OMB No. 0930-0277
Expiration Date: 05/31/2009
The CMHS Jail Diversion
Targeted Capacity Expansion Initiative
arrest data collection form
final version – revised MAY 2006
Public Burden Statement: An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB control number. The OMB control number for this project is 0930-0277. Public reporting burden for this collection of information is estimated to average 1,373 hours per client per year, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to SAMHSA Reports Clearance Officer, 1 Choke Cherry Road, Room 7-1044, Rockville, Maryland, 20857.
Study ID #: ___ ___- ___ ___ ___ ___ ___ Date of Baseline Interview: __ __/__ __/__ __ __ __
(Site Code) (Prog#) (Subject ID#)
Instructions
Target Arrest/Incident: Record the ‘Target Arrest/Incident’ in the ‘Target Arrest/Incident’ block directly below these instructions.
Prior Arrests: Record Prior Arrests in the ‘Prior 12-Month Arrest History’ section starting on page 2. Record the ‘Period of Interest’ and the ‘Total # of Arrests in the Prior 12 Months’ in the fields provided. Record prior arrests using one box for each prior arrest that occurred during the period of 1 year PRIOR to the Target Arrest/Incident Date. If more than seven (7) prior arrests occurred, record this additional arrest information by photocopying and completing a blank page 3 for additional prior arrests. Be sure to enter charge codes for ‘Most Serious Charge’ using the charge code list on page 10.
Post Arrests: Record Post Arrests in the ‘Post 12-Month Arrest History’ section beginning on page 6. Record the ‘Period of Interest’ and the ‘Total # of Arrests in Subsequent 12 Months’ in the fields provided. Record post arrests using one box for each post arrest that occurred during the period of 1 year POST the Target Arrest Release Date. If more than seven (7) post arrests occurred, record this additional arrest information by photocopying and completing a blank page 7 for additional post arrests. Be sure to enter all charge codes for ‘Most Serious Charge’ using the charge code list on page 10.
NOTE: Violations/infractions for which a court appearance ticket is issued (but no arrest occurs) should also be recorded. Therefore, for purposes of this form “Arrest” includes any charge.
Target Arrest/Incident
Target Arrest/Incident Date: ___ ___/___ ___/___ ___ ___ ___
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Most Serious Charge: [literal, describe in words]
______________________________________
______________________________________
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Charge Level: [circle one] 1 Felony 2 Misdemeanor 3 Violation/Ticket/Infraction (Lower than Misdemeanor) 4 Technical Violation (Probation/Parole) 5 Unspecified
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Charge code: [enter code from page 10] ___ ___ ___
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Date of Jail Admission:
|
Date of Jail Release:
|
# of Jail days:
|
Reason for Incarceration: [check all that apply]
|
|
1. ___ ___ / ___ ___ / ___ ___ ___ ___ |
___ ___ / ___ ___ / ___ ___ ___ ___ |
_____ _____ _____ |
□ Pretrial detention □ Sentence □ Sanction for noncompliance
|
|
2. ___ ___ / ___ ___ / ___ ___ ___ ___ |
___ ___ / ___ ___ / ___ ___ ___ ___ |
_____ _____ _____ |
□ Pretrial detention □ Sentence □ Sanction for noncompliance
|
|
3. ___ ___ / ___ ___ / ___ ___ ___ ___ |
___ ___ / ___ ___ / ___ ___ ___ ___ |
_____ _____ _____ |
□ Pretrial detention □ Sentence □ Sanction for noncompliance
|
Prior 12-Month Arrest History
Period of Interest: ___ ___/___ ___/___ ___ ___ ___ to ___ ___/___ ___/___ ___ ___ ___
[1 year prior to the Target Arrest/Incident Date] [Day before Target Arrest/Incident Date]
Total # of Arrests in Prior 12 months: ___ ___ ___
Incarceration Status EXACTLY 12 months prior to the Target Arrest/Incident Date: [check one]
□ Not Incarcerated
□ Incarcerated
If ‘Incarcerated’, record the number of consecutive jail days that occurred for the incarceration immediately before the ‘Period of Interest’: ___ ___ ___
Date of PRIOR Arrest: ___ ___/___ ___/___ ___ ___ ___
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Most Serious Charge: [literal, describe in words]
______________________________________
______________________________________
|
Charge Level: [circle one] 1 Felony 2 Misdemeanor 3 Violation/Ticket/Infraction (Lower than Misdemeanor) 4 Technical Violation (Probation/Parole) 5 Unspecified
|
|||
Charge code: [enter code from page 10] ___ ___ ___
|
||||
Date of Jail Admission:
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Date of Jail Release:
|
# of Jail days:
|
Reason for Incarceration: [check all that apply]
|
|
1. ___ ___ / ___ ___ / ___ ___ ___ ___ |
___ ___ / ___ ___ / ___ ___ ___ ___ |
_____ _____ _____ |
□ Pretrial detention □ Sentence □ Sanction for noncompliance
|
|
2. ___ ___ / ___ ___ / ___ ___ ___ ___ |
___ ___ / ___ ___ / ___ ___ ___ ___ |
_____ _____ _____ |
□ Pretrial detention □ Sentence □ Sanction for noncompliance
|
|
3. ___ ___ / ___ ___ / ___ ___ ___ ___ |
___ ___ / ___ ___ / ___ ___ ___ ___ |
_____ _____ _____ |
□ Pretrial detention □ Sentence □ Sanction for noncompliance
|
|
|
Date of PRIOR Arrest: ___ ___/___ ___/___ ___ ___ ___
|
||||
Most Serious Charge: [literal, describe in words]
______________________________________
______________________________________
|
Charge Level: [circle one] 1 Felony 2 Misdemeanor 3 Violation/Ticket/Infraction (Lower than Misdemeanor) 4 Technical Violation (Probation/Parole) 5 Unspecified
|
|||
Charge code: [enter code from page 10] ___ ___ ___
|
||||
Date of Jail Admission:
|
Date of Jail Release:
|
# of Jail days:
|
Reason for Incarceration: [check all that apply]
|
|
1. ___ ___ / ___ ___ / ___ ___ ___ ___ |
___ ___ / ___ ___ / ___ ___ ___ ___ |
_____ _____ _____ |
□ Pretrial detention □ Sentence □ Sanction for noncompliance
|
|
2. ___ ___ / ___ ___ / ___ ___ ___ ___ |
___ ___ / ___ ___ / ___ ___ ___ ___ |
_____ _____ _____ |
□ Pretrial detention □ Sentence □ Sanction for noncompliance
|
|
3. ___ ___ / ___ ___ / ___ ___ ___ ___ |
___ ___ / ___ ___ / ___ ___ ___ ___ |
_____ _____ _____ |
□ Pretrial detention □ Sentence □ Sanction for noncompliance
|
|
|
||||
Date of PRIOR Arrest: ___ ___/___ ___/___ ___ ___ ___
|
||||
Most Serious Charge: [literal, describe in words]
______________________________________
______________________________________
|
Charge Level: [circle one] 1 Felony 2 Misdemeanor 3 Violation/Ticket/Infraction (Lower than Misdemeanor) 4 Technical Violation (Probation/Parole) 5 Unspecified
|
|||
Charge code: [enter code from page 10] ___ ___ ___
|
||||
Date of Jail Admission:
|
Date of Jail Release:
|
# of Jail days:
|
Reason for Incarceration: [check all that apply]
|
|
1. ___ ___ / ___ ___ / ___ ___ ___ ___ |
___ ___ / ___ ___ / ___ ___ ___ ___ |
_____ _____ _____ |
□ Pretrial detention □ Sentence □ Sanction for noncompliance
|
|
2. ___ ___ / ___ ___ / ___ ___ ___ ___ |
___ ___ / ___ ___ / ___ ___ ___ ___ |
_____ _____ _____ |
□ Pretrial detention □ Sentence □ Sanction for noncompliance
|
|
3. ___ ___ / ___ ___ / ___ ___ ___ ___ |
___ ___ / ___ ___ / ___ ___ ___ ___ |
_____ _____ _____ |
□ Pretrial detention □ Sentence □ Sanction for noncompliance
|
Date of PRIOR Arrest: ___ ___/___ ___/___ ___ ___ ___
|
||||
Most Serious Charge: [literal, describe in words]
______________________________________
______________________________________
|
Charge Level: [circle one] 1 Felony 2 Misdemeanor 3 Violation/Ticket/Infraction (Lower than Misdemeanor) 4 Technical Violation (Probation/Parole) 5 Unspecified
|
|||
Charge code: [enter code from page 10] ___ ___ ___
|
||||
Date of Jail Admission:
|
Date of Jail Release:
|
# of Jail days:
|
Reason for Incarceration: [check all that apply]
|
|
1. ___ ___ / ___ ___ / ___ ___ ___ ___ |
___ ___ / ___ ___ / ___ ___ ___ ___ |
_____ _____ _____ |
□ Pretrial detention □ Sentence □ Sanction for noncompliance
|
|
2. ___ ___ / ___ ___ / ___ ___ ___ ___ |
___ ___ / ___ ___ / ___ ___ ___ ___ |
_____ _____ _____ |
□ Pretrial detention □ Sentence □ Sanction for noncompliance
|
|
3. ___ ___ / ___ ___ / ___ ___ ___ ___ |
___ ___ / ___ ___ / ___ ___ ___ ___ |
_____ _____ _____ |
□ Pretrial detention □ Sentence □ Sanction for noncompliance
|
|
|
||||
Date of PRIOR Arrest: ___ ___/___ ___/___ ___ ___ ___
|
||||
Most Serious Charge: [literal, describe in words]
______________________________________
______________________________________
|
Charge Level: [circle one] 1 Felony 2 Misdemeanor 3 Violation/Ticket/Infraction (Lower than Misdemeanor) 4 Technical Violation (Probation/Parole) 5 Unspecified
|
|||
Charge code: [enter code from page 10] ___ ___ ___
|
||||
Date of Jail Admission:
|
Date of Jail Release:
|
# of Jail days:
|
Reason for Incarceration: [check all that apply]
|
|
1. ___ ___ / ___ ___ / ___ ___ ___ ___ |
___ ___ / ___ ___ / ___ ___ ___ ___ |
_____ _____ _____ |
□ Pretrial detention □ Sentence □ Sanction for noncompliance
|
|
2. ___ ___ / ___ ___ / ___ ___ ___ ___ |
___ ___ / ___ ___ / ___ ___ ___ ___ |
_____ _____ _____ |
□ Pretrial detention □ Sentence □ Sanction for noncompliance
|
|
3. ___ ___ / ___ ___ / ___ ___ ___ ___ |
___ ___ / ___ ___ / ___ ___ ___ ___ |
_____ _____ _____ |
□ Pretrial detention □ Sentence □ Sanction for noncompliance
|
Date of PRIOR Arrest: ___ ___/___ ___/___ ___ ___ ___
|
||||
Most Serious Charge: [literal, describe in words]
______________________________________
______________________________________
|
Charge Level: [circle one] 1 Felony 2 Misdemeanor 3 Violation/Ticket/Infraction (Lower than Misdemeanor) 4 Technical Violation (Probation/Parole) 5 Unspecified
|
|||
Charge code: [enter code from page 10] ___ ___ ___
|
||||
Date of Jail Admission:
|
Date of Jail Release:
|
# of Jail days:
|
Reason for Incarceration: [check all that apply]
|
|
1. ___ ___ / ___ ___ / ___ ___ ___ ___ |
___ ___ / ___ ___ / ___ ___ ___ ___ |
_____ _____ _____ |
□ Pretrial detention □ Sentence □ Sanction for noncompliance
|
|
2. ___ ___ / ___ ___ / ___ ___ ___ ___ |
___ ___ / ___ ___ / ___ ___ ___ ___ |
_____ _____ _____ |
□ Pretrial detention □ Sentence □ Sanction for noncompliance
|
|
3. ___ ___ / ___ ___ / ___ ___ ___ ___ |
___ ___ / ___ ___ / ___ ___ ___ ___ |
_____ _____ _____ |
□ Pretrial detention □ Sentence □ Sanction for noncompliance
|
|
|
||||
Date of PRIOR Arrest: ___ ___/___ ___/___ ___ ___ ___
|
||||
Most Serious Charge: [literal, describe in words]
______________________________________
______________________________________
|
Charge Level: [circle one] 1 Felony 2 Misdemeanor 3 Violation/Ticket/Infraction (Lower than Misdemeanor) 4 Technical Violation (Probation/Parole) 5 Unspecified
|
|||
Charge code: [enter code from page 10] ___ ___ ___
|
||||
Date of Jail Admission:
|
Date of Jail Release:
|
# of Jail days:
|
Reason for Incarceration: [check all that apply]
|
|
1. ___ ___ / ___ ___ / ___ ___ ___ ___ |
___ ___ / ___ ___ / ___ ___ ___ ___ |
_____ _____ _____ |
□ Pretrial detention □ Sentence □ Sanction for noncompliance
|
|
2. ___ ___ / ___ ___ / ___ ___ ___ ___ |
___ ___ / ___ ___ / ___ ___ ___ ___ |
_____ _____ _____ |
□ Pretrial detention □ Sentence □ Sanction for noncompliance
|
|
3. ___ ___ / ___ ___ / ___ ___ ___ ___ |
___ ___ / ___ ___ / ___ ___ ___ ___ |
_____ _____ _____ |
□ Pretrial detention □ Sentence □ Sanction for noncompliance
|
Post 12-Month Arrest History
Target Arrest Release Date: ___ ___/___ ___/___ ___ ___ ___
Period of Interest: ___ ___/___ ___/___ ___ ___ ___ to ___ ___/___ ___/___ ___ ___ ___
[Target Arrest Release Date] [1 year after the Target Arrest Release Date]
Total # of Arrests in Subsequent 12 months: ___ ___ ___
Date of POST Arrest: ___ ___/___ ___/___ ___ ___ ___
|
||||
Most Serious Charge: [literal, describe in words]
______________________________________
______________________________________
|
Charge Level: [circle one] 1 Felony 2 Misdemeanor 3 Violation/Ticket/Infraction (Lower than Misdemeanor) 4 Technical Violation (Probation/Parole) 5 Unspecified
|
|||
Charge code: [enter code from page 10] ___ ___ ___
|
||||
Date of Jail Admission:
|
Date of Jail Release:
|
# of Jail days:
|
Reason for Incarceration: [check all that apply]
|
|
1. ___ ___ / ___ ___ / ___ ___ ___ ___ |
___ ___ / ___ ___ / ___ ___ ___ ___ |
_____ _____ _____ |
□ Pretrial detention □ Sentence □ Sanction for noncompliance
|
|
2. ___ ___ / ___ ___ / ___ ___ ___ ___ |
___ ___ / ___ ___ / ___ ___ ___ ___ |
_____ _____ _____ |
□ Pretrial detention □ Sentence □ Sanction for noncompliance
|
|
3. ___ ___ / ___ ___ / ___ ___ ___ ___ |
___ ___ / ___ ___ / ___ ___ ___ ___ |
_____ _____ _____ |
□ Pretrial detention □ Sentence □ Sanction for noncompliance
|
|
|
Date of POST Arrest: ___ ___/___ ___/___ ___ ___ ___
|
||||
Most Serious Charge: [literal, describe in words]
______________________________________
______________________________________
|
Charge Level: [circle one] 1 Felony 2 Misdemeanor 3 Violation/Ticket/Infraction (Lower than Misdemeanor) 4 Technical Violation (Probation/Parole) 5 Unspecified
|
|||
Charge code: [enter code from page 10] ___ ___ ___
|
||||
Date of Jail Admission:
|
Date of Jail Release:
|
# of Jail days:
|
Reason for Incarceration: [check all that apply]
|
|
1. ___ ___ / ___ ___ / ___ ___ ___ ___ |
___ ___ / ___ ___ / ___ ___ ___ ___ |
_____ _____ _____ |
□ Pretrial detention □ Sentence □ Sanction for noncompliance
|
|
2. ___ ___ / ___ ___ / ___ ___ ___ ___ |
___ ___ / ___ ___ / ___ ___ ___ ___ |
_____ _____ _____ |
□ Pretrial detention □ Sentence □ Sanction for noncompliance
|
|
3. ___ ___ / ___ ___ / ___ ___ ___ ___ |
___ ___ / ___ ___ / ___ ___ ___ ___ |
_____ _____ _____ |
□ Pretrial detention □ Sentence □ Sanction for noncompliance
|
|
|
||||
Date of POST Arrest: ___ ___/___ ___/___ ___ ___ ___
|
||||
Most Serious Charge: [literal, describe in words]
______________________________________
______________________________________
|
Charge Level: [circle one] 1 Felony 2 Misdemeanor 3 Violation/Ticket/Infraction (Lower than Misdemeanor) 4 Technical Violation (Probation/Parole) 5 Unspecified
|
|||
Charge code: [enter code from page 10] ___ ___ ___
|
||||
Date of Jail Admission:
|
Date of Jail Release:
|
# of Jail days:
|
Reason for Incarceration: [check all that apply]
|
|
1. ___ ___ / ___ ___ / ___ ___ ___ ___ |
___ ___ / ___ ___ / ___ ___ ___ ___ |
_____ _____ _____ |
□ Pretrial detention □ Sentence □ Sanction for noncompliance
|
|
2. ___ ___ / ___ ___ / ___ ___ ___ ___ |
___ ___ / ___ ___ / ___ ___ ___ ___ |
_____ _____ _____ |
□ Pretrial detention □ Sentence □ Sanction for noncompliance
|
|
3. ___ ___ / ___ ___ / ___ ___ ___ ___ |
___ ___ / ___ ___ / ___ ___ ___ ___ |
_____ _____ _____ |
□ Pretrial detention □ Sentence □ Sanction for noncompliance
|
Date of POST Arrest: ___ ___/___ ___/___ ___ ___ ___
|
||||
Most Serious Charge: [literal, describe in words]
______________________________________
______________________________________
|
Charge Level: [circle one] 1 Felony 2 Misdemeanor 3 Violation/Ticket/Infraction (Lower than Misdemeanor) 4 Technical Violation (Probation/Parole) 5 Unspecified
|
|||
Charge code: [enter code from page 10] ___ ___ ___
|
||||
Date of Jail Admission:
|
Date of Jail Release:
|
# of Jail days:
|
Reason for Incarceration: [check all that apply]
|
|
1. ___ ___ / ___ ___ / ___ ___ ___ ___ |
___ ___ / ___ ___ / ___ ___ ___ ___ |
_____ _____ _____ |
□ Pretrial detention □ Sentence □ Sanction for noncompliance
|
|
2. ___ ___ / ___ ___ / ___ ___ ___ ___ |
___ ___ / ___ ___ / ___ ___ ___ ___ |
_____ _____ _____ |
□ Pretrial detention □ Sentence □ Sanction for noncompliance
|
|
3. ___ ___ / ___ ___ / ___ ___ ___ ___ |
___ ___ / ___ ___ / ___ ___ ___ ___ |
_____ _____ _____ |
□ Pretrial detention □ Sentence □ Sanction for noncompliance
|
|
|
||||
Date of POST Arrest: ___ ___/___ ___/___ ___ ___ ___
|
||||
Most Serious Charge: [literal, describe in words]
______________________________________
______________________________________
|
Charge Level: [circle one] 1 Felony 2 Misdemeanor 3 Violation/Ticket/Infraction (Lower than Misdemeanor) 4 Technical Violation (Probation/Parole) 5 Unspecified
|
|||
Charge code: [enter code from page 10] ___ ___ ___
|
||||
Date of Jail Admission:
|
Date of Jail Release:
|
# of Jail days:
|
Reason for Incarceration: [check all that apply]
|
|
1. ___ ___ / ___ ___ / ___ ___ ___ ___ |
___ ___ / ___ ___ / ___ ___ ___ ___ |
_____ _____ _____ |
□ Pretrial detention □ Sentence □ Sanction for noncompliance
|
|
2. ___ ___ / ___ ___ / ___ ___ ___ ___ |
___ ___ / ___ ___ / ___ ___ ___ ___ |
_____ _____ _____ |
□ Pretrial detention □ Sentence □ Sanction for noncompliance
|
|
3. ___ ___ / ___ ___ / ___ ___ ___ ___ |
___ ___ / ___ ___ / ___ ___ ___ ___ |
_____ _____ _____ |
□ Pretrial detention □ Sentence □ Sanction for noncompliance
|
Date of POST Arrest: ___ ___/___ ___/___ ___ ___ ___
|
||||
Most Serious Charge: [literal, describe in words]
______________________________________
______________________________________
|
Charge Level: [circle one] 1 Felony 2 Misdemeanor 3 Violation/Ticket/Infraction (Lower than Misdemeanor) 4 Technical Violation (Probation/Parole) 5 Unspecified
|
|||
Charge code: [enter code from page 10] ___ ___ ___
|
||||
Date of Jail Admission:
|
Date of Jail Release:
|
# of Jail days:
|
Reason for Incarceration: [check all that apply]
|
|
1. ___ ___ / ___ ___ / ___ ___ ___ ___ |
___ ___ / ___ ___ / ___ ___ ___ ___ |
_____ _____ _____ |
□ Pretrial detention □ Sentence □ Sanction for noncompliance
|
|
2. ___ ___ / ___ ___ / ___ ___ ___ ___ |
___ ___ / ___ ___ / ___ ___ ___ ___ |
_____ _____ _____ |
□ Pretrial detention □ Sentence □ Sanction for noncompliance
|
|
3. ___ ___ / ___ ___ / ___ ___ ___ ___ |
___ ___ / ___ ___ / ___ ___ ___ ___ |
_____ _____ _____ |
□ Pretrial detention □ Sentence □ Sanction for noncompliance
|
|
|
||||
Date of POST Arrest: ___ ___/___ ___/___ ___ ___ ___
|
||||
Most Serious Charge: [literal, describe in words]
______________________________________
______________________________________
|
Charge Level: [circle one] 1 Felony 2 Misdemeanor 3 Violation/Ticket/Infraction (Lower than Misdemeanor) 4 Technical Violation (Probation/Parole) 5 Unspecified
|
|||
Charge code: [enter code from page 10] ___ ___ ___
|
||||
Date of Jail Admission:
|
Date of Jail Release:
|
# of Jail days:
|
Reason for Incarceration: [check all that apply]
|
|
1. ___ ___ / ___ ___ / ___ ___ ___ ___ |
___ ___ / ___ ___ / ___ ___ ___ ___ |
_____ _____ _____ |
□ Pretrial detention □ Sentence □ Sanction for noncompliance
|
|
2. ___ ___ / ___ ___ / ___ ___ ___ ___ |
___ ___ / ___ ___ / ___ ___ ___ ___ |
_____ _____ _____ |
□ Pretrial detention □ Sentence □ Sanction for noncompliance
|
|
3. ___ ___ / ___ ___ / ___ ___ ___ ___ |
___ ___ / ___ ___ / ___ ___ ___ ___ |
_____ _____ _____ |
□ Pretrial detention □ Sentence □ Sanction for noncompliance
|
CHARGE CODES for Most Serious Charge
DRUG
101 Drug, Selling Dangerous
102 Drug, Possession Dangerous
103 Other Drug Crimes (Possession of a Forged Drug Document, Illegal Rx, MFG Class D, Violation Controlled Substance Act in School)
MINOR
201 Parole Violation
202 Probation Violation (Violation of Condition of Sentence)
203 DWI, DUI
204 Public Intoxication, Drunkenness
205 Court Related Offenses (Warrants, Failure to Appear, Escape, Bail Jumping, Perjury, Violation Restraining Order), Hindering Apprehension or Prosecution, Abuse Prevention Act
206 Gambling
207 Criminal Nuisance
208 Disorderly Conduct, Breach of Peace, Resisting Arrest, Obstruction of Law, Obstructing Highways, Failure to Disburse, Affray, False Alarm to Agencies
209 Loitering, Vagrancy
210 Indecent Exposure, Obscenity, Public Lewdness, Prostitution, Open and Gross, Common Night Walker
211 Traffic Infractions, Leaving Accident, Operate W/o License, Use w/o Authority
212 Other Minor Offenses, Town By-Law, Uttering, Alcohol for Minor, No Support, Violation of Liquor Laws, Impersonating a Public Servant, Violation of Explosion, Threatening, Criminal Solicitation, Criminal Facilitation, INS
PROPERTY
301 Burglary, Breaking and Entering
302 Criminal Mischief, Tampering, Destruction, Property Violation
303 Criminal Trespassing, Unlawful Entry
304 Larceny (Grand and Petty), with Firearm
305 Auto Theft
306 Theft, Shoplifting, Pick pocketing (Except Auto Theft)
307 Possession of Stolen Property, Criminal Receiving
308 Forgery and Counterfeiting
309 Fraud (Deceptive Practices), Falsifying Records, Embezzlement, Employment Practices
310 Forged Check, Bad Check, Theft of Services, Larceny by Check
311 Bribery
312 Conspiracy
313 Other Property Crimes (e.g., Possession of a Forged Instrument, Criminal Instrument, Criminal Attempt, Threatening to Commit Crime, Burning Motor Vehicle, Property Violation)
OTHER CRIMES AGAINST PERSON
401 Criminally Negligent Homicide, Vehicular Homicide
402 Families and Children (Contributing to the Delinquency/Corruption of a Minor, Welfare of Child)
403 Hit and Run
404 Coercion
405 Unlawful Imprisonment, Unlawful Restraint
406 Harassment, Verbal Assault (e.g., Simple Assault, Terroristic Threat, Intimidation)
407 Criminal Possession of Weapon, Selling Firearm Without License
408 Menacing
409 Reckless Endangerment, Lives and Safety
410 Other Crimes Against Person (Mutiny in a Penal Institution, Threatening to Beat, Threatening Murder, Stalking)
POTENTIALLY VIOLENT
501 Robbery, Armed Robbery
502 Kidnapping
503 Arson, Burning to Defraud
504 Causing or Risking Catastrophe
505 Other Potentially Violent
VIOLENT
601 Murder, Deliberate Homicide
602 Manslaughter
603 Attempted Murder, Attempted Manslaughter
604 Aggravated Assault/Assault and Battery, Police, Dangerous Weapon, Assault to Kill, Vehicular Assault
605 Forcible Rape
606 Forcible Sodomy
607 Sexual Assault
608 Other Assault
609 Other Violent Crimes
SEX
701 Statutory Rape (Consensual), Misdemeanor Rape
702 Consensual Sodomy
703 Indecent Assault, Indecent Assault and Battery
704 Sexual Misconduct
705 Incest
706 Lewd and Lascivious Conduct
707 Other Sex Crimes
999 UNSPECIFIED
Arrest Data Collection Form Final Version – Revised May 2006
The TAPA Center
File Type | application/msword |
File Title | Criminal Justice Diversion Program |
Author | nell |
Last Modified By | Preferred Customer |
File Modified | 2006-06-06 |
File Created | 2006-06-02 |