Uf 49 Format Nypd Template -

| OFFICER INFO | OFFICER NAME (Printed): _______________ SHIELD #: _______ COMMAND: _______ SIGNATURE: _____________________________ DATE: ________

| INCIDENT DETAILS | DATE OF OCC: __________ TIME OF OCC: ________ TIME REPORTED: ________ OFFENSE / COMPLAINT TYPE (Code): ___________ (e.g., Harassment – 240.26) uf 49 format nypd template

| SUSPECT (If known) | LAST: ____________________ FIRST: _______________ MI: ___ DOB: ___________ (or approx age: _____) SEX: [ ] M [ ] F [ ] X RACE: _____ HT: _____ WT: _____ HAIR: _____ EYES: _____ CLOTHING: ________________________________________ WEAPON: [ ] NONE [ ] KNIFE [ ] GUN [ ] OTHER: _________ | OFFICER INFO | OFFICER NAME (Printed): _______________

NYPD COMPLAINT REPORT (UF-49) [BARCODE / QR] PRECINCT: _______ COMPLAINT NO: _______ DATE: ________ TIME: ________ | COMPLAINANT | LAST: ____________________ FIRST: _______________ MI: ___ DOB: ___________ SEX: [ ] M [ ] F [ ] X RACE: _____ HOME ADDR: _____________________________________________ APT: _____ CITY: ____________ STATE: ___ ZIP: _________ PHONE: ( ________ ALT PHONE: ( ) ________ ID PRESENTED: [ ] DL [ ] NON-DRIVER [ ] OTHER: _________ uf 49 format nypd template

| DISPOSITION | [ ] COMPLAINT FILED – NO ARREST [ ] REFERRED TO OTHER UNIT (Specify: _______________) [ ] UNFOUNDED [ ] COMPLAINANT REFUSES TO COOPERATE [ ] MISCELLANEOUS / OTHER: _______________________________