Form 1-705 Law Enforcement Officers Killed or Assaulted

1-705 (Rev. 10-10-06)

OMB No. 1110-0006

Expires 2-29-10

LAW ENFORCEMENT OFFICERS KILLED OR ASSAULTED

This report is authorized by law Title 28, Section 534, U.S. Code. Your cooperation in using this form to report the number of your officers who were

killed or assaulted in the line of duty during the month will assist the FBI in compiling timely, comprehensive, and accurate data. Please submit this

report, by the seventh day after the close of the month, and any questions to the FBI, Criminal Justice Information Services Division, Attention:

Uniform Crime Reports/Module E-3, 1000 Custer Hollow Road, Clarksburg, West Virginia 26306; telephone 304-625-4830, facsimile 304-625-3566.

Under the Paperwork Reduction Act, you are not required to complete this form unless it contains a valid OMB control number. The form takes

approximately 7 minutes to complete. Instructions for preparing the form are on the reverse side. Additional information on officers who were

assaulted and injured with a firearm or a knife or other cutting instrument will be requested on a separate questionnaire, Analysis of Law

Enforcement Officers Killed and Assaulted.

OFFICERS KILLED

Number of your law enforcement officers

By felonious act

killed in the line of duty this month.

By accident or negligence

OFFICERS ASSAULTED (Do not include officers killed) - See other side for instructions.

Type of activity

Total assaults by weapon A

Type of weapon

Type of assignment

Officer assaults cleared M

Firearm B

Knife or other cutting instru- ment C

Other danger- ous weapon D

Hands, fists, feet, etc. E

Two- officer vehicle F

One-officer vehicle

Detective or special assign.

Other

Alone G

Assisted H

Alone I

Assisted J

Alone K

Assisted L

1. Responding to disturbance calls (family quarrels, person with firearm, etc.)

2. Burglaries in progress or pursuing burglary suspects

3. Robberies in progress or pursuing robbery suspects

4. Attempting other arrests

5. Civil disorder (riot, mass disobedience, etc.)

6. Handling, transporting, custody of prisoners

7. Investigating suspicious persons or circumstances

8. Ambush - no warning

9. Handling persons with mental illness

10. Traffic pursuits and stops

11. All other

12. TOTAL (1-11)

13. Number with personal injury*

DO NOT WRITE HERE

14. Number without personal injury

Initials

Recorded

12:01

2:00

4:00

6:00

8:00

10:00

12:00

Edited

15. Time of assaults

AM

Entered

PM

Verified

Adjusted

Month and Year

Agency Identifier

Prepared by Title

Agency

State

Chief, Sheriff, Commissioner, Superintendent

*If the officer was injured with a firearm (13B) or a knife or other cutting instrument (13C), please complete the block on the reverse side and

include your agency's incident or case number(s). This information is only for your agency's use to assist in referencing the incident once the

above-mentioned questionnaire is forwarded to you for completion.

FBI/DOJ

INSTRUCTIONS FOR PREPARING REPORT

When an officer is assaulted in the line of duty, the reporting agency should enter the type of weapon (columns B through E) and type

of assignment (columns F through L) next to the appropriate type of assignment (lines 1 through 11). The reporting agency should

also indicate injury (line 13) or no injury (line 14) and total number of assaults by the time of day on line 15. Reporting agencies are

reminded that the Hierarchy Rule applies to those incidents involving aggravated assaults on law enforcement officers while

responding to or taking necessary action at the scene of a crime. For example, if an officer is assaulted at the scene of a robbery, only the

robbery is scored on the Return A, but the assault is recorded on this form. However, if the officer is assaulted during a burglary

incident, only the assault is scored both on the Return A and on this form.

The reporting agency should use column M next to the appropriate activity to indicate that an assault on a law enforcement officer

was cleared by arrest.

At the end of the month, the reporting agency should add across each line, B through E, and enter total in column A. (The total

F through L should equal the total of B through E as entered in A.) Finally, the reporting agency should enter a total for each column

(B through M) on line 12.

Columns B - E:

Columns B through E pertain to type of weapon. The reporting agency should enter one weapon for each assault. If more than

one type of weapon is used to commit a single assault, the weapon which is first encountered in moving from column B to

column E should be the weapon selected.

Columns F - L:

Column F (Two-officer vehicle) and columns G and H (One-officer vehicle) pertain to uniformed officers, columns I and J

(Detective or special assignment) to non-uniformed officers. Columns K and L (Other) pertain to officers assaulted functioning

in a capacity not represented by columns F through J such as foot patrol, off duty, etc.

Column M:

Enter the number of officer assaults cleared. Column M should not be used to count the number of persons arrested for such

offenses. Include exceptional clearances in this column.

Lines 1 - 11:

Enter the type of law enforcement activity in which the officer was engaged at the time of assault.

Line 12:

Enter the total of lines 1 through 11.

Line 13:

Enter the number of assaults from line 12 that resulted in personal injury to the officer.

Line 14:

Enter the number of assaults from line 12 in which there was no injury to the officer.

Line 15:

Enter the total number of assaults on officers occurring within the appropriate two-hour intervals.

YOUR AGENCY'S INCIDENT OR CASE NUMBER(S)

(Complete this block only if the assaulted officer was injured with a firearm or a knife or other cutting instrument.)