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Response to Resistance/Use of Force Supplement

  1. RESPONSE TO RESISTANCE/USE OF FORCE SUPPLEMENT

  2. TYPE THE ARRESTING OFFICER'S NAME AND AGENCY, IF DIFFERENT FROM ARGYLE PD

  3. TYPE THE OFFICER'S NAME. IF IT IS YOU, TYPE YOUR NAME.

  4. ADDRESS OR INTERSECTION, OR DESCRIPTION OF LOCATION .

  5. RACE

  6. GENDER

  7. SUBJECT INJURED

  8. HOW WAS INJURY HANDLED?

  9. OFFICER INJURED

  10. HOW WAS INJURY HANDLED?

  11. REASON FOR USE OF FORCE

  12. SUBJECT'S ACTIONS

  13. APPEARED OR KNOWN UNDER THE INFLUENCE OF

  14. -------------------------------

  15. OFFICER ACTIONS

    CHECK ALL THAT APPLY. IF MORE THAN ONE USED, EXPLAIN THE ORDER IN YOUR NARRATIVE AT END OF THIS FORM.

  16. PHYSICAL CONTROL

  17. EFFECTIVE?

  18. OC SPRAY

  19. If used more than once, list each duration.

  20. EFFECTIVE?

  21. ASP/BATON

  22. EFFECTIVE?

  23. NON LETHAL / LESS LETHAL MUNITIONS

  24. TYPE

  25. If you checked a type of munition, write the number of rounds for each type.

  26. EFFECTIVE?

  27. TASER

  28. PROBES PENETRATE SKIN

  29. PLACED IN EVIDENCE

  30. EFFECTIVE?

  31. FIREARM

  32. WEAPON

  33. EFFECTIVE?

  34. ENVIRONMENTAL CONDITIONS

  35. SITUATIONAL CONDITIONS

  36. Include type of force ultimately successful in Control of Subject, as well as a complete detailed description of event.

  37. Electronic Signature Agreement

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

  38. Check the "I agree" box above.

  39. Leave This Blank:

  40. This field is not part of the form submission.