Sample Format of Crime Report

Republic of the Philippines

Department of the Interior and Local Government
PHILIPPINE NATIONAL POLICE
______________________________________
_______________________
CRIME REPORT
NATURE OF CASE

__________________________________________________

COMPLAINANT/VICTIM

___________________________________________________
(NAMES, PERSONAL CIRCUMSTANCES OF COMPLAINANT)
___________________________________________________
(IN RAPE CASES, ENCLOSE THE
MEDICAL FINDING)

DATE/TIME/PLACE
OF OCCURENCE
SUSPECTS

:
:
:

__________________________________________________
__________________________________________________
__________________________________________________
(NAMES, PERSONAL CIRCUMSTANCES)
__________________________________________________
ADDRESS, IF KNOWN, AND PHYSICAL
__________________________________________________
DESCRIPTION, IF AT-LARGE

EVIDENCE
WITNESSES

:
:

__________________________________________________
__________________________________________________
(NAMES AND ADDRESS)

FACTS OF THE CASE:

____________________________________
NAME OF OFFICER-ON-CASE
____________________________________
RANK
PNP
____________________________________
DESIGNATION
NOTED AND FORWARDED:
_________________________________
CHIEF OF GOUP/UNIT
_________________________________
RANK
PNP
_________________________________
DESIGNATION