Section 1 of 8 in this document
Criminal Intelligence Intake Form
Detective Bureau
Information Type
Officer Information
Reporting Officer Name
Reporting Officer Badge
What type of criminal conduct does this information relate to?
Vice Related
Drugs and Alcohol related
Crimes or Corruption Involving Public Officials
Organized Crime Related
Terrorism Related
Other Crime Related?
Yes
No
Please state other crime related:
Section 2 of 8 in this document
Source of the Information
Source of Information
Date Recieved:
Time Received:
Location Received:
Source of Information Continued:
Information was received from another government entity.
Information was received from a civilian source.
Information was received from anonymous source
Name of Agency or Organization:
Name of Contact Person:
Phone Number of Contact:
Case Number Assigned:
Full Name of Source:
Home Address (City/ State, Zip):
Home Phone Number:
Cell Phone Number:
Place of Employment:
How was Information Received?
What phone number was on caller ID?
Section 3 of 8 in this document
Reliability of the Source:
High
Medium
Low
None
Unknown
Explain Reliability Classification Above:
Section 4 of 8 in this document
Description of the Criminal Misconduct
Provide a thorough description of the criminal conduct:
Section 5 of 8 in this document
Intelligence reviewed is:
Time Critical - IMMEDIATE ACTION REQUIRED
Time Sensitive - Case Assignment or Dissemination within 24 hours
Not Time Sensitive
Intelligence Classification
Restricted
Confidential
Unclassified
Intelligence Type:
Criminal Intelligence
Strategic Intelligence
Tactical Intelligence
Section 6 of 8 in this document
Information was acted upon as follows:
It was filed for future reference.
It was assigned to an agency investigator for follow-up investigation.
It was disseminated to another law enforcement agency for follow-up investigation.
Name of Investigator:
Case Number:
Date and Time of Assignment:
Name of Organization:
Name of Investigator:
Case Number:
Date and Time of Dissemination:
Section 7 of 8 in this document
The Intelligence OIC recommends the following for this case:
Date set for Auditing and Purging Review of this document:
Intelligence File Status
Open
Closed
Proper Notification:
Notification made to the Chief Executive Officer.
disregard this