CLEAR FORM
TALLY BOOK
Return A
and
Supplementary Reports
TO TALLY AN OFFENSE:
Each Offense (Except assault**) must be scored in these three sections:
1. Return A (Page 2)
2. Value of property stolen by Type (Pages 3 & 4)
3. Additional analysis of offenses (Pages 7 thru 14)
** Assaults are only scored on the Return A Tally (Page 2)
TO TALLY RECOVERED PROPERTY:
Record property recovered which was stolen in your jurisdiction on page 5.
TO TALLY OFFENSES CLEARED:
Record all case clearances, whether exceptional or by arrest, on page 2.
Month of
,
.
Year
NJ UCR 365-6T (Rev. 01/08)
Submit complete NJ UCR 369A if any officer
was assaulted or killed
Number of police this month
Killed
Assaulted
(1)
CLASSIFICATION OF OFFENSES
(PART 1 CLASSES)
Page 2
TALLY SHEET FOR RETURN A
(2) OFFENSES REPORTED OR
KNOWN TO POLICE
(INCLUDE 'UNFOUNDED' & ATTEMPTS)
(4)
NUMBER OF ACTUAL OFFENSES
(Column 2 minus Column 3)
(3)
UNFOUNDED COMPLAINTS
(5) NUMBER OF OFFENSES CLEARED THIS MONTH
b. Juvenile Offenses Cleared
a. Total Offenses Cleared
(Also included in 5a)
1. HOMICIDE
a. Murder
b. Manslaughter
TOTAL
0
0
0
0
0
TOTAL
0
0
0
0
0
TOTAL
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
2. FORCIBLE RAPE
a. Rape by force
b. Assault to rape - attempts
3. ROBBERY
a. Firearm
b. Knife or Cutting instrument
c. Other Dangerous Weapon
d. Strong Arm (Hands, fist, etc.)
4. ASSAULT
a. Gun
b. Knife or Cutting instrument
c. Other Dangerous Weapon
d. Aggravated - Hands, Fists, Feet, etc.
e. Simple - Hands, Fists, Feet, etc.
5. BURGLARY
TOTAL
a. Forcible entry
b. Unlawful entry - no force
c. Attempted forcible entry
6. LARCENY - THEFT
TOTAL
7. MOTOR VEHICLE THEFT TOTAL
a. Autos
b. Trucks and Buses
c. Other Vehicles
9. ARSON
TOTAL
GRAND TOTAL
VALUE OF PROPERTY STOLEN — BY TYPE
Page 3
Explanation: List under the appropriate heading the value of property stolen in connection with offenses of
murder, rape, robbery, burglary, larceny and motor vehicle theft committed in your jurisdiction.
Currency, Notes, Etc.
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
Jewelry & Precious
Metals
Furs
Clothing
Locally Stolen Motor
Vehicles
Miscellaneous
VALUE OF PROPERTY STOLEN — BY TYPE
Page 4
Continued
Currency, Notes, Etc.
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
Jewelry & Precious
Metals
Furs
Clothing
Locally Stolen Motor
Vehicles
Miscellaneous
VALUE OF PROPERTY RECOVERED — BY TYPE
Page 5
Explanation: List under the appropriate heading the value of property recovered, which was stolen in
connection with offenses of murder, rape, robbery, burglary, larceny and motor vehicle theft
committed in your jurisdiction. Exclude recoveries made for other departments. Include property
recovered by other jurisdictions and turned over to your department.
Currency, Notes, Etc.
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
Jewelry & Precious
Metals
Furs
Clothing
Locally Stolen Motor
Vehicles
Miscellaneous
VALUE OF PROPERTY RECOVERED — BY TYPE
Page 6
Continued
Currency, Notes, Etc.
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
Jewelry & Precious
Metals
Furs
Clothing
Locally Stolen Motor
Vehicles
Miscellaneous
01 — MURDER
Page 7
Number of Actual Offenses and Value of Property Stolen
1
11
21
2
12
22
3
13
23
4
14
24
5
15
25
6
16
26
7
17
27
8
18
28
9
19
29
10
20
30
02 — FORCIBLE RAPE
Number of Actual Offenses and Value of Property Stolen
1
16
31
2
17
32
3
18
33
4
19
34
5
20
35
6
21
36
7
22
37
8
23
38
9
24
39
10
25
40
11
26
41
12
27
42
13
28
43
14
29
44
15
30
45
03 — ROBBERY
Page 8
Number of Actual Offenses and Value of Property Stolen
A
Highway
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
B
Commercial House
(Not C, D, F)
C
Gas or Service
Station
D
Convenience Store
E
Residence
F
Bank
G
Miscellaneous
05 — BURGLARY (Include attempts)
Page 9
Number of Actual Offenses and Value of Property Stolen
A
2
Committed
During Night
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
B
RESIDENCE (Dwelling)
1
3
Committed
During Day
NONRESIDENCE (Store, office, unattached garage, etc.)
1
Unknown
2
Committed
During Night
3
Committed
During Day
Unknown
05 — BURGLARY (Include attempts)
Page 10
Continued
Number of Actual Offenses and Value of Property Stolen
A
B
RESIDENCE (Dwelling)
1
2
Committed
During Night
3
Committed
During Day
NONRESIDENCE (Store, office, unattached garage, etc.)
1
Unknown
2
Committed
During Night
3
Committed
During Day
Unknown
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
Total the above offenses and values below
BURGLARY (Include attempts)
(A)
RESIDENCE (Dwelling)
(B)
OFFENSES
VALUES
$
.00
(1)
Night
(2)
Day
.00
(3)
Unknown
.00
NONRESIDENCE (Store, office, unattached garage, etc.)
(1)
Night
.00
(2)
Day
.00
(3)
Unknown
.00
Total Burglary
0
$
0 .00
06 — LARCENY - THEFT
Page 11
Explanation: List under the appropriate heading the value of property stolen in connection with individual
offenses of larceny-theft. In the column headed "6X," indicate with the appropriate letter (a, b, c, d, e, f, g, h, or
i) the subdivision to which the case should be assigned. It will be necessary to obtain the total of all items
classed as "A," the total of those classed as "B," etc.
Number of Actual Offenses and Value of Property Stolen
$200 and over
in value
6X
$50 to $200
in value
6X
Under $50
in value
$200 and over
in value
6X
1
27
2
28
3
29
4
30
5
31
6
32
7
33
8
34
9
35
10
36
11
37
12
38
13
39
14
40
15
41
16
42
17
43
18
44
19
45
20
46
21
47
22
48
23
49
24
50
25
51
26
52
6X
$50 to $200
in value
6X
Under $50
in value
6X
06 — LARCENY - THEFT
Page 12
Continued
$200 and over
in value
6X
$50 to $200
in value
6X
Under $50
in value
$200 and over
in value
6X
53
72
54
73
55
74
56
75
57
76
58
77
59
78
60
79
61
80
62
81
63
82
64
83
65
84
66
85
67
86
68
87
69
88
70
89
71
90
$50 to $200
in value
6X
6X
Under $50
in value
6X
Total the above offenses and values below
6X ADDITIONAL ANALYSIS OF LARCENY
OFFENSES
VALUES
$
.00
(A)
Pocket-Picking
(B)
Purse-snatching
.00
(C)
Shoplifting
.00
(D)
From Motor Vehicles (Except E)
.00
(E)
Motor Vehicle parts and accessories
.00
(F)
Bicycles
.00
(G)
From buildings (Except C and H)
.00
(H)
From coin operated machines
.00
(I)
All other
.00
Total Larcenies
0
$
0 .00
07 — MOTOR VEHICLE THEFT
Page 13
Number of Actual Offenses and Value of Property Stolen
1
29
57
85
113
2
30
58
86
114
3
31
59
87
115
4
32
60
88
116
5
33
61
89
117
6
34
62
90
118
7
35
63
91
119
8
36
64
92
120
9
37
65
93
121
10
38
66
94
122
11
39
67
95
123
12
40
68
96
124
13
41
69
97
125
14
42
70
98
126
15
43
71
99
127
16
44
72
100
128
17
45
73
101
129
18
46
74
102
130
19
47
75
103
131
20
48
76
104
132
21
49
77
105
133
22
50
78
106
134
23
51
79
107
135
24
52
80
108
136
25
53
81
109
137
26
54
82
110
138
27
55
83
111
139
28
56
84
112
140
MOTOR VEHICLE RECOVERED 7X
Score the recovery of a vehicle during the month of recovery - no matter when the vehicle was stolen.
(A) Number Stolen Locally and Recovered Locally ..............................................................
(B) Number Stolen Locally and Recovered by Other Jurisdictions ......................................
(C) Total Locally Stolen Motor Vehicles Recovered (Line A plus B) ....................................
(D) Number Stolen Out of Town, Recovered Locally ...........................................................
CLEAR FORM
New Jersey State Police
UNIFORM CRIME REPORTING UNIT
609 882-2000 Ext. 2870
Page 14