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Taser Orange Co Fl Use Form

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Defensive Tactics
K-9 Report
Firearm Report

Orange County
Sheriff’s Office

Defensive Tactics complete Sections 1,2, & 3. K-9 complete Sections 1 & 3. Firearm complete Section 1 only.

SECTION 1
DATE:

DATE OF
INCIDENT:
LOCATION OF
INCIDENT:

5/20/09
TIME OF
INCIDENT:

DEPUTY’S
NAME:

CASE #:

If the type of force used was a firearm, do not write below this line.

SECTION 2
INSERT NUMBER BELOW USING THE DEFINITIONS AT THE RIGHT
Subject’s

Deputy’s

# 3

Resistance Level:

Response Level:

# 3

Definitions as defined in Training Bulletin 93-1
Resistance Level
Response Level
3
- Passive Physical
3
- Chemical Agent
3
- React Electronic Device
4
- Active Physical
4
- Intermediate Weapons
5
- Aggressive Physical
5
- Incapacitation
6
- Aggravated Physical
6
- Deadly Force

Type of Force Used
Description of Force Used:

Physical Force
Chemical Force
Electronic Force
Impact Weapon
Impact Munitions
Other
Medical Treatment: No

Treated & Released

This form shall be completed with any of the above
Listed response levels or any other deputy response
Level where injuries resulted from the arrest.

Admitted

Refused

Injuries Photographed:

Yes

No

SECTION 3
NARRATIVE:

NAME (PRINT):

SIGNATURE:

SUPERVISOR’S COMMENTS

SUPERVISOR’S SIGNATURE:

SUPERVISOR’S NAME (print)

LIEUTENANT’S REVIEW
Within Policy

Further Investigation Requested

SECTOR CAPTAIN’S REVIEW
Within Policy

NAME (print):

NAME (print):

SIGNATURE:

SIGNATURE:

DIVISION MAJOR’S SIGNATURE:
NOTES:

1. A copy of the offense report MUST be attached.
2. Use Incident Supplemental Report Form for additional space for comments if needed.

10-1236 (6/98)

Distribution:

Professional Standards

Sector/Section

Training

Further Investigation Requested

 

 

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