OCCURRENCE DATE(S)

ON

OR

MM/DD/YY

MM/DD/YY

TIME

MM/DD/YY

DAY OF
WEEK

TIME

STATE OF NEW MEXICO

UNIFORM INCIDENT REPORT

DATE
REPORTED

BETWEEN

TIME

Rio Rancho Dept. of Public Safety

DAY OF
WEEK

OFFENSE

3.

PERSON
CODE

PERSON CODES V VICTIM

C CITED
G PARENT / GUARDIAN
W WITNESS
R REPORTING PERSON
D DECEASED
TYPE
CODE

INJURY
CODE

S SUSPECT
A ARRESTED
I INTERVIEWED
M MISSING PERSON / RUNAWAY

SUBJECTS (VICTIMS / SUSPECTS / PERSONS / BUSINESSES)

TYPE CODES
I INDIVIDUAL
B BUSINESS

P POLICE
O OTHER
G GOVERNMENT

STATE

ZIP CODE

OCCUPATION

TYPE
CODE

INJURY
CODE

PERSON
CODE

TYPE
CODE

INJURY
CODE

OCCUPATION

ADDL. ON
SUPP.

VEH. STATUS
CODE

VEHICLE

YEAR

1 STOLEN
2 BURNED
3 RECOVERED (STOLEN LOCALLY)

MAKE

REGISTERED OWNERS NAME (OR SAME AS SUBJECT NO.)

10 OTHER
11 EMBEZZLED
12 REPOSSESSION

LICENSE NO.

VEH. TYPE
CODE

LIC. YEAR

VIN

AGG. ASSAULT
JUST. HOM. CODE

VICTIM OF
SUSP. NO.

REL.

VICTIM OF
SUSP. NO.

REL.

ON VIEW

TYPE OF ARREST
CITED
CUST.

RES. STATUS

1 AIRPLANE
3 AUTOMOBILE
5 BUS

LIC. STATE

24 OTHER MOTOR VEHICLE

28 MOTOR HOMES
37 TRUCK (PICK-UP)

TOP COLOR

39 WATERCRAFT
41 MOTORCYCLE
42 SNOWMOBILE

43 ATV
44 TRAILER

BTM. COLOR VALUE / DAMAGE

DISTINGUISHING FEATURES / VISIBLE DAMAGE

TOW TO / BY

AGENCY OPTIONAL USE

ETHNIC

NIC NO.

ADDRESS

REL.

S.I.D. NO.

7 DAMAGED / VANDALIZED
8 SUSPECTS VEHICLE
9 VICTIMS VEHICLE

BODY STYLE

EYES

ARMED WITH (SEE CODES)

4 RECOVERED (OTHER JURIS.)

5 SEIZED
6 ABANDONED

MODEL

F.B.I. NO.

RACE

SEX

HAIR

VICTIM OF
SUSP. NO.

DL. STATE ARREST / CITATION NO.

TYPE OF ARREST
CITED
CUST.

WEIGHT

VICTIM OF
OFF. NO.

MARKS, SCARS, TATTOOS, CLOTHING

DRIVERS LICENSE NO.

ON VIEW

EMPLOYER / SCHOOL
ADDRESS

GANG
AFFILIATION

ALIAS / NICKNAME

REL.

EMPLOYER / SCHOOL

VICTIM OF
SUSP. NO.

BUS. PHONE

AGE

HEIGHT

REL.

DATE OF BIRTH

ZIP CODE

VICTIM OF
SUSP. NO.

RES. STATUS

RES. PHONE
STATE

AGG. ASSAULT
JUST. HOM. CODE

ETHNIC

NIC NO.

SOCIAL SECURITY #

CITY

REL.

S.I.D. NO.

STREET
ADDRESS

EYES

ARMED WITH (SEE CODES)

F.B.I. NO.

3. NAME (LAST, FIRST, MIDDLE)

RACE

GANG
AFFILIATION

DL. STATE ARREST / CITATION NO.

TYPE OF ARREST
CITED
CUST.

EMPLOYER / SCHOOL
ADDRESS

ON VIEW

SEX

HAIR

VICTIM OF
SUSP. NO.

MARKS, SCARS, TATTOOS, CLOTHING

DRIVERS LICENSE NO.

REL.

WEIGHT

VICTIM OF
OFF. NO.

EMPLOYER / SCHOOL

ALIAS / NICKNAME

VICTIM OF
SUSP. NO.

BUS. PHONE

AGE

HEIGHT

ZIP CODE

REL.

VICTIM OF
SUSP. NO.

RES. STATUS

DATE OF BIRTH

RES. PHONE

OCCUPATION

REL.

STATE

AGG. ASSAULT
JUST. HOM. CODE

NIC NO.

SOCIAL SECURITY #

CITY

ETHNIC

S.I.D. NO.

2. NAME (LAST, FIRST, MIDDLE)

STREET
ADDRESS

EYES

ARMED WITH (SEE CODES)

F.B.I. NO.

RACE

GANG
AFFILIATION

DL. STATE ARREST / CITATION NO.

T LOSS OF TEETH
U UNCONCIOUSNESS
N - NONE

EMPLOYER / SCHOOL
ADDRESS

SEX

HAIR

VICTIM OF
SUSP. NO.

MARKS, SCARS, TATTOOS, CLOTHING

DRIVERS LICENSE NO.

HATE/BIAS
MOT. CODE

EMPLOYER / SCHOOL

ALIAS / NICKNAME

GANG REL.
YES

WEIGHT

VICTIM OF
OFF. NO.

BUS. PHONE

NO. OF
UNITS ENT.

UP TO 3 PER
ALCOH.
OFFENSE

AGE

HEIGHT

BURGLARY
FORCE

OFFENDER(S) SUSPECTED
OF USING

M APPARENT MINOR INJURY

O OTHER MAJOR INJURY

DATE OF BIRTH

LOCAT
CODE

B APPARENT BROKEN BONE

I POSSIBLE INTERNAL INJURY

RES. PHONE

WEAPON
CODE

CODES
L SEVERE
INJURY
LACERATION

S SOCIETY / PUBLIC
U - UNKNOWN

SOCIAL SECURITY #

CITY

PERSON
CODE

LETED

F FINANCIAL INSTITUTION
R RELIGIOUS

1. NAME (LAST, FIRST, MIDDLE)

STREET
ADDRESS

ATTEMPTED

CRIMINAL
UCR
OFFENSE ACTIVITY
CODE
CODE

2.

ADDL. ON
SUPP.

MISD.

OF

ZIP

STATUTE OR
ORDINANCE

PAGE

CITY

1.

OPTIONAL USE

ADDRESS / LOCATION OF INCIDENT

OFFENSE / INCIDENT

DISTRICT #

ADDL. ON
SUPP.

NM 0230600

AGENCY / COUNTY

DAY OF
WEEK

INCIDENT NO.

ORI NO.

CAN VEH REL

NIC NO.