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pdfOMB No. 1110-0015
Expires 8-31-12
1-700 (Rev. 05-07-09)
QUARTERLY HATE CRIME REPORT
Offenses Known to Law Enforcement
City
County
State
Name of Agency
Originating Agency Identifier (ORI)
Name and Title of Preparer
Area Code & Telephone Number of Preparer
E-mail Address of Preparer
Quarter and Year of Report:
January - March
April - June
July - September
October - December
Year
Total number of hate crime incidents reported in this quarter
(If your agency is reporting a bias motivated incident, please attach this report to the Hate Crime Incident
Report. The number of hate crime incidents reported should agree with the actual number of Hate Crime
Incident Reports submitted.)
If there were no hate crime incidents in this quarter, check this box.
Incidents to be Deleted: This section should be used to delete a hate crime incident(s) previously reported,
which further investigation has determined was not bias motivated. Please provide the Incident Number and
Date of the Incident for each incident to be deleted.
Incident Number
Date of the Incident
/
Month
/
/
Month
/
Day
/
Month
Year
/
Year
Day
/
Month
Year
Day
/
Day
Year
INSTRUCTIONS FOR PREPARING QUARTERLY HATE CRIME REPORT AND HATE CRIME INCIDENT REPORT
This report is authorized by Title 28, Section 534, U.S. Code, and the Hate Crime Statistics Act of 1990. Even though you are not required to respond, your cooperation
using this form to report hate crimes known to law enforcement during the quarter will assist the FBI in compiling timely, comprehensive, and accurate data regarding the
incidence and prevalence of hate crime throughout the Nation. Please submit this report quarterly, by the 15th day after the close of the quarter, 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 appear below.
GENERAL
This report is separate from and in addition to the routine Summary UCR submission. In hate crime reporting, there
is no Hierarchy Rule. Offense data (not just arrest data) for Intimidation and Destruction/Damage/Vandalism of
Property should be reported. On this form, all reportable bias-motivated offenses should be included regardless of
whether arrests have taken place. Please refer to the publication Hate Crime Data Collection Guidelines for
additional information.
QUARTERLY HATE CRIME REPORT
At the end of each calendar quarter, each reporting agency should submit a single Quarterly Hate Crime Report ,
together with an individual Incident Report for each bias-motivated incident identified during the quarter (if any).
If no hate crimes occurred during the quarter, the agency should submit only the Quarterly Hate Crime Report .
The Quarterly Hate Crime Report should be used to identify your agency, to state the number of bias-motivated
incidents being reported for the calendar quarter, and to delete any incidents previously reported that have been
determined during the reporting period not to have been motivated by bias.
HATE CRIME INCIDENT REPORT
The Incident Report should be used to report a bias-motivated incident or to adjust information in a previously
reported incident. Include additional information on separate paper if you feel it will add clarity to the report.
Indicate the type of report as Initial or Adjustment. Provide the Originating Agency Identifier (ORI) and Date of
Incident.
INCIDENT NUMBER: Provide an identifying incident number, preferably your case or file number.
UCR OFFENSE: Provide codes for all offenses within the incident determined to be bias motivated and the number
of victims for each offense. In multiple offense incidents, report only those offenses determined to be bias motivated.
Should more than four bias-motivated offenses be involved in one incident, use additional Incident Reports and
make an appropriate entry in the Page □ of □ portion of each form.
LOCATION: Provide the most appropriate location of each bias-motivated offense.
BIAS MOTIVATION: Provide the nature of the bias motivation for each bias-motivated offense.
VICTIM TYPE: Provide the type of victim(s) identified within the incident. Where the type of victim is Individual,
indicate the total number of individuals (persons) who were victims in the incident. Society/Public is applicable only
in the National Incident-Based Reporting System (NIBRS).
NUMBER OF OFFENDERS: Provide the number of offenders. Incidents involving multiple offenders must not
be coded as Unknown Offender. Indicate an Unknown Offender when nothing is known about the offender
including the offender's race. When the Race of Offender(s) has been identified, indicate at least one offender.
RACE OF OFFENDER(S): Provide the race of the offender(s), if known. If there was more than one offender,
provide the race of the group as a whole. If the number of offenders is entered as Unknown Offender, then the
offender's race must also be indicated as Unknown.
File Type | application/pdf |
File Title | 1-700 2space.xls |
Author | psfaulkner |
File Modified | 2009-05-04 |
File Created | 2009-05-04 |