ATLANTA POLICE DEPARTMENT

Incident and Accident Report Receipt Sheet

The below listed incident and/or accident reports were turned in at Central Records from

Zone	Watch	on	at	hrs by officer
(Date)	(Time)	(Name)

Checked at work site by
on	at
Supervisor’s Signature	(Date)	(Time)

Complaint Number	Time	# of pages	Officer’s Assignment	Reporting Officer
1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

11.

12.

13.

14.

15.

16.

17.

18.

Received in Central Records by
on	at
(Signature of receiving person at CRU)	(Date)	(Time)

Form APD 723 1/31/03

Page_______of________

INCIDENT REPORT RECEIPT SHEET

AJordan

2003-12-18

Atlanta Police Department