STATE OF NEW JERSEY
DEPARTMENT OF LAW AND PUBLIC SAFETY
Municipality Code Number
SUPPLEMENTARY HOMICIDE AND
POLICE OFFICER KILLED IN THE LINE OF DUTY REPORT
0 0
N.J.
NCIC Code Number
SUBMITTED MONTHLY BY COUNTY PROSECUTOR
DATE
MUNICIPAL
CASE NUMBER
MUNICIPALITY
Department Reporting
Report for the month of:
January
S.P. 046 (5-99)
Year
,
VICTIM'S NAME
Forward by 7th day after close of the reporting period to:
State of New Jersey
Department of Law and Public Safety
Division of State Police, Uniform Crime Reporting Unit
Box 7068, West Trenton, New Jersey 08628-0068
WHEN NO DEATHS OCCUR,
A NEGATIVE REPORT IS REQUIRED
POLICE
OFFICER
KILLED (X)
JUSTIFIABLE
HOMICIDE
REMARKS
(X)
Do Not Use This Space
INITIAL
INITIAL
Recorded
Verified
Reviewed
Adjusted
Punched