Chets Creek Church Suspicious Activity Log

Chets Creek Church Suspicious Activity Report

• Document No.

• Conducted on

  Date

• Prepared by

• Add Witness

Witness

• Name of Person Witnessing Incident

• Phone Number of Witness

• Date and Time of Incident

  Date

• Type of Incident

  Phone Call

  Witnessed Incident

  Third Party Reporting

  Other
• Physical Address of Incident
  Address

• Phone Number or Phone Number Incident Received

Suspicious Activity Data

• Add suspicious individual

Suspect

• Name of Person involved in suspicious activity or incident

• Sex of individual

• Race of individual

• Approximate age

• Hair color/style

• Eye color

• Accent

• Tattoos (location/description)

• Any other distinguishing characteristics

• Add suspicious vehicle

Vehicle

• Vehicle color

• Vehicle Make

• Vehicle Model

• Approximate Year of Vehicle

• Tag Number / State

• Bumper stickers

• Racks or additional lights

• Damage to vehicle

• Description of the incident

Finalization

• Any CCTV?

  Yes

  No

  N/A

• Footage of incident secured

• Preparer's Signature

  Sign