Use-of-Force Report Form (Law Enforcement)

Captures the facts of a law enforcement use-of-force incident, including force levels applied, subject injuries, witnesses, and supervisor review.

Submission Notice

• Reporting Officer Name
• Reporting Officer ID
• Unit / Assignment
• I certify this report is accurate to the best of my knowledge and submitted for official review.

Incident Details

• Date of Incident
• Time of Incident
• Incident Location
• Incident Type
• Subject Behavior Prior to Force
• Brief Incident Summary
  Describe what happened before, during, and immediately after the use of force. Focus on observable facts.

Subject Information

• Is the subject known to the agency?
• Subject Name
• Subject Age or Estimated Age
  Use an estimate if exact age is unknown.
• Subject Sex
• Observed Subject Condition

Force Used

• Force Levels Applied
• Reason Force Was Used
  Explain the immediate threat, resistance, or other circumstances that led to force being used.
• Was a weapon drawn or displayed?
• Weapon Type
• Approximate Duration of Force Application (seconds)

Injuries, Medical Response, and Witnesses

• Did the subject sustain an injury?
• Injury Description
• Medical Treatment Provided
• Were witnesses present?
• Witness Details
  List witness names or roles if known, or describe how they can be contacted through official channels.
• Evidence Collected

Supervisor Review

• Supervisor Name
• Supervisor Review Date
• Review Outcome
• Supervisor Comments