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391420814 285127190 Police Technical Report Writing 1

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Criminology (Emilio Aguinaldo College)

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Police Technical Report Writing
(Forms)

Arlho S. Bautista

Submitted by

Mrs. Joan Jose

Submitted to

A.Y 2015-2016

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 Table of Contents

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Form 1 INVESTIGATION REPORT

Form 2 INVESTIGATION REPORT

Form3 INTEGRATED PATROLS

Form 4 POST-DEPLOYMENT OF LINE BEAT FOOT PATROL

Form 5 OBSERVATION FORM

Form 6 SIGNIFICANT INCIDENT REPORT

Form 7 CHECKLIST FOR FOOT PATROL AND EQUIPMENT AND PILIS KABABAYAN
CENTER

Form 8 INTEGRATED PATROL

Form 9 RESPONSE SHEET

Form 10 PROJECT PROPOSAL FORMAT

Form 11 COPLAN FORMAT

Form 12 SOURCE CONTROL DATA

Form 13 DIRECTORATE CLEARANCE CERTIFICATE

Form 14 PATROL PROCEDURES

Form 15 POLICE BLOTTER

Form 16 POLICE REPORT

Form 17 SINUMPAANG SALAYSAY

Form 18 PINAGSAMANG SALAYSAY

Form 19 INQUEST

Form 20NATIONAL PROSECUTORS SERVICE

Form21 REGIONAL TRIAL COURT INFORMATION

Form 22 REQUEST FOR MEDICO LEGAL EXAM

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Form23 JURAT

Form 24AFFIDAVIT OF LOSS DRIVER’S LICENSE Form

25 SPECIAL POWEROF ATTORNEY Form26FORM OF

COMPLAINTS IN CRIMINAL CASES Form 27ACTS OF

LASCIVIOUNESS

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 FORMS

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 FORM NO.
Samples of Investigation Report Format

December 8, 2013

Date

SUBJECT : Murder

TO : N.B.I

I. AUTHORITY FOR INVESTIGATION:

1. December 8, 2013 in Caloocan city the National Beauru of Investigation

conduct an investigation where a suspect and a victim areinvolved to a crime
accident.

II. DETAILS

2. Murder was committed at Caloocan City by a suspect named Nyora Aguda on

December 8,2013 at 8:00am morning.The victim Yannah Datu, when she was standing in front
of the door house a suspect put a knife in her face.

III. RECOMMENDATIONS:

3. National beauru of Investigation (NBI) the order of the Prosecutor’s office if the
suspect still uncatched by the law enforcers within 1 year the “shoot to kill” order will be
released.

SPO2 Bautista Arlho S,

Investigation Officer

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 FORM NO.
December 8, 2014

Date

SUBJECT: Philippine National Police

MATTER OF CASE: Crime Report

I. AUTHORITY:
Snatcher was committed at Deparo Quezon City by a suspect named March Aguda
on December 12,2014 at 6:00om midnight. The victim named Yannah Datu, when
she was standing in front of the house there’s a man named march aguda still her
phone and march aguda run fast as he can.

II. MATTERS INVESTIGATED:

They need to investigate who do the crime

III. FACTS OF THE CASE:

The caller named Yannah Datu called our hotline 119 emergency number to report
that there’s a man in their house who broke their house they need to get their fast as
they can to stop the man doing.

IV. DISCUSSION:
Conditions requiring special discussion; and there are no mitigating or
extenuating circumstances’.

V. CONCLUSIONS:
The final investigation report was conducted by the intelligence officers of NBI and
PNP they merged to confront the witnesses and find the other instrumentalities that is
possible to contain fingerprints.

VI. RECOMMENDATIONS:
I recommend them to be fair while performing investigation to have justice of every
mankind doing their job and doing the right things.

SPO2 Arlho S Bautista

Investigating office

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 FORM NO. 3

Integrated Patrol
Republic of the Philippines
NATIONAL POLICE COMMISSION
PHILIPPINE NATIONAL POLICE
SOUTHERN POLICE DISTRICT
Police Station 8
Police Station Address: Kamuning Quezon City

MEMORANDUM : Police Academy

For : Department Chief

Thru : S.W.A.T

Subject : BEAT PATROL CHECKLIST

DATE : December 8,2014 TIME : 12:00AM PRE –

DEPLOYMENT OF LIBE BEAT FOOT PATROL

(Yes) (No)

No 1. Formation of the incoming shift line beat detail was done at about 0500 hours.

No 2. Line Beat Detail was accounted prior to their deployment. Absence details were reported and
replacements were made.

Yes 3. The Platoon Commander conducted inspection in ranks to ensure their proper appearance and
completeness of the following individual equipment:

a. Sidearm holstered in a police duty belt

b. Pro-Baton
c. Notebook
d. Checklist
e. Flashlights (if applicable)
f. Raincoat/Rain boots (if applicable)

No 4. Issued one (1) radio and one (1) long FA with corresponding ammunition to each of line
beat patrol team

Yes 5. Disseminated important instructions, current policies/ guidelines from higher headquarters.

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Yes 6. Assignment of the line beats was read to the Line Beat Detail before their deployment.

Yes 7. The line beat patrollers were dispatched at about 0600 hours.

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 FORM NO.

POST-DEPLOYMENT OF LINE BEAT FOOT PATROL

(Yes)(No)

Yes 1. That after the Line Beat Patrollers tour of duty; formation was again conducted at about 0700
hours.

Yes 2. Accounting of the Line Beat patrollers was conducted. Those absent were
reported for proper administrative actions.

No 3. That after accounting debriefing was conducted and line beat problems were noted and
untoward incidents were reported.

Yes 4. Issue radio and long firearms from the beat patrollers were accounted and re- issued to
the next shift detail.

No 5. The platoon commander conducted inspection at least twice within his tour of duty.

Yes 6. The Daily Patrol Report was accomplished by the shift patrol detail.

Yes 7. Line Beat Patrollers were properly dismissed on or about 01 00 hours.

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 FORM NO.
OBSERVATION FORM

1. PERSONNEL INVOLVED: SPO3 Arlho S. Bautista

2. AREAS COVERED: Deparo Caloocan City

3. DURATION OF PATROLLING: 7:30AM – 7:30PM

4. UNSAFE CONDITIONS AND OTHER INFORMATION NOTED DURING THE

PATROLLING – The streets near North Fairview has an open manhole that might cause
a falling of a man if it is not taken action by the authorities.

5. (Check (/) and Indicate the exact location)

/ Deep excavation w/o safe warning barricade – Southern Visayas

/ Open manhole – Metro Manila

/ Broken/ leaning pole – North Highway

/ Flooded road or any portion thereof – Caloocan Highway

/ Busted Meralco light post – Deparo Fairview

/ Fire hazard such as natural or man-made – Lagro Q.C

6. COMMENTS/RECOMMENDATIONS:
The Local authority must fixed these hazards within their area to secure the safetiness of
the residence living within their place and must promote security essentials to prevent
crimes.

7. ACTION TAKEN ON OBSERVATION/S WHICH REQUIRE IMMEDIATE

ATTENTION.
The Local authority do their job they fix all the hazards beyond their places and promote
security to guide the residence living in their place.

8. REPORTED BY: ARLHO S. BAUTISTA

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 FORM NO.

SIGNIFICANT INCIDENT REPORT

FROM: SPO2 Bautista Arlho S. TO: Col, Vincent Portillo

WHAT: Snatch WHEN: December 12, 2014
WHERE: Deparo Quezon City
WHO: Gilbert A. Sanchez
NAME OF SUSPECT (S): Trek V. Santos

HOW: Snatcher was committed at Deparo Quezon City by a suspect named March Aguda on
December 12,2014 at 6:00om midnight. The victim named Yannah Datu, when she was standing
in front of the house there’s a man named march aguda still her phone and march aguda run fast
as he can.

CASUALTIES:

a) CRIMINAL SIDE: March Aguda

b) GOV’T SIDE: Philippine National Police

c) CIVILIAN: Residence of Deparo Caloocan City

SP02 Arlho S. Bautista

Certified Correct By: Mrs. Joan jose Desk

Officer: SPO2 Duterte, Manterdo

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 FORM NO. 7

CHECKLIST FOR FOOT PATROL AND EQUIPMENT AND PULIS KABABAYAN

CENTER

POLICE STATION NO. 5 SHIFT: DAY POLICE BLOCK: 6

DATE: July 8, 2015

Line Name SIGN NAME SIGN SHORT LONG RDOs

Beat# FAs FAs
1 KEE CHE
2 CHAN MAN / /
3 LOO SYANG / /
4 ABBY POH /
5 JEREMY / /
SICAT
6 ANTHONY G / /
7 ARNOLD /
LEE
8 MARK BAGS /
9 SPIRO CHES / /
10 ANDRES B /
11 Keeper monta / /
12 ANDY G / /
13 SHEHHYEE /
14 Zaito manal /
15 Sinio batas / /
16 Nyora march
Total 16 5 7 10

PULIS NAME SIGNATURE

KABABAYAN
CENTER
EAST FAIRVIEW SPO1 arlho s. bautista
ALMAR ZABARTE PO1 caubat, michael
NORTH CALOOCAN PO1 vincent portillo

INTRAMUROS SPO4 mary lout pangilinan

Mobile Car # : 7

Crew: 1. SPO4 Michael E. Chan 2. PO4 Jeremy A. Sicat 3. PO2 Vince F. Galvan

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 FORM NO.
INTEGRATED PATROL

LOCATION OF TRAFFIC NAME SIGNATURE

POST
DELTA QUEZON CITY WEST LEE

PHILCOA QUEZON CITY NICOLE SY

PHILCOA QUEZON CITY ROBERT PEEL

CALOOCAN CITY Thomas GREEN

LAGRO QUEZON CITY KIARRA LALLEINE

ORTIGAS AVE. QUEZON EDLLYN G

CITY

ZABARTEQUEZON CITY KEIZER BOS

ZABARTE CALOOCAN JERICHO CAYABYAB

CITY
ALMAR CALOOCAN CITY DUSTIN ROQAUIN

AMPARO CITY CIELO CRUZ

BAGONG SILANG CENT PORTILLO

CALOOCAN CITY
BALIUAG BULACAN KOBE BRYAN

SAN JOSE BULACAN ANDRES BONIFACIO

TANDANG SORA LOLITA SANTIAGO

QUEZON CITY
PHILCOA QUEZON CITY WILMER MONTANO

DAPITAN QUEZON CITY KEVIN DURANT

KAMUNING QUEZON WILMA ANDRES

CITY

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 FORM NO.
EASTHERN POLICE DISTRICT

MPSU RESPOND SHEET

Date: December 8, 2015

CALLER/INFORMANT
Yannah Datu
ADDRESS/LOCATION:
Blk 23 Lot 12 Narra Street Abandon Village NATURE

OF CALL: Emergency

RESPONDING CAR: 6
ASSISTING CAR/S: 1
TIME DISPATCHED: 6:00AM TIME OF ARRIVAL: 8:24AM RT: 50 minutes
RECEIVING DESKMAN: SP03 Cheng, Samonte
SIGNATURE:
REPORT VIA RADIO (ADV INFO): N/A

REPORT VIA TELEPHONE: The caller named Yannah Datu called our hotline 119 emergency
number to report that there’s a man in their house who broke their house they need to get their
fast as they can to stop the man doing.

REMARKS: N/A

SPO2 Tabeng G. Despo

DISPATCHER

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 FORM NO. 10

PROJECT PROPOSAL FORMAT

Copy 1 of 1 Copies

Unit: 2

Date: December 8, 2015

PROJECT PROPOSAL:Security During Election

PROJECT CODE NUMBER: 111-24565-132

REFERENCES: The Philippine National Police Security Unit

I. SITUATION: The security unit were lost their eyes during election that’s why
many people this obey the rules and regulation.

II. MISSION:

a. Purpose- To prevent the cheating

b. Objectives- Identification of Suspect

c. Targets- Cheaters of election

III. OPERATIONAL PLAN:

a. Concept of Operation-To give the vote wisely

b. Tasks- to determine the suspect
c. Coordinating Instructions- Must seek the approval of high ranking officer
IV. FINANCE: P100.000
V. REPORTS:
a.Periodic -Subject matter
b.Review -Prelim
c. Special Report - To determined
SPO2 Arlho S. Bautista

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 FORM NO. 11
COPLAN FORMAT
Copy 2 of 2 copies
Unit: 8

Date: December 8, 2015

CASE OPERATION PLAN: To Catch the Druglord

PROJECT REFERENCE: Philippine National Police

I. SITUATION:
a.background: F.B.I
b.To Caught The Conditions: Classified Officers

II. MISSION:
a.Purpose:To Determine who used the drugs.

b. objectives: To make out Police officers become responsible

c. targets:
1. Personalities- N/A

2. Organization- Federal Bureau Invesigation

3. Installation- N/A

III. OPERATIONAL PLAN: Tactical counter Intelligence

a. Concept of Operation- To make our Police officers become
responsible
b. Tasks- To Determine the who used the Drugs
c. Operational Support- Operations Unit
d. Security- Accurate
e. Plan for Coordination- N/A

Quezon City Police Station 8

Operational Plan

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 FORM NO. 12

SOURCE CONTROL DATA

Bautista Arlho S.

Date of Birth: December 8, 1997 Place of Birth: Seaman’s Hospital

Present Address: Blk 13 Lot 34 Hillcrest Village Camarin Caloocan City

Sex: Male Nationality: Filipino Civil Status: Single

Spouse Name: N/A Tel. No/CP#: 09262925867

Religion: Born Again Christian Blood Type: AB Occupation: N/A

TIN No: N/A GSIS/ SSS No: N/A

Complexion: Fair Built: Medium Face: Round

Hair: Black Eyes: Brown Body: Medium Height: 5’4

Weight:140 pounds General Appearance: Unique

Identifying Characteristics: Chubby

other Distinguishing Features:N/A

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Education: College Foreign Training:N/A

Military Service/ Other Branch:N/A Employment:N/A

Membership in the Organization:N/A

Targets:N/A Code Name:N/A

Operation or Project:N/A Code Name:N/A

Date of Recruitment:N/A Handler:N/A

Signature Specimens:

1. N/A
2 N/A
3 N/A

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 FORM

Republic of the
Department of Interior and Local Government
National Headquarters, Philippine National
Police Directorate for Intelligence
Camp, Crame, Quezon City

DIRECTORATE CLEARANCE CERTIFICATE

Date: September 9, 2015

THIS IS TO CERTIFY that the individual named hereunder has been cleared under the provisions of
PNPR G-200-001 dated December 17, 2015.

Purpose

:Clearance of Investigation report

Arlho S. Bautista SPO4

F.B.I Counter Intelligence

Seaman’s Hospital December 8, 1997

September 8, 2015 Preliminary investigation

National Beauru of Investigation Quezon City Headquarters

DISTRIBUTION: Copy Nr.

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 FORM NO. 14

Republic of the Philippines

Department of the Interior and Local Government
NATIONAL POLICE COMMISSION
NATIONAL CAPITAL REGIONAL POLICE OFFICE
Camp. Kawayan S. Mama St., Bulacan
taguig, Metro Manila

December 8, 2015

STANDING OPERATING PROCEDURE

NUMBER: 08

PATROL PROCEDURES

MEMORANDUM : Police Intelligence

For : Chief Police

Thru : S.W.A.T

Subject : PATROL CHECK

DATE : December 8, 2015 TIME : 8:00AM PRE –

DEPLOYMENT OF LIBE BEAT FOOT PATROL

(Yes) (No)

Yes 1. Formation of the incoming shift line beat detail was done at about 0500 hours.

Yes 2. Line Beat Detail was accounted prior to their deployment. Absence details were reported and
replacements were made.

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Yes 3. The Platoon Commander conducted inspection in ranks to ensure their proper appearance and
completeness of the following individual equipment:

a. Sidearm holstered in a police duty belt

b. Pro-Baton
c. Notebook
d. Checklist
e. Flashlights (if applicable)
f. Raincoat/Rain boots (if applicable)

Yes 4. Issued one (1) radio and one (1) long FA with corresponding ammunition to each of line
beat patrol team

Yes 5. Disseminated important instructions, current policies/ guidelines from higher headquarters.

Yes 6. Assignment of the line beats was read to the Line Beat Detail before their deployment.

Yes 7. The line beat patrollers were dispatched at about 0600 hours.

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 FORM NO. 15

SAMPLE OF POLICE BLOTTER

ENTRY NO. DATE TIME EVENTS/INCIDENTS DISPOSITION

1 May 8, 2012 7:35 PM Jaywalking SOLVED

2 September 5:21 PM Jaywalking SOLVED

9,2019
3 January 7, 7:00 AM Jaywalking SOLVED
2007
4 October 8, 4:20 PM Jaywalking SOLVED
2015
5 June 21, 2014 2:30 AM Jaywalking SOLVED

6 November 8, 8:40 AM Jaywalking SOLVED

2015
7 January 7, 1:10 PM Jaywalking SOLVED
2007

8 May 8, 2012 9:15 PM Jaywalking SOLVED

9 December 8, 5:35 AM Physical Injuries SOLVED

2015

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