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DATE/TIME RECEIVED			
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UOR#: 			
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FOLLOW-UP NOTES			
FOLLOW-UP NOTES:			
FOLLOW-UP INVESTIGATOR			
VA POLICE			
UNIFORM OFFENSE REPORT			
Automated VA Form 10-1393			
Mail message is now being created.			
ENDING DATE/TIME OF OFFENSE: 			
WEAPON USED: 			
CLASSIFICATION CODE: 			
COMPLAINANT  DATA			
COMPLAINANT NAME: 			
HOME ADDRESS: 			
HOME PHONE: 			
WORK ADDRESS: 			
WORK PHONE: 			
VICTIM NAME: 			
DRIVER'S LICENSE & STATE: 			
MEDICAL TREATMENT:			
OFFENDER NAME: 			
HEIGHT: 			
WEIGHT: 			
HAIR COLOR: 			
EYE COLOR: 			
SKIN TONE: 			
SCARS/MARKS: 			
PERSONAL DESCRIPTION: 			
OFFENSE COMMITTED: 			
  CHARGING DOCUMENT: 			
WITNESS  DATA			
WITNESS NAME: 			
VEHICLE INFORMATION			
LICENSE TAG # & STATE: 			
MAKE: 			
STYLE: 			
COLOR: 			
DECAL # & COLOR: 			
YEAR OF MANUFACTURE: 			
OWNER NAME: 			
LOST/STOLEN  PROPERTY			
ITEM NAME: 			
DOLLAR LOSS: 			
DOLLAR RECOVERED: 			
PROPERTY HELD			
ITEM #: 			
QUANTITY: 			
PURPOSE: 			
WAS CIP WEAPON USED? 			
WAS POLICE BATON USED? 			
OTHER AGENCY NOTIFIED			
DATE/TIME NOTIFIED: 			
CONTACT PERSON: 			
AGENCY: 			
U.S. ATTORNEY NOTIFIED			
INSTRUCTIONS RECEIVED:			
ORIGIN:			
INITIAL OBSERVATION:			
INVESTIGATION:			
DISPOSITION:			
INVESTIGATING OFFICER			
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. OFFENSE COMPLAINANT- 			
. OFFENSE VICTIM- 			
. OFFENSE OFFENDER- 			
. OFFENSE WITNESS- 			
WANT OR WARRANT 			
. EVIDENCE RECORD NUMBER 			
MASTER NAME INDEX RECORD			
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FO:1:30			
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.01DECAL NO.;.02:.07			
 does not have a vehicle registered with this decal.			
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** TAG DELETED FROM POLICE REGISTRATION LOG **			
OFFENDER #			
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UNKNOWN OFFENDER DESCRIPTION			
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VEHICLE #			
ITEM #			
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COMPLAINANT #			
VICTIM #			
MEDICAL TREATMENT: 			
MEDICAL TREATMENT			
WITNESS #			
INITIAL OBSERVATION			
OTHER AGENCY			
Instructions Received: 			
Instructions Received			
Site # is not defined!			
  Beginning DATE of Report to Delete : 			
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  Beginning DATE : 			
   Ending DATE: 			
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  Beginning DATE of Report to Print : 			
UNIFORM CRIME REPORT			
VAUTD*			
VA Facility 			
ASSAULTS         Total # : 			
Aggravated          :  			
Dangerous           :  			
Kidnapping          :  			
No Weapon           :  			
Simple              :  			
Offender			
Victim			
Employee         : 			
Outsider: 			
Police Officer   : 			
Outsider         : 			
Unknown : 			
Patient          : 			
Visitor : 			
Unknown          : 			
Visitor          : 			
BURGLARIES       Total # : 			
All Other Areas            :  			
Canteen                    :  			
Agent Cashier              :  			
Locker Areas               :  			
Office                     :  			
Pharmacy                   :  			
Vehicles                   :  			
Burglary Total $ Loss      :  			
Burglary Total $ Recovered :  			
CONTRABAND       Total # : 			
Drugs Total #              :  			
Forged Prescriptions       :  			
Introduction               :  			
Possession                 :  			
Sale                       :  			
Under the Influence        :  			
Alcohol Total #            :  			
Weapons Total #            :  			
Firearms                   :  			
Knives/Hatchets/Clubs      :  			
Explosives                 :  			
Other                      :  			
DISTURBANCES         Total # : 			
Bomb Threats               :  			
Demonstrations              :  			
Disorderly Conduct         :  			
Employee Threat             :  			
Other Threat               :  			
Smoking Violation           :  			
Trespassing                :  			
Unauthorized Photograph     :  			
Unauth/Poss/Use/Keys/Cards :  			
MANSLAUGHTER/MURDER      Total # : 			
Manslaughter/Murder/Negligent :  			
Manslaughter/Murder/Non-Neg.  :  			
Employee      : 			
Outsider      : 			
Patient       : 			
Visitor       : 			
NON-CRIMINAL INVESTIGATIONS    Total # : 			
Missing Patient Reaction   :  			
Government Veh. Accident    :  			
Personal Veh. Accident     :  			
Assist Law Officer          :  			
Staff Assist               :  			
Alarm Response              :  			
Safety Hazard              :  			
Information Only            :  			
OTHER OFFENSES        Total # : 			
Arson                       :  			
Arson $ Damage              :  			
Possession/Stolen Property  :  			
Receive/Sell Stolen Property:  			
Suicide                     :  			
Suicide Attempt             :  			
RAPES               Total # : 			
Attempted Rape              :  			
Forcible Rape               :  			
ROBBERY            Total # : 			
Armed Robbery              :  			
Strong Armed Robbery       :  			
Drugs Only                 :  			
Robbery Total $ Loss        :  			
Robbery Total $ Recovered   :  			
STOPS & ARRESTS    Total # : 			
Physical Arrests           :  			
Stops for Questioning      :  			
Package Stops               :  			
Non-Package Stops           :  			
THEFTS             Total # : 			
Coin-Operated Machines     :  			
Total $ Loss                :  			
Total $ Recovery            :  			
Actual Drug Thefts         :  			
Controlled Substance        :  			
Non-Controlled Substance    :  			
Attempted Drug Thefts      :  			
Total Drug Thefts          :  			
Total Drug $ Loss           :  			
Total Drug $ Recovered      :  			
Government Property        :  			
Total Gov't $ Loss          :  			
Total Gov't $ Recovered     :  			
Personal Property          :  			
Total Personal $ Loss       :  			
Total Personal $ Recovered  :  			
Government Motor Vehicles  :  			
Gov't Vehicles Recovered    :  			
$ Loss Gov't Vehicles       :  			
$ Recovered Gov't Vehicles  :  			
Private Motor Vehicles     :  			
Private Vehicles Recovered  :  			
$ Loss Private Vehicles     :  			
$ Recovered Private Vehicles:  			
Total #                     :  			
Total $                     :  			
VICE SOLICITING       Total # :  			
Bribery                    : 			
Forgery                      : 			
Fraud                      : 			
Gambling                     : 			
Solicitation/Prostitution  : 			
Sexual Misconduct            : 			
VIOLATION CHARGES     Total # : 			
Courtesy Warnings  Total # : 			
Non-Traffic               :  			
Moving                    :  			
Parking                   :  			
USDC Notice        Total # : 			
Do you want to transmit this report to the National Database (XXX@Q-VAP.VA.GOV)			
ASSAULTS       Total # : 			
Drugs Total #                :  			
Forged Prescriptions         :  			
Introduction                 :  			
Possession                   :  			
Sale                         :  			
Under the Influence          :  			
Alcohol Total #              :  			
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