Your Rights as a Crime Victim PHOENIX POLICE REPORT NUMBER DATE MM slash DD slash YYYY OFFENSE INFORMATIONTYPE OF OFFENSE: TIME OF OFFENSE: FELONY CHARGE MISDEMEANOR CHARGE JUVENILE CHARGE Suspect’s Name: Date of Birth: MM slash DD slash YYYY Reporting Officer(s) Bureau Responsible for Handling this Case SUSPECT CUSTODY STATUSArrest Information ADULT SUSPECT ARRESTED JUVENILE SUSPECT DETAINED BOOKING #: Cited and Released Information SUSPECT CITED AND RELEASED COURT: DATE: MM slash DD slash YYYY TIME: CITATION #: YOU HAVE CHOSEN TO Request Waive VICTIMS’ RIGHTSNOTIFICATION OF DOMESTIC VIOLENCE FIREARM SEIZUREReport Number Date & Time of Seizure Location of seizure: Officer Name Officer Serial Number DOMESTIC VIOLENCE FIREARM SEIZURE RECEIPTFIREARM MAKE MODEL SERIAL # Add Another Firearm? FIREARM MAKE MODEL SERIAL # Add Another Firearm? FIREARM MAKE MODEL SERIAL # Add Another Firearm? FIREARM MAKE MODEL SERIAL # Add Another Firearm? FIREARM MAKE MODEL SERIAL # Seized by:(Officer Name and Serial #) Report #: Date & Time Send form in English Spanish Email