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Jail record

Blank duty officer incident report form

An empty Bureau of Prisons duty officer incident report form with no incident details filled in.Machine-written summary

EFTA00131259

Attachment 2 -

DUTY OFFICER INCIDENT REPORT

DATE:DUTY OFFICER:LOCATION:
CALLER:LOCATION:TIME:
INCIDENT:INSTITUTION:TIME:
PERSON(S) NOTIFIED:

PERSON(S) NOTIFIED:

OFFENDER #1OFFENDER #2OFFENDER #3
NAME
SENTENCE LENGTH
RELEASE DATES
REG.NUMBER
AGE
OFFENSE
SL/CUSTODY
CIM STATUS

SUMMARY OF THE INCIDENT: *If known, indicate if incident was gang or racial related.

Complete and submit form by 8:00 am the following day.Incidents of major significance should be immediately reported.
Distribution: Institution/CEORegional Duty Officer

(CONTINUE ON BACK OF FORM IF NEEDED)

Sensitive But Unclassified

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These documents were released together, in one file.

and 46 more in the same file.

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