Form ISP2-649 "Person Determined to Pose a Clear and Present Danger" - Illinois

Form ISP2-649 Printable Pdf
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What Is Form ISP2-649?

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

Form Details:

  • Released on January 1, 2014;
  • The latest edition provided by the Illinois 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 ISP2-649 by clicking the link below or browse more documents and templates provided by the Illinois State Police.

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Download Form ISP2-649 "Person Determined to Pose a Clear and Present Danger" - Illinois

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Illinois State Police
Person Determined to Pose a Clear and Present Danger
It is the duty of law enforcement officials and school administrator to report to the Department of State Police when a
student or other person is determined to pose a clear and present danger to themselves, or to others, within 24 hours
of the determination. 20 Il. Admin. Code 1230.120.
This form must be completed in its entirety by the law enforcement official, principal, chief administrative officer, or
their designee making the determination. Clear and present danger reporting shall be used by the Department of
State Police to identify persons who, if granted access to a firearm or firearm ammunition, pose an actual, imminent
threat of substantial bodily harm to themselves or another person(s) that is articulable and significant or who will
likely act in a manner dangerous to public interest.
Completed forms and attachments should be faxed to the Illinois State Police, Firearm Services Bureau at 217/782-9139.
For questions or to confirm receipt of a fax, please call the Firearms Services Bureau, Monday through Friday, 8:30 a.m.
to 5:00 p.m. at 217/782-3700. For assistance from the Firearms Services Bureau beyond normal business hours, contact
the Statewide Terrorism and Intelligence Center at 877/455-7842. If immediate police assistance is required, contact
your local law enforcement agency or call 911.
REPORTING OFFICIAL
Name of Reporting Official:
Title of Reporting Official:
Name of Law Enforcement Agency / School:
Address:
Contact Information:
________________________________
________________________________
Phone
Fax:
_________________________________________________________________________
Email
Signature of Reporting Official:
Date:
INDIVIDUAL POSING A CLEAR AND PRESENT DANGER
Individual’s Name:
Date of Birth:
Individual’s Home Address:
Individual’s Campus Address (if applicable):
_____________________________________________
___________________________________________
_____________________________________________
___________________________________________
Individual’s Parents or Guardians Names (if applicable):
Individual’s Contact Phone Number(s):
ISP 2-649 (1/14)
Illinois State Police
Person Determined to Pose a Clear and Present Danger
It is the duty of law enforcement officials and school administrator to report to the Department of State Police when a
student or other person is determined to pose a clear and present danger to themselves, or to others, within 24 hours
of the determination. 20 Il. Admin. Code 1230.120.
This form must be completed in its entirety by the law enforcement official, principal, chief administrative officer, or
their designee making the determination. Clear and present danger reporting shall be used by the Department of
State Police to identify persons who, if granted access to a firearm or firearm ammunition, pose an actual, imminent
threat of substantial bodily harm to themselves or another person(s) that is articulable and significant or who will
likely act in a manner dangerous to public interest.
Completed forms and attachments should be faxed to the Illinois State Police, Firearm Services Bureau at 217/782-9139.
For questions or to confirm receipt of a fax, please call the Firearms Services Bureau, Monday through Friday, 8:30 a.m.
to 5:00 p.m. at 217/782-3700. For assistance from the Firearms Services Bureau beyond normal business hours, contact
the Statewide Terrorism and Intelligence Center at 877/455-7842. If immediate police assistance is required, contact
your local law enforcement agency or call 911.
REPORTING OFFICIAL
Name of Reporting Official:
Title of Reporting Official:
Name of Law Enforcement Agency / School:
Address:
Contact Information:
________________________________
________________________________
Phone
Fax:
_________________________________________________________________________
Email
Signature of Reporting Official:
Date:
INDIVIDUAL POSING A CLEAR AND PRESENT DANGER
Individual’s Name:
Date of Birth:
Individual’s Home Address:
Individual’s Campus Address (if applicable):
_____________________________________________
___________________________________________
_____________________________________________
___________________________________________
Individual’s Parents or Guardians Names (if applicable):
Individual’s Contact Phone Number(s):
ISP 2-649 (1/14)
Illinois State Police
Page 2
Person Determined to Pose a Clear and Present Danger
DETERMINATION OF CLEAR AND PRESENT DANGER
Provide a detailed narrative of the facts supporting the determination of “Clear and Present Danger.” Include specific
behaviors witnessed and statements made. Also include dates and times as well as any witnesses to the specific
behaviors or statements. Any attachments or supporting documentation must be referenced in the narrative and
submitted with this form.
The reporting official certifies that ________________________________ poses a clear and present danger in that they
Individual’s First Name, Middle Initial, Last Name
demonstrate threatening physical or verbal behavior, such as violent, suicidal, or assaultive threats, actions, or other
behaviors, as determined by a school administrator or law enforcement official. (430 ILCS 65/1.1)
Signature of Reporting Official:
Date:
Notice: The Department shall make the final determination regarding whether a clear and present danger exists for
purposes of revoking a FOID card pursuant to Section 8(f) of the Act. The Department shall maintain a record of those
persons who are determined to present a clear and present danger for the purpose of denying or revoking a FOID card
pursuant to Section 8(f) of the Act but shall not maintain a record of those persons who are not determined to present a
clear and present danger for such purposes.
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