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22. NOTIFICATION
TIME
23a. EVIDENCE
YES NO
23b. TAG NO.
23c. TYPE
NOTIFIED
ARRIVED
a. Other Police
Agency
23d. WHERE STORED
b. Fire Department
24. ATTACHMENTS (Mark “X” where applicable)
a. CONTINUATION SHEET
d. STATEMENT(S)
c. Ambulance
b. GSA FORM 3157
c. PROPERTY RECEIPT(S)
e. SUPPLEMENTAL
d. Building Manager
f. OTHER ATTACHMENTS (Specify)
e. OTHER (Specify)
25. SUSPECT STATUS
26. DISPOSITION OF SUSPECT
a. NOT IDENTIFIED
a. ARRESTED
b. NOT ARRESTED
b. GOVERNMENT EMPLOYEE
c. RELEASED
d. N/A
c. GOVERNMENT CONTRACT
d. CITATION ISSUED
►
CITATION NUMBER
d. NON-GOVERNMENT EMPLOYEE
e. N/A
NOTE: Complete GSA Form 3157 where this is a Suspect, Att. Burglary, Burglary, Att. Robbery, Robbery, or a Weapon is used.
27. TIME
28. REVIEWED BY
a. RECEIVED
b. ARRIVED
a. TYPE
FPS
GG
b. SIGNATURE
d. DATE
c. RETURNED TO SERVICE
c. NAME (Printed)
29a. BADGE
29b. NAME (Printed)
29c. SIGNATURE
29d. DATE
30. CASE REFERRED TO
31. CASE
32. APPROVING OFFICIAL
a. FPS DETECTIVE
b. LOCAL POLICE
c. STATE POLICE
a. SIGNATURE
b. DATE
d. FBI
e. IG
f. N/A
a. OPEN
g. OTHER (Specify)
b. CLOSED
c. NAME (Printed)
c. UNFOUNDED
33. DETECTIVE STATUS
a. CASE NUMBER
b. HOW CLOSED
INACTIVE ARREST OTHER MEANS
c. SUSPECT
DEVELOPED ARRESTED
d. ENTERED NCIC
YES NO N/A
e. PROPERTY
RECOVERED
f. VALUE OF PROPERTY
g. CLEARED NCIC
YES NO N/A
h. REFERRED TO
i. DATE REFERRAL ACCEPTED
21. NARRATIVE (If additional space is needed, use blank sheet and attach.)
GSA FORM 3155 (REV. 3/200) PAGE 2