HomeMy WebLinkAboutK9 Bite Report Supp_No RedactionDR#_z._0_0_1_P_-_-Z._l?._�-
Pa/m Springs Police Department
� 11°C .:J:A&ER Device Form
Officers Involved:
SUSPECT INFORMATION
Highest Booking Charge: Mlsd □ Fel: 8-. Name: _2=a....,....:.;:a..,... _ _.__:..,.;.�..i.:..;_,_ __ ..,.....,,.... _____ ___,='""'------,,..-.-
Charges:...!:...:..=..::.....:....=--=-=--+--.l...!l.�-"<=.:U...,,J---;-��=t........:f'....:(_=-----,-....:l!...."l.!....IL-O,Ll�-------------
Age/DOB: -����-� Male / □Female Height: -�S:-�--D�1 __
Clothing description: .Sw f.: A, C 12.J:E' P""S
Weight: -'--I .,.(o'-')'-----
Under the Influence? 121-Yes O No Of what: _ _.,f"\_E_T_ff ________________________ _
TASER ACTIVATIONS
Was a verbal warning given prior to TASER activation? Yes □ No D
Did the O display □ laser, or O arc deter the subject and allow the officer to gain compliance? Yes D No □
Type of mode used: D Probe □ Drive-Stun □ Both Total number of activations: ___________________ _
Duration of cycle: #1: ___ #2: ___
�
#4: _ Additional:
Duration between applications: #1-#2: ___ # #3: ___ #3 -#4: ___ Additional: _______________ _
Duration subject received appllcatlons: #1: ___ # . #3 ___ #4: ___ Additional: ____________ _
More than one cartridge discharged? Yes D No □ How many? ________________________ _
cartrldge#l/Serlal# _____________ �
Darts penetrate skin? Yes D No 0 Number O 1 D 2 Distance fired: ________ _ Spread: ______ _
cartridge #2 /Serlal # ______________ _ ,, Darts penetrate skin? Yes □ No □Number 0,1 □ 2 ,, Distance fired: ________ _ Spread: ______ _
Was TASER effective? Yes D No
� Did TASER immobilize suspect? Yes D 0 Did TASER bring suspect to the ground? Yes □ No D
Operational defects, or need to ins ct TASER? Yes □ No 0
Additional Notes:
INJURIES TO THE SUBJECT
Injuries: D None □ Complaint of pain only
Describe injures:
MEDICAL TREATMENT TO SUBJECT:
Location of treatment: �RMC O PSPD
□Visible Injuries D Dart removal only
D On scene □Other
Hospitalized? 'Of-ves D No
Description oftreatment: ___ ,._f_.1'2.::..Su:T"" _ __,A......,1..,? ____________________________ _
Person who removed darts: __ .i..:;...:::;Q..,_t'_L _______________________________ _
OK to Book received? □Yes l\l,No P Pl'\, iff !)suspect booked: □ Banning 0 Indio □ Cite released
TASER Form (01/20l9) Refer to Polley Section 309 for Reporting Guidelines
INJURIES TO THE OFFICER:
Injuries: D None □ Com plaint of pain only �slble Injuries
Describe Injures: 11C
MEDICAL TREATMENT TO OFFICER:
location of treatment: l!--DRMC O PSPO D On scene D Other
Hospitalized? 'E..Yes
D No Howmany? __ ��-----Date taken: ---
0escriptlon of what Is being depicted In photographs: _ _..;J;t;,;,;._;;_._.f:t.____.l}._.,.._-r.....,.£'------------------------
TASER PROBES/DRIVE-STUN LOCATIONS (use ink pen on form)
X= Probe
D = Drive-Stun
Description of where missed probes went:
DOCUMENTATION:
Witnesses (Officers and Civilians):-------------------------------
Activation history reviewed and attached? D Yes
Supervisor notified of TASER deployment? D Yes
D No If not, why? _________________ _
D No Supervisor name:
Name of person preparing this form: STE£ i) ID#: (D. Date: II / 20l:?
TASER Form (01/2019) Refer to Policy Section 309 for Reporting Guidelines