Prostitution/Human Trafficking Notification

INCIDENT

Date

Time

Police Department Case Number

Incident location

Reporting Officer

Police Department

Detective

(If Applicable)

DEFENDANT/PERSON OF INTEREST

First Name

Last Name

Date of Birth

Address

Gender

Race

Social Security Number

Primary language

Relevant medical history

(CDS abuse, alcohol abuse, cognitive or physical disability, etc.)

Custody status

Lodged in other detention facility

Complaint Number

(If Applicable)

Was person interviewed?

OTHER INVOLVED PARTIES

Name

Date of Birth

Address

Telephone Number

Was person interviewed?

Name

Date of Birth

Address

Telephone Number

Was person interviewed?

DESCRIPTION OF INCIDENT

Description of Incident

NOTES OR OTHER RELEVANT INFORMATION

Notes or other relevant information

(If Applicable)

SUBMISSION

Submitted By

Email Address

(You Will Receive Confirmation Of Submission. If No Confirmation Is Received, Check Your Spam Folder. If It Is Located In The Spam Folder, Mark The Email As “Safe” So Emails Can Continue To Be Received.)

Was notification made to the BCPO via phone regarding this incident?

If YES - BCPO Detective name