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

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.