- Send to your assigned Sergeant -
- Unit Number;
- Rank;
- Date of Discharge;
- Approximate Time of Discharge (Include time zone):
- Location of Discharge
- Number of Shots Fired
- Reason for Discharge and Detailed Explanation
- Identify the Deaths, Who is Deceased, The Victim(s), the Suspect(s), and the Witness(es)
- Signature:
Supervisor Signature:
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CPT+ USE ONLY
Did the Officer Abuse, In your opinion?
Was the discharge lawful?
Did you clear the officer?
Did you suspend the officer?
If you did suspend the officer, how long did you suspend him or her?
If you did suspend the officer, explain what was wrong with their actions.
Signature:
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