervisor conducting investigation.

Name Serial No.

Ei NO

4. List the NAME, ADDRESS, PHONE NUMBER and DATE OF BIRTH of all CIVILIAN WITNESSES not named inany report(s), whether interviewed or not.

Name. natio. DOB_

5. List the NAME, SERIAL NUMBER, ASSIGNMENT and ROLE of all OFFICERS not named in the report(s) who werepercipient witnesses or otherwise involved in this incident:

r Name Serial No. Assignment c r s Kale

16. List the NAME, SERIAL NUMBER, DEPARTMENT/AGENCY and UNIT NUMBER of all FIRE DEPARTMENT and

EMERGENCY MEDICAL PERSONNEL who responded to this incident, but were not named in any report(s):

Name Serial No. Department/ A enc Unit No.

7. List any SUSPECT(S) STATEMENT(S) not included in any report(s):

8. List any CIVILIAN WITNESS(ES) STATEMENT(S) not included in any report(s):

9. Are there any RETAINED OFFICER NOTES or DIAGRAMS not included in any report(s)?If YES, identify:

ffic r Name Serial No. Assignment Item

YES El NO

10. List any known facts not included in any report(s) that might be considered as favorable to the defense or damagingto the prosecution, or which might negatively reflect on the credibility of any prosecution witness:

All of the answers to the above questions are true to the best of my personal knowledge.Signature Div. of Assignment Role in Arrest Date

05 02 09 (08/15)

ARREST REPORT APPROVAL CHECKLIST

DR#, BOOKING #: DAM_

10rOtIT EACH SHEET

Automated Field Data Report (AFDR) Number on Arrest Report

Incident Number at the bottom of reportAdmonition of Rights box completed (name/serial and page or "Not Admonished")

Use of Force box checkedAll identifying numbers included (FBI, J, CII, DR, and Main iis)

Marsy's Rights Card provided and box checked

Pr ARRATLVI

Court Information section and all other required headings includedWatch commander providing booking approval (name/serial #)Medical Treatment documented (name of doctor and hospital)If money was booked, all reports agree on the amountReceipt for Property Taken into Custody, Form 10.10.00, completed for each arrestee

Property Report completed and consistent with Form 10.10.00Firearms Supplemental Property Report, Form 10.01.01 completed; VIPU notifiedPhotos, Recordings, Videos, DICV, I3WV, or Digital Imaging included

RELATED REPORT

ePCD completed and submitted to watch commanderePCD approved by watch commander and forwarded to magistrate for review

City Attorney Disclosure StatementCriminal History Report / CCHRSDMV historyRequest for Confidentiality of Information, Form 03.02.00 or 03.02.01Arrestee signed out and all fields on the detention log completedHate Crime Resource Pamphlet provided and box checked on Form 03.02.00 or 03.02.01DMV Admin Per Se form of suspension attached to DUI Arrest Report and mail to DMV

GED ARRESTS

Gang stamp on face sheetArrest report reviewed and initialed by a GED supervisorArrest report narrative indicates officers were in uniform and in a marked black/whitepollee vehicle. Does the Sergeant's log provide an exception?

JUVENILE ARRESTS

Juvenile Arrest Supplemental Report, Form 05.02.06Juvenile Arrest PCD completed and submitted to watch commanderTelephone calls (or refusal) documented (three within three hours; two within one hour of arrest)Parent/Guardian notified and information listed on the face sheetReleased in compliance with the six hour ruleGladys R. Questionnaire

BOOKING RCOMIVIENDATION

Booking Approval signed by the watch commander (time of inspection/interview)Type of booking search and results documented on the Booking Approval, Form 12.31,00,and report narrative (i.e., signature/serial # of watch commander approving the search;date/time of search; name of officer conducting the search)

(WesDYesDYes(NesDYesDyes

DYesDYesDYesDYesDYes("NesDYes[Ties

MiesDYesDyesDYes(Nes[Wes(DesDYesDYes

DNot RequiredDNot RequiredONot Required[Not RequiredONot RequiredDNot Required

ONot RequiredDNot RequiredDNot RequiredONot RequiredDNot RequiredDNot RequiredIJNot RequiredONot Required

ONot Required[Not RequiredONot RequiredONot Required("Not RequiredONot RequiredDNot RequiredONot RequiredONot Required

Dyes DNot RequiredDYes DNot RequiredDYes DNot Required

DYesDYesDyesDYesDYesDYes

ONot RequiredDNot RequiredCNot RequiredDNot RequiredONot RequiredDNot Required

DYes DNot RequiredDYes ONot Required

Watch Commander Approving; Serial No.:

05.02.15 (08/15)

18.30.00 (48/15) GENERAL REPORTING INSTRUCTIONS

REPORT WRITING - Reports must be ascomprehensive as possible so that a person withoutprevious knowledge of the incident can completelyunderstand it. All report narratives must be written in thefirst person and should be typed. When writing reportnarratives, the employee must type in lowercase letters,capitalizing only when necessary. The report must betyped using single line-spacing only, however one spacemay be left between paragraphs.

Exception: When it is not possible to type, print inuppercase letters, using black ballpoint pen or No. 2pencil.

* Use simple sentences;• Leave a one-line separation between paragraphs;* Report all relevant facts concisely in chronological

order;* Support any opinions with evidence;* Double check all numbers, incl. INC Nos., DR Nos.,and page Nos. on each page of the report as required;and,

* Obtain all required signatures.

REPORT NARRATIVES. The narrative portionfor all types of investigations must bedocumented within each of the report headingcategories as appropriate and in the order aslisted below. Ail headings must be typed orwritten in uppercase block letters andunderlined. If no pertinent information exists fora particular heading, document the reason (i.e.,"None visible"). All reporting narratives must bewritten in the first person.

Exceptions: Certain headings may be omittedif not applicable to the type of investigation beingdocumented. If the report qualifies as a Short-Form investigation, no headings or narrative arerequired with the exception of a detailed list ofproperty stolen, lost, recovered, or damagedusing the columns provided.

Note: The information included under eachheading is not all-inclusive. Any information,which would further clarify or detail thecircumstances surrounding the case, may beadded. Except for the purpose of clarity,information already contained in other areas ofthe report does not need to be duplicated or re-stated.

When documenting the statement of an officer'sinvestigative actions (see Investigative Action Statements), it is not necessary to re-writeeverything contained within the statement. Anyinformation elemental to the crime and/or arrestmust be briefly paraphrased with a reference indicating the statement in which the detailed information can be found.

Example - Officer Smith observed the handgun in the suspect's waistband. (Seestatement of Ofcr Smith, page 3.)

Officers are reminded that, at the time of arrest. arresting officers must have specific knowledge gf all elements of the crime for which thesuspect has been arrested. Officers should beable to articulate that knowledge, including howand when it was obtained, and must document itwithin the report narrative.

A. Additional Person(s) Involved.[Heading may be omitted if not applicable.]Ensure all other persons other than thevictim and suspect involved in the incidentare documented, including but not limited towitnesses and parents (if a juvenile isinvolved).

B. Source of Activity.[This heading must be included.]Ensure all pertinent information is includedand accurate, including, but not limited to,the officer's unit assignment, name(s) andserial number(s), the type of call (i.e., radiocall, citizen flag-down, officer observation,desk report), and the complete ten-digitincident number.

C. Investigation.[This heading must be included.]All elements of the crime or incident must bethoroughly described. Include all observations,clearly articulating the actions, demeanor, and/orbehavior and statements of all involvedparticipants. Circumstances regarding search andseizure must be clearly articulated. Theinvestigation section must be used to build the factpattern and document the investigating officer'sspecific training and experience in support of anydeterminations made and actions taken by theofficer(s). Ensure the elements of probable causedescribed in this section are consistent with theelements described within the "Statement ofProbable Cause" section of the Probable CauseDetermination (PCD), if applicable.

D. Arrest.[Heading may be omitted if not applicable.]All events, from the time of arrest to the bookingprocess, must be chronologically documented,including the Miranda Admonition and anysubsequent responses, transportation, and theresults of any criminal history, DMV, and want orwarrant inquiries, etc. Any concerns or informationpertinent to the investigation brought to theattention of the watch commander during the pre-booking interview must also be documented withinthis section.

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E. Injury/Medical Treatment.[This heading must be included.]Document any pre-existing injuries, injuriessustained during the incident, and any injuriessustained resulting from an arrest or use of force.Document any lack of injuries if reporting a "CrimeAgainst Person" and/or use of force. Document thelocation of treatment and treatment provided.Include the name of the doctor and the medicalrecord number. If medical information releaseforms are signed, document the information underthis heading and attach a copy to the report. If thearrestee refuses to sign a medical informationrelease form, document the refusal and the namesof any medical personnel who witnessed therefusal.

Due to confidentiality issues, when someone isgiven medical treatment for a specific medicalillness (AIDS, high blood pressure, tuberculosis,etc.), not related to the arrest/crime, the illnessmust not be documented in the report unless it isan element of the crime (i.e., 647f P.C., 120291H&S).

Note: Injuries include those that are visible and"complained of," even though not visible. If noinjuries or complaints of injuries, write "None," or"No Injuries Complained Of."

F. Photos, Recordings, Videos, DICV, BWV, andDigital Imaging[This heading must be included.]Document any photos, recordings, videos, DICV,BVVV, and digital imaging taken of the scene,search warrant locations, and injuries (visible,complained of, or lack of). Document the type(Polaroid, digital, 35mm) and number of photos,recordings, videos, DICV, BWV, and digital imagingtaken, or the number of 35mm rolls of film used, theSID request number, and the name of theemployee who took the photos, recordings, videos,DICV, BVVV, and digital imaging. If no photos,recordings, videos, DICV, BWV, and digital imagingwere taken, indicate the reason.

G. Booking.[Heading may be omitted if not applicable.]Document the location where the arrestee wasbooked, the related booking charge (title andappropriate Code section), as well as the name andserial number of the watch commander whoapproved the booking. Include all pertinentinformation from events that occurred at the stationduring the booking process before the jaileraccepted the arrestee. If the arrestee wasdebriefed, document who conducted the debriefingand where the information was documented, if notwithin the body of the narrative.

H. Evidence.[This heading must be included.]Fully describe the chain of custody of any evidencerecovered, the location where the evidence wasbooked, and how it was marked. Each item shouldbe numbered and correspond with items listed inthe related Property Report, Form 10.01.00.Generally, the associated Property Report shouldonly be a listing of the above evidence which is tobe booked. Ensure a Receipt for Property Takeninto Custody, Form 10.10.00, is completed andprovided to the appropriate party, and theappropriate check box is marked on the face sheetof the report.

I. Canvassing.[This heading must be included.]Document the efforts to canvass the area forwitnesses when applicable.

J. Additional.[Heading may be omitted if not applicable.]Any other pertinent information that has not beenpreviously documented (i.e., location of parkedvehicles, additional charges, notification of otherentities) should be documented in this section.

K. Collision Summary.[Heading may be omitted if not applicable.]If a Traffic Collision Report (CHP 555) has beencompleted, the information documented within thissection must be written exactly as it appears in the"Collision Summary" section of the Traffic CollisionReport.

Note: Traffic Collision Report narrative instructionsare located in the Department Traffic Manual.

L. Property Stolen/Lost/Recovered/Damaged.[Heading may be omitted if not applicable.]Document any property stolen, lost, recovered ordamaged as a result of the incident that you arereporting.

Exception: If an Investigative Report qualifies as"Short Form," no narrative is required, only anitemized list of property stolen, lost, recovered ordamaged need be completed using the columnsprovided.

M. Court Information.[This heading must be included.]For the purpose of streamlining the subpoenaprocess, limiting the reduction of personnel in thefield, and enhancing the quality of criminal cases,list the names of all officers involved in theinvestigation, the specific portions of theinvestigation each officer can testify to, anyspecialized expertise, the officer's division ofassignment, and the officer's vacation period.

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STATEMENTS.

A. Investigative Action Statements. When completinga statement of the officer's investigative actions, the officer must complete only the shaded areas and the statement section of the InvestigativeAction/Statement Form, Form 03.11.20. Theofficer's statement must be a detailed description ofthe officer's actions and observations including the source of the call, the officer's individualobservations, and the officer's individual actions. Ifadditional space is needed, a Continuation Sheet,Form 15.09.00, must be used.

B. Statements of Involved Persons. There is norequirement that the Investigative Action/StatementForm, Form 03.11.20, be utilized in everyinvestigation for documenting the statements ofinvolved persons, except murder investigations, orwhen the signature of the person interviewed isbeing sought.

Should the suspect make spontaneous statements,the statements must be included under theappropriate heading within the narrative portion ofthe report.

If the suspect has been advised of his/her MirandaRights, per LAPD Form 15.03.00, Field Officer'sNotebook, the Miranda Admonition and anyresponse to the Admonition must be documented inany resulting report (Manual Section 4/202.10).

If only minimal information is sought, the MirandaAdmonition (verbatim) and resulting statements maybe documented in the narrative. If, however, a moredetailed statement is sought, the InvestigativeAction/Statement Form should be utilized todocument the statements obtained. Onlystatements not included on the InvestigativeAction/Statement Form need to be documentedwithin the narrative portion of the report.

Note: When a suspect is arrested and a statementis obtained, the page number where the statement isrecorded must be noted on the arrest face sheet inthe space provided.

If the signature of the individual providing thestatement is sought, the statement should be writtenin the first person. If no signature is sought, thestatement should be written in the third person. Inall cases, the interviewing officer must beresponsible for documenting the statement(s) of theindividual being interviewed.

The original completed Investigative Action/Statement Form must be included as a page of theoriginal report.

Exception: Debriefing of suspects for intelligencepurposes (not related to the investigation) must be

documented on a separate Investigative Action/Statement Form. The debriefing statement must beforwarded to the Area Detectives and must not beincluded as a page of the original report.

Note: The Investigative Action/Statement Form isnot always appropriate and its use should bedetermined on a case-by-case basis by theinvestigating officer and/or supervisor.

Refer to Department Manual Section 5/03.11.20 forfurther information regarding the use of statements.

REPORTS REQUIRED. A crime report must becompleted when it is brought to police attention that,within the City of LA, a felony has been or is believed tohave been committed, or a misdemeanor has beencommitted. This includes when an officer acting as adecoy is the victim of a crime or a vehicle or otherproperty is used as "bait".

Exception: a crime report is not required when:* No victim is indicated; or,* Arson is suspected and the Fire Department assumes

responsibility for the immediate investigation.

Note: The Combined Report Section on the ArrestReport, Form 05.02.00, may be used in lieu of aseparate IR as per instructions on the Arrest ReportField Notebook Divider.

COURTESY REPORTS. Courtesy reports must only betaken when the following conditions exist:* The Person Reporting is an LA City resident; and,* Exigent circumstances exist (e.g., there is an active

mutual aid task force in operation; travel distance tothe concerned jurisdiction is extreme); and,

* The concerned jurisdiction does not complete atelephonic report; and,

* Prior approval is obtained from a supervisor or adetective.

Note: Courtesy reports must not be taken telephonically.

TELEPHONIC REPORTING. The following crimes maybe reported telephonically when no unusualcircumstances exist which require a field investigation:* Stolen vehicle when the Person Reporting (PR) is the

Registered Owner or lessee, and the reporting officerhas verified registration, ownership, and ID of PRthrough DMV files.

Note: Stolen vehicle reports must not be takentelephonically for rented vehicles.

* B/TFV or Plain Theft, when property is less than$3,000 and PR is the owner.

* Grand Theft-Pickpocket, when suspect is not at thescene, there is no possibility of locating the suspect bya limited follow-up investigation by field personnel,AND the property is less than $3,000.

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* Battery, when not likely to recur and no immediate MTrequired.

* Lewd/Annoying Phone Call, when PR is in noimmediate danger.

* Any misdemeanor reportable on an IR when theoffense is not directly related to a labor dispute andhas no racial, ethnic, or religious connections.

* Stolen Bicycle, when bike report is the only reportrequired.

Note: A PR who requests a receipt must be advisedthat a Victim's Report Memo may be obtained at thestation where the report was taken.

REPORT UNITS. Report Units must be requested whenpractical for report calls at contract hospitals, and forADW or 211 report calls after determination that a reportonly is required and a Report Unit is available. Theassigned Radio Unit must cause any required initialbroadcast to be made.

Radio Units must not request a Report Unit if thesuspect is apprehended, or the 211 victim is a bank, or itis impractical for the victim to remain at the scene.

SUBMITTING REPORTS FOR APPROVAL. Robbery,kidnap, and rape reports must be delivered without delayto the approving supervisor. An officer completing avehicle report must immediately obtain a DR and mustsubmit the report for approval at EOW or at the nextroutine trip to the station. Other reports will be submittedto a supervisor for approval as soon as practicable.

Note: Officers shall obtain a Division of Records (DR)number within two hours of determining that aMissing/Found Persons Investigation Report will becompleted for any missing person (e.g., juvenile oradult).

CONDUCTING THE INVESTIGATION. After initialdeployment procedures, officers should work as partnersduring initial investigations and compare notes to besure that all the facts have been gathered.* Notify the investigating unit without delay if there is aneed for an immediate major crime investigation.Start a Crime Scene Log if appropriate;

* Protect the scene (e.g., Banner tape) - locate itemsthat could ID suspects or show how the crime wascommitted;

* Locate and identify witnesses, request them to remainfor questioning, and question them separately;

* Establish the elements of the crime and other detailsrelating to who, what, when, where, why, and how;and,

* Complete the necessary reports.

If an investigative or specialized unit takes over atthe scene, the unit thus relieved must then:* Give the investigating unit all pertinent evidence & info;* Prepare an Investigative Action/Statement Form andprovide it to the primary unit, if required;

* Assist where necessary or requested;

* Assist preparing appropriate reports for continuity ofevidence or to assure complete and accuratereporting;

* Make DFAR entries relating to disposition of call and IDof investigating unit relieving them; and,

* Return to their prior assignment when no furtherassistance is required.

Note: If the area has not been canvassed andconcerned investigating officers or specialized unitsrespond to the scene and take responsibility forconducting the preliminary investigation then they will beresponsible for canvassing the area.

ID OF SUSPECTS IN FIELD. If field ID of a suspect isnecessary to determine if the suspect is the perpetrator,the victim or witness should be transported to thesuspect. A suspect may be transported to a victim orwitness for ID when:* Exigent circumstances exist that make it unreasonable

for the victim or witness to be transported to thesuspect; or,

* Probable cause exists to arrest the suspect for theoffense; or,

* The officer obtains the free & voluntary consent ofsuspect.

An officer who intends to conduct a field show-up mustinform the victim or witness that:* The person is in temporary custody as a possiblesuspect only;The fact the person is in police custody does notindicate his/her guilt or innocence; and,

* The purpose of the show-up is to either eliminate oridentify the person as the perpetrator.

The above admonition must be included in the arrestreport under the "Investigation" heading.

OUTSIDE AGENCIES RESPONSIBILITY. LAUSD, PortWarden, and the Los Angeles County Sheriff'sDepartment (LASD) normally conduct the initialinvestigation of crimes occurring on their property,except complex felonies, crimes of violence involvinguse of a weapon, or property loss in excess of $1,000($10,000 if Port Warden). MTA conveyances must notbe delayed unnecessarily to investigate an incident.

INTERVIEWS.Student under 18 on school grounds - requestdetective. If none available and immediate investigationis necessary, explain the reason to the principal or viceprincipal and request permission to question the studentat school or to take student from school for the purposeof questioning or arrest.

Female under 18 on sex matter - should be conductedby female police officer when practicable.

PHOTOS.Victim of reported battery. If there are injuries thatshould be photographed, issue Victim's Memo and

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advise the victim to contact Photo Section, SID, to makean Appointment. Enter "Photos Advised" in narrative.

Female injury. If clothes are removed, another adultfemale must be present. Enter that person's name andaddress in the report.

Spousal Abuse. The reporting officer must have photosof any injury taken by SID. If Photo Section is not open,notify the Department Command Post.

NOTIFICATIONS.* Abortions - RHD.* Bank 211 - Geographic detectives and RHD.* Bomb threat at school, if investigation revealsexplosives may be present - SID, MCD, and DSVD.

* Counterfeiting - CCD.* Dead Body - Geographic detectives.* Deadly weapon injury, if the wanted suspect possiblyhas an injury inflicted by a deadly weapon, or a personhas been treated at a medical facility for an injurypossibly inflicted by a deadly weapon, in addition toany other notification, phone to DSVD the:* Name/description of wounded person, if known.* Description of injury and type weapon used.* Crime involved if known.* Date, time, and location injury occurred.* Description of wounded person's vehicle if known.* DR of report.* Reporting officer's name, serial no., and division.* Name, address, and business phone of person

treating injury.* Espionage/Sabotage activity - MCD (Terrorist &CCS).

* Extortion, depending on circumstances - MCD,RHD, CCD, or geographic detectives (4/201).

* Explosives present - SID and DSVD.* Hijack — RHD.* Immediate investigation required - Concerned

investigative unit. If unavailable, DSVD for advice, thenDepartment Command Post and/or RACR, if required.

* Intelligence information - MCD (Organized CrimeSection) if connected with organized crime. ATD ifconnected with:* Unlawful disruption of public order by civildisobedience.

* Unlawful overthrow of constituted government.* Threat to safety of US President or others under

protection of US Secret Service.* Threat to safety of any elected or appointed official or

other person of public prominence.* Narcotics stolen - Area GIT/Field Enforcement

Section.* Property loss more than $5,000 - Concerned

investigative unit. If unavailable, and loss more than$50,000, notify DSVD.

* Safe involved - Geographic detectives and CCD.(Filing cabinets or fire chests are not considered safeseven though equipped with combination locks.)

* Scientific investigation required - (Notify by phone.Notify by radio only if immediate investigation requiredand phone not available.)

* OVB - Valley SID specific unit. If not available andrequest is for routine prints or photos - Van NuysDesk. If not a routine request, notify SID or theDepartment Command Post and/or RACR, in thatorder.

* Harbor - Harbor Detectives or Harbor Desk in thatorder.

* Other Areas - SID.

Note: A telephonic request must be made by callingthe desired unit directly and providing the DR(except for explosives), unit making request, type ofincident, type of assistance, location needed, andother pertinent information.

* Threats against public officials - If City of LA official,notify MCD (CCS). If State official, in addition tocompleting the appropriate crime report:* Notify MCD;* Telephonically report the threat and surroundingcircumstances to the Executive Protection Bureau,State Police, (213) 620-3216 (available 24 hours);

* Record date, time, and name of person notified inreport; and,

* If related to Organized Crime, and urgency exists -reporting officer's field supervisor, and MCD.

INCIDENT NUMBERS. Enter the incident number in theupper right-hand corner of the IR. If multiple incidentnumbers have been created for the same call, enter theprimary incident number to which all reports can be tied.

DR NUMBERS. When a report of any type has beenassigned a DR and other reports of related incidents aremade, they must bear the DR of the original report.

Exceptions: Each worthless document, each stolenvehicle, each license plate booked, and each missingperson require separate DR numbers. Each burglaryrequires a separate DR (See Burglary Paragraph forexceptions). Each Vice or Narcotics Investigationrequires a separate Vice or Narcotics DR; only a relatedVice or Narcotics follow-up must bear that DR. Only arelated Missing Person FU, Arrest, or Property Reportmust bear the Missing Person DR.

Location Obtained.* Stolen/Lost vehicle/boat or license plate - VIPU.* All other incidents - Area/division records unit.* Vice - CMRS.* Narcotics — CLEAR.* RFC - Use related DR. If none, records unit.

Entering On Report. Upon receiving the DR, enter it onthe concerned report. When obtaining from VIPU, enterthe name and serial number of the issuing employee andtime obtained on the report.

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ARREST REPORT - FIELD NOTEBOOK DIVIDER"Your finest effort as a police officer may never get to court unless you learn to write a report that does justice to your arrest."TRAINING BULLETIN, How to Write Arrest Reports, September, 1967.

DUE DILIGENCE. Prior to booking, the arresting officer shall verifywhether the arrestee has an arrest warrant. (Exception: Jail personnel areresponsible for those booked at a field jail or those transported & bookedplain drunk.)

SHORT ARREST REPORT, Form 05.02.01. Used for 647f PC arrestswhen prosecution is not requested. and enroute bookings. (Refer toreport booklet cover for further info.)

RELEASE FROM CUSTODY (RFC), Form 05.02.08/NOTICE TOAPPEAR, Form 95.02.02. Used as Notice to Appear in Court ter adultarrestees (misdemeanor or infractions) released OR in lieu of booking orafter; and used in conjunction with the RFC Continuation, Form 05.02.08,to document the circumstances of the arrest and release, and to reportbooking of related evidence. (Refer to RFC/Notice booklet cover andinstructions printed on RFC Continuation form for further info.)

ARREST REPORT, Form 05.02.00. Used to report circumstances of allarrests or detentions of persons by the Department except:

• Court Order detentions.• Supplement charge by parole/probation officer.• Bond surrenders.• Those reported on a Short Arrest Report, Mass Arrest Report, RFC,

or Personal Service Citation.• Felony Warrants (unless required by 4/725.48).• Search Warrants (unless required by 4/725.48).• Misdemeanor Warrants (unless required by 4/725.48).• CHP responsibility.

The Arrest Report is also used as:

• A contact only report on juveniles.• A first page of a petition request.• A combined crime report.• A combined evidence report.• Marsy's Rights Card. When a victim of any type of crime has been

provided a Marsy's Rights Card, the reporting officer, supervisor, ordetective shall check this face sheet box or document it in the"Additional" heading of the Arrest Report.

COMPLETION INSTRUCTIONS — GENERAL.

A. The Arrest Report shall show sufficient facts to establish a primafacie case for the offense charged and include all facts pertaining toany additional offenses committed by the arrestee.

13 LOCATION TO COMPLETE REPORT

• All misdemeanors, narcotic and felony vice arrest reports — inthe Area where arrestee is booked (Except: fel. Narc. in Pae orWLA, & misdemeanor 148/415 w/ofcr victim — in Area ofarrest.)

• All felonies except narcotics and vice — in area of bookingapproval. (Except forgeries in OVB — at VNYS Area.)

Exception: County Jail system bookings for misdemeanors, &felonies are investigated by the local Area detectives.

C. RESPONSIBILITY TO DELIVER REPORT. Officers shall deliverArrest Reports as follows.

• When not completed in the Area of responsible investigativeunit — to that unit, when practical; or cause CPS or NECSnotification.

• When narcotics involved outside Area of assignment — to theirField Enforcement Section, Bureau Narcotic's Unit.

• All officers in Area Record Unit — to their Collision InvestigationFollow-up Unit (CIFU).

COMPLETION INSTRUCTIONS — SPECIFIC.

A. EVID/CRIME RPT. CHECKBOXES. appropriate box(es) if theArrest Report also serves as a Combined Arrest/Evidence 8/orCrime Report (refer to paragraphs F & G).

B. DR NUMBER — when applicable (Combine Evidence, CombinedCrime, or related DR). Enter this DR No. in both spaces (top rightand vertically top left).

Approving supervisors must ensure that the arresting officer hasprinted out the criminal history, or "rap sheet," and placed the LANo., if available, on the Arrest Report.

D. ADMONITION OF RIGHTS. Advise all juveniles upon taking intocustody and ascertain if they understand their rights. Do not seek.waiver until the juvenile is to be interrogated. Field officers arerequired to "Mirandize" and interrogate adult felony arrestees,except if crime involved is homicide, crime vs. person victimhospitalized, responsibility of specialized unit, a conflict case (suchas battery on police officer), or a crime which requires extensivefollow-up or expertise. If not admonished, enter "NOT ADVISED."

E. INVOLVED PERSONS.

Repeat complete victim information (name, etc.), if CombinedCrime Report. Always enter sex, descent, and DOB of victimand witnesses. If misdemeanor, analyzed evidence other thannarcotics is involved, enter as a witness: 'Police ChemistAnalysis of ' (enter appropriate item; e.g.,clothing).If witness will be unavailable for some period within fourmonths of the report date, enter the reason and dates in thewitness's stetement.

• If misdemeanor witness resides outside LA County, enter allfacts to which they can testify in the report.

• If LAFD ambulance personnel are witnesses, enter their fullnames, unit, & what they can testify to In the report.

• Enter 'X' in last column to indicate day phone contact.

F. COMBINED CRIME REPORT. This section may be used in lieu ofa Investigative Report (IR) when all suspects identified as theperpetrators are in custody, all property is recovered, only one crimeis involved, and the W/C or investigating officer advising the bookingapproves. (If multiple victims of crime vs. person, use IR, becauseeach victim counts as separate crime.)

When used as crime report, the reporting officer shall:

• Check the "Crime Report" box and enter victim's name underthis box vertically;

• Enter the DR number in BOTH spaces;• Enter complete victim information under "Involved Persons,"

including a repeat of V-1's name. If multiple victims andspaces are insufficient, continue at beginning of narrative; and.include the elements of the crime in the appropriate paragraphof the arrest narrative.

Note: If multiple arrestees. check the 'Crime Report' box andcomplete the 'Combined Crime Report' section on ONE face sheetonly. Use the face sheet of the arrestee most likely to be filed on,when appropriate.

G. COMBINED EVIDENCE REPORT. (Exceptions to using thisprocedure at all are listed on the reverse side of the Property Report.)When this procedure may be used, there aro two ways in whichcombined arrest/evidence is reported:

1. Directly on the face of the Arrest Report with no PropertyReport (limited to one arrestee, no gun, and two items ofevidence). In this instance:• Check the 'Evidence Report' checkbox:• Enter the DR number in BOTH spaces;• Complete the 'Combined Evidence Report' section;• Enter evidence details in arrest narrative: and• Forward copy of arrest face sheet with the evidence

(2 copies to narcotics, or if blood or urine is bookedwithin OVB.)

2. With a Property Report. In this instance.

• Check the 'Evidence Report' checkbox on the ArrestReport;

• Enter the DR number in BOTH spaces on the ArrestReport;

• Enter the notation 'SEE PAGE ' in large letters inthe 'Combined Evidence Report' section.

Note: If multiple arrestees, complete the above three steps onall face sheets, and enter the name of the arrestee to whomthe evidence is booked directly under the 'Evidence Report'checkbox on all arrest face sheets.C. OTHER IDENTIFYING NUMBERS. These numbers are to be

entered on the Booking Form when available at the time of booking.

• Complete the shaded areas of the Property Report,including a listing and details of the evidence;

• Number the Property Report as a page of the ArrestReport; e.g., Page 3 of 3. (Make this the last pageunless there is a Juvenile Arrest Supplemental Report.Form 05.02.06. In that case, make that the last page.);and,Forward a copy of the Property Report, stapled on thetop of the arrest face sheet, with the evidence (2 copiesif narcotics or firearm, or blood or urine is booked withinOVB.).

H. APPROVAL/REPORTING OFFICERS. Reporting Officers: Printfirst, middle initial, and last names in space provided. Whenpractical, one officer shail complete all phases if a misdemeanorarrest. The names, serial numbers, and assignment of officersassisting but not needed for testimony shall appear under the'Additional' heading. On a private person's arrest, the arrestingperson's name shall be entered followed by (CZN). The captionReporting Officer(s) shall be crossed out,

If evidence is booked by an officer as part of a private person'sarrest, and that evidence is listed on the arrest face sheet CombinedEvidence Report section, the name, serial number, division anddetail of the officer shall be entered on the second line of ReportingOfficer(s).

Approval: Refer to Department Manual Section 5/030.60. Indicateappropriate Extra Copy Distribution in the left margin as perDistribution Guide.

I. NARRATIVE. On a Continuation Sheet, Form 15.09.00. See FieldNotebook Divider General Reporting Instructions. Form 18.30.00, formore detailed information.

• Additional Persons Involved. i.e., co-arrestee — Name,Booking No., and charges.

• Source of Activity. Describe how information that led toarrest was obtained and what that information was. Limited tooriginal source of any action that results in an arrest; e.g.:

Radio Call:

Observation:

Citizen:

Officers received RC 'C Man, ProwlerThere Now, 2100 Olympic, Code 2.'Officers driving WB on Hwd. Blvd.approaching Western Ave. obs, threemen fighting in I/S.Officers on patrol were stopped by W-1Taylor who stated that a poss.strongarm 211 was occurring in thealley behind the Thrifty Drug Store,Pico and Vermont.

Other Sources include Informant, Crime Report and Warrant.

Note: When an incident number Is generated prior to arrest, includethat number here; e.g., "Officers received RC (Inc. 1234)".. .

• Investigation. Describe every relevant event the arrestingofficers saw or did between the time the activity started andthe time of arrest. If probable cause is net included underSource of Activity, it shall be included here.

• Arrest. Describe everything pertinent that occurred from thetime the arrest was made to the booking process. Theseactivities could be at the scene, at another location, or at thestation.Note: Refer to adults as 'Suspect' until arrested, then as'Arrestee.' Juveniles are always 'Subjects' (In crime reports,both adults and juveniles are 'Suspects.' whether or not theyhave been apprehended).

• Injury/Medlcal Treatment. Enter general description of theinjuries that occurred during the crime or as a result of thearrest. In this specific injury paragraph, enter the technicaldetails of the diagnosis and medical treatment.

• Photos, Recordings, Videos, DICV, BWV and DigitalImaging. Document any photos, recordings, videos, DICV,BWV and digital imaging taken of the scene, search warrantlocations, and injuries (visible, complained of, or lack of).Document the type (Polaroid, digital, 35mm) and number ofphotos, recordings, videos, DICV, BWV and digital imagingtaken, or the number of 35mm rolls of film used, the SIDcontrol number, and the name of the employee who took thephotos, recordings, videos, DICV, BWV and digital imaging. Ifno photos, recordings, videos, DICV, BWV arid digital Imagingwere taken, indicate the reason.Booking. Describe everything pertinent that occurred at thestation before the jailer accepted the arresteeNote: The arrestee is the personal responsibility of thearresting officer until the booking is complete and the jailer hasaccepted the prisoner. Also include under this heading the

supervisor approving the booking (rank, name, serial number,and assignment), location booked and charge.

• Evidence. Fully describe the chain of custody of anyevidence recovered, the location where the evidence wasbooked, and how it was marked. Each item should benumbered and correspond with items listed in the relatedProperty Report, Form 10.01.00.

• Canvassing. Document the efforts to canvass the area forwitnesses when applicable.

• Court Information. List the names of all officers involved inthe investigation, the specific portions of the investigation eachofficer can testify to, any specialized expertise, the officer'sdivision of assignment, and the officer's vacation period.

THE ABOVE HEADINGS ARE ALWAYS USED. THE BELOW SPECIFICHEADINGS ARE ONLY USED WHEN APPLICABLE. SEE FIELDNOTEBOOK DIVIDER 18.30.00 FOR SPECIFIC INSTRUCTIONS.

• Additional. Details which need explanation but do not fitsmoothly under the other headings: e.g., disposition ofarrestee's personal properly, opinions of arresting officers thatmight be of importance to follow-up investigators, particularlyin vice, narcotics, arid bunco cases, reason arid names usedfor inquiry if no rap sheet attached; etc.

• Collision Summary. If a Traffic Collision Report (CHP 555)has been completed, the information documented within thissection shall be written exactly as it appears in the "CollisionSummary" section of the Traffic Collision Report.Property Stolen/Lost/Recovered. Document any propertystolen, lost, recovered or damaged as a result of the incidentthat you are reporting.

J. MULTIPLE ARREST REPORT. One narrative may be used toreport the arrests of multiple persons (except 547bPC) made at thesame approximate time and location when the circumstances arethe same. A separate face sheet shall be made for each arresteeand a copy of the narrative attached to each face sheet.In each left margin, print 'MULTI '. (Enter no. of arrestees.)

K. PRIVATE PERSON'S ARREST. When a private person's arrest is,or appears to be, illegal, the arresting person shall be advised andreferred to City Attorney's (CA's) Office. When the private personinsists upon arresting the individual, the officer shall not take theperson into custody, complete an FI, notify a supervisor of thecircumstances, and with approval of a supervisor, release thearrested person. The officer shall then complete a Employee'sReport, Form 15.07 00, detailing the circumstances of the arrest andrelease.

A private person desiring to make a lawful arrest for a misdemeanornot committed in the officer's presence, shall be advised that he/shemay make a physical arrest or make a crime report and proceedthrough the CA's Office. If he/she requests the officer to receive thearrestee, the officer shall do so (142PC). All persons involved shallbe advised that the officers are not making an arrest merelyreceiving the arrested person. Officers shell verify the ID of thearrested person and determine the arrestee's eligibility for RFC. Ifeligible for RFC, follow those procedures. If ineligible for RFC, theofficer shall:

• Request the private party to accompany officers to station;• Assist private party with Arrest Report. Officers' names are to

appear only in narrative as 'Transporting' or 'Receiving,' or onthe Arrest face sheet as the officer booking the evidence if it islisted on the Arrest face sheet [the 2"' line of ReportingOfficer(s) is used for this purpose);

• Cause the private person to write 'I have arrested this person'at the bottom of the arrest narrative, followed by the privateperson's signature (full name), address and phone number;

• If arrestee has signed a statement of guilt of theft, forward acopy of it and all other arrest related written documents in thepossession of the arresting person, with the Arrest Report tothe CA's Office. Forward original copies when possible;

• Book arrestee to the private person. Cross out ReportingOfficer(s), enter the private person's name, and enter CZN asthe Detail; and

• Complete other necessary reports.

Note: The arresting private person need not accompany officers tothe station when:

• The arrest is for petty theft or misdemeanor forgery;• The crime occurred at a regularly established place of

business;• All the elements of the offense are present and there appears

to be probable cause for the arrest; and,• Telephonic approval of the WIC has been obtained.

L. WARRANT ARRESTS. Misdemeanor warrant arrests shall bereported on an Arrest or RFC only if required in Department ManualSection 4/725.48. The teletype abstract shall be included.

Note: The arresting officer is responsible for completing theRelease Information section of the Investigator's Final Report, Form05.10.00, if felony warrants is for violation of California State paroleunder authority of 3056 PC or 3151 WIC; Violation of probationbench warrant held by LASD; or Failure to Appear bench warrantheld by LASD. Upon completion, the 05.10.00 shall be delivered tothe record clerk, Area of Booking.

FELONY WARRANT ARRESTS INVOLVING ADULTS. For felonywarrant arrests, including parole/probation warrants, officers shallsubmit the following to the watch commander (WC) or his/herdesignee:

• Arrest Report "Face Sheet," Form 05.02.00:Note: The "Approval/Reporting Officer" section must still becompleted. including the "Supervisor Approving Report" box.

• Investigator's Final Report, Form 05,10.00;Note: Officers must still comply with procedures for theCompletion of the Investigator's Final Report outlined inDepartment Manual Section 4/775.20.

• Copy of the Warrant Information Sheet (MS) or abstract forwarrants issued within California; and,

• Booking Approval, Form 12.31.00.

Note: Parole/probation holds are different fromParole/probation warrants. Parolees at Large (PALs) areconsidered parole warrant suspects. Parole and probationholds require an arrest narrative.

JUVENILE WARRANT ARRESTS. For warrant arrests involvingjuveniles, officers must submit the following:.

• Arrest Report "Face Sheet," Form 05.02.00;• Investigator's Final Report, Form 05.10.00;• Copy of the Warrant Information Sheet (WIS) or abstract for

warrants issued within California; and,• Juvenile Arrest Supplemental Report, Form 05.02.06.

Note: Officers must document the circumstances under whichthey came into contact with the juvenile on the Juvenile ArrestSupplemental Report.

• Disposition of Arrest and Court Action, Form 05.09.00.

1551.1 PC FUGITIVE ARRESTS. For 1551.1 PC Fugitive arrests,officers shall submit the following to the WC or his/her designee:

• Arrest Report "Face Sheer;• Disposition of Arrest and Court Action, Form 05.09.00;• Investigator's Final Report;• Probable Cause Determination (PCD), Form CRIM 084;• National Crime Information Center (NCIC) printout; and,• Booking Approval.

PAROLE HOLDS. For parole holds, officers shall submit thefollowing to the WC or his/her designee:

• Arrest Report "Face Sheer;• Investigator's Final Report;• Arrest narrative;• PCD Form;• Copy of parole hold authorization from the California

Department of Corrections and Rehabilitation; and,• Booking Approval.

PROBATION HOLDS. For probation holds, officers shall submit thefollowing to the WC or his/her designee:

• Arrest Report "Face Sheer;• Investigator's Final Report;• Arrest narrative;• PCD Form;• Copy of probation hold authorization from the Los Angeles

County Probation Department; and,• Booking Approval.

Note: The Consolidated Criminal History Reporting System(CCHRS) printout, Criminal Identification and Information (CII)printout, Department of Motor Vehicles (DMV) history, and CityAttorney's Disclosure Statement are not required for felony warrantarrests, 1551.1 PC fugitive arrests, parole holds or probation holds.

EXCEPTIONS. An arrest narrative shall be completed under thefollowing circumstances:

• Arrests involving a use of force;• Evidence recovered as a result of the arrest;• If arrestee receives injuries which could be attributed to the

officers;• Aggravated or unusual circumstances; and,• At the direction of the watch commander.

M. ARMED FORCES PERSONNEL. Print MILITARY on top leftmargin, and include in narrative the arrestee's rank, serial number,branch of service, unit and its location, dress (uniform or plainclothes), and duty status.

JUVENILE ARREST SUPPLEMENTAL REPORT, Form 05.02.06.Complete this form on all juvenile arrests. Include it as the last pageof the Arrest Report. Arresting officers shall notify the juvenile'sparents or guardian without delay

JUVENILE PETITION REQUEST FORMAT. To request a petition,follow the reporting instructions on the page 2 of the Juvenile ArrestSupplemental Report.

AFFIDAVIT OF MINOR (Business & Professions Code),Form 05.02.07. Complete an Affidavit of Minor for B & P Code Violations,Form 05.02.07, when a minor (under 21 for this purpose) B & P arrest isrelated to any ABC licensed premises, the minor waives Miranda Rights,AND the minor Indicates a willingness to provide information, Section 1through 28 should be completed by the minor, but may be completed bythe arresting officer if the minor is unable. Section 29 must be completedby the minor. The remainder of the Affidavit, indicating the apparent ageof the minor, shall be completed by the arresting officer. If the minor doesnot waive the Miranda Rights, or refuses to complete the Affidavit, indicatethis fact in the additional section of the Arrest Report or RFC. TheAffidavit is distributed as a page of the Arrest Report or RFC.

RELATED DEPARTMENT MANUAL SECTIONSADVICE/APPROVAL ON MISDEMEANOR BOOKINGSRECORDING OF BOOKING APPROVALAPPROVAL FOR JUVENILE BOOKINGSARREST BY OUTSIDE POLICE AGENCY OFFICERSCOMBINED REPORTINGCRIME REPORTED ON ARREST REPORTEVIDENCE REPORT COMBINED WITH ARREST REPORTJUVENILE CUSTODY REPORTMARIJUANA ARREST PROCEDURES

4/216.024/216.124/218.604/850.004/203.154/216.144/216.154/218.784/216.25