ATLANTA POLICE DEPARTMENT

Debriefing Form

Debriefing Officer:	APD ID #:
Zone, section, unit
(Print name)

Date:	/	/	Time:	Where Debriefed:

Name:	Incident Location:

Address:	City:	State:

Phone:	SSN#:

Race:	Sex:	D.O.B.:	Age:	Ht:	Wt:

Distinguishing Features:

Charge Arrested For:	Case #:	APD #:

Photo on File: Yes No: Modus Operandi:

Criminal History:

Was suspect read Miranda Warning? ⁮ Yes ⁭ No If yes, by who?____________________________.

Was waiver of counsel signed? ⁮ Yes ⁭ No If yes, include waivers in investigative file.

Narrative: Describe, in detail, the outcome of the debriefing. Check all debriefing topics that apply. Include names, dates, times, locations, case #’s, etc. Include debriefing form in investigative file.

Cover the Following topics

in your debriefing

Homicides

Burglaries

Chop Shops

Robberies

Shootings

Drug Dealing

Buying and Selling Illegal Guns

Fencing Operations

Sex Related Crimes

Car Thefts/Thieves

Bias Related Crimes

No Information

Results of Debriefing:	Referred To:

Signed:
Date:

Debriefing Witness:
Date:
Supervisor’s Signature:
Date:

APD Form 336 revised 4/12/05

ATLANTA POLICE DEPARTMENT

DLiber

2005-04-15

AJordan

Atlanta Police Department