AGENCY NAME: OFFICER NAME: AGENCY (ORI): DATE OF REPORT: INVESTIGATIVE REPORT NUMBER (OCA): CAUTION INDICATOR CAUTION/MEDICAL CONDITIONS (CMC): VICTIM INFORMATION: SEX (SEX): RACE (RAC): NAME (NAM): EYE COLOR (EYE): HEIGHT (HGT): WEIGHT (WGT): HAIR COLOR (HAI): DATE OF BIRTH (DOB): PLACE OF BIRTH (POB): PASSWORD (PWD): IDENTITY THEFT TYPE (IDT): CITIZENSHIP (CTZ): ETHNICITY (ETN): SCARS, MARKS, TATTOOS (SMT): SKINTONE (SKN): FINGERPRINT CLASSIFICATION (FPC): MISCELLANEOUS NUMBER (MNU): SOCIAL SECURITY NUMBER (SOC): FBI NUMBER (FBI): NUMBER (OLN): OPERATOR’S LICENSE STATE (OLS): YEAR (OLY): DATE OF THEFT (DOT): DATE OF PURGE (DOP): LINKAGE AGENCY IDENTIFIER (LKI): LINKAGE AGENCY CASE NUMBER (LKA): NOTIFY ORIGINATING AGENCY (NOA): MISCELLANEOUS (MIS):
AGENCY NAME: OFFICER NAME: AGENCY (ORI): DATE OF REPORT: INVESTIGATIVE REPORT NUMBER (OCA): CAUTION INDICATOR CAUTION/MEDICAL CONDITIONS (CMC): HAIR COLOR (HAI): VICTIM INFORMATION: NAME (NAM): SEX (SEX): RACE (RAC): HEIGHT (HGT): WEIGHT (WGT): EYE COLOR (EYE): DATE OF BIRTH (DOB): SOCIAL SECURITY NUMBER (SOC): FBI NUMBER (FBI): MISCELLANEOUS NUMBER (MNU): PASSWORD (PWD): IDENTITY THEFT TYPE (IDT): PLACE OF BIRTH (POB): CITIZENSHIP (CTZ): SCARS, MARKS, TATTOOS (SMT): ETHNICITY (ETN): FINGERPRINT CLASSIFICATION (FPC): SKINTONE (SKN): OPERATOR’S LICENSE NUMBER (OLN): DATE OF THEFT (DOT): LINKAGE AGENCY IDENTIFIER (LKI): DATE OF PURGE (DOP): STATE (OLS): YEAR (OLY): LINKAGE AGENCY CASE NUMBER (LKA): NOTIFY ORIGINATING AGENCY (NOA): MISCELLANEOUS (MIS):
Identity%20Theft%20Victim%20worksheet.docx