Form NJ-UCR-369A "Law Enforcement Officers Killed or Assaulted Monthly Supplement" - New Jersey

What Is Form NJ-UCR-369A?

This is a legal form that was released by the New Jersey State Police - a government authority operating within New Jersey. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on September 1, 2018;
  • The latest edition provided by the New Jersey State Police;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form NJ-UCR-369A by clicking the link below or browse more documents and templates provided by the New Jersey State Police.

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Download Form NJ-UCR-369A "Law Enforcement Officers Killed or Assaulted Monthly Supplement" - New Jersey

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STATE OF NEW JERSEY
Reset Form
DEPARTMENT OF LAW & PUBLIC SAFETY
Law Enforcement Officers Killed or Assaulted
Municipal Code Number
Monthly Supplement
N.J.
0 0
(Also Include on Return A)
NCIC Code Number
OFFICERS KILLED —
Number of your law enforcement officers killed in the line of duty this month:
By Felonious Act:
By Accident or Negligence:
POLICE OFFICERS ASSAULTED —
(Do not include officers killed):
TYPE OF WEAPON USED
TYPE OF ASSIGNMENT
KNIFE/
DETECTIVE or
TOTAL
OTHER
PHYSICAL
ONE OFFICER
OTHER
TWO
POLICE
CIRCUMSTANCE
FIREARM
SPECIAL
OTHER
CUTTING
OFFICER
ASSAULTS
ASSAULT
WEAPON
FORCE
VEHICLE
ASSIGNMENT
OBJECT
VEHICLE
CLEARED
ALONE ASSISTED ALONE ASSISTED ALONE ASSISTED
A
B
C
D
E
F
G
H
I
J
K
L
M
1. Responding to "Disturbance" calls (family
quarrels, man with gun, etc.)
2. Burglaries in progress or pursuing burglary
suspects
3. Robberies in progress or pursuing robbery
suspects
4. Attempting other arrests
5. Civil disorder (riot, mass disobedience, etc.)
6. Handling, transporting, custody of prisoners
7. Investigating suspicious persons or
circumstances
8. Ambush — no warning
9. Handling persons with mental illness
10. Traffic pursuits and stops
11. All other
12. Total (1 - 11)
13. With personal injury
14. Without personal injury
AM
15. Time of assaults
PM
12:01
2:00
4:00
6:00
8:00
10:00
12:00
DO NOT USE THIS SPACE
INITIALS
Report for the Month of:
RECORDED
Prepared by:
Date:
REVIEWED
PUNCHED
Department:
VERIFIED
Head of Department
ADJUSTED
All information should be entered into the UCR System by the 7th day after the close of the reporting
period.
POP GROUP
DO
NOT: Email, Fax, or Mail a paper copy of this form to the New Jersey State Police.
CHARACTER
NJ-UCR-369A (Rev. 09/18)
STATE OF NEW JERSEY
Reset Form
DEPARTMENT OF LAW & PUBLIC SAFETY
Law Enforcement Officers Killed or Assaulted
Municipal Code Number
Monthly Supplement
N.J.
0 0
(Also Include on Return A)
NCIC Code Number
OFFICERS KILLED —
Number of your law enforcement officers killed in the line of duty this month:
By Felonious Act:
By Accident or Negligence:
POLICE OFFICERS ASSAULTED —
(Do not include officers killed):
TYPE OF WEAPON USED
TYPE OF ASSIGNMENT
KNIFE/
DETECTIVE or
TOTAL
OTHER
PHYSICAL
ONE OFFICER
OTHER
TWO
POLICE
CIRCUMSTANCE
FIREARM
SPECIAL
OTHER
CUTTING
OFFICER
ASSAULTS
ASSAULT
WEAPON
FORCE
VEHICLE
ASSIGNMENT
OBJECT
VEHICLE
CLEARED
ALONE ASSISTED ALONE ASSISTED ALONE ASSISTED
A
B
C
D
E
F
G
H
I
J
K
L
M
1. Responding to "Disturbance" calls (family
quarrels, man with gun, etc.)
2. Burglaries in progress or pursuing burglary
suspects
3. Robberies in progress or pursuing robbery
suspects
4. Attempting other arrests
5. Civil disorder (riot, mass disobedience, etc.)
6. Handling, transporting, custody of prisoners
7. Investigating suspicious persons or
circumstances
8. Ambush — no warning
9. Handling persons with mental illness
10. Traffic pursuits and stops
11. All other
12. Total (1 - 11)
13. With personal injury
14. Without personal injury
AM
15. Time of assaults
PM
12:01
2:00
4:00
6:00
8:00
10:00
12:00
DO NOT USE THIS SPACE
INITIALS
Report for the Month of:
RECORDED
Prepared by:
Date:
REVIEWED
PUNCHED
Department:
VERIFIED
Head of Department
ADJUSTED
All information should be entered into the UCR System by the 7th day after the close of the reporting
period.
POP GROUP
DO
NOT: Email, Fax, or Mail a paper copy of this form to the New Jersey State Police.
CHARACTER
NJ-UCR-369A (Rev. 09/18)