UOF - Use of Force Report

DATE:
TIME:
LOCATION:
UOF CASE #:
SUBJECT NAME
IDOC #:
STAFF:
ASSOCIATE #:
REASON FOR THE USE OF FORCE: (CHECK ALL THAT APPLY) TO EFFECT AN ARREST
TO DEFEND SELF
TO PREVENT ESCAPETO DEFEND ANOTHER PERSONPROTECTIVE CUSTODY / SUBJECT SAFETYOTHER (Describe in narrative)
STAFF PERCEPTION OF SUBJECT’S ACTIONS: (GIVE DETAILS IN NARRATIVE)PASSIVE RESISTANCE (Dead weight or noncompliance to verbal direction, but offering no actively resistive movement)ACTIVE
OR ESCAPE RESISTANCE (Actions such as pushing, pulling evasive arm movement, flailing, flight, muscle tension, etc. to avoid control. Does not include attempts to harm the staff member.)ASSAULTIVE
/ HIGH-RISK (Agitated, combative state, physically assaultive actions and/or behavior that poses threat of injury to another.)LIFE THREATENING / SERIOUS BODILY INJURY (Actions that may
result in death or serious bodily injury.)
TYPES OF FORCE USED: (GIVE DETAILS IN NARRATIVE)
STAFF PRESENCE
FULL UNIFORM
PARTIAL UNIFORM (Displayed badge, vest, jacket, etc.)
PLAINCLOTHES
VERBAL COMMANDS
COMPLIANCE TECHNIQUES (Force used to gain control – restraints, come-alongs, takedown – use of hands arms feet legs)
CHEMICAL SPRAY/AGENTS
NUMBER OF BURSTS:
DURATION OF BURSTS:
DISTANCE FROM SUBJECT:
IMPACT LOCATION:
TIME BETWEEN APPLICATION AND DECON:
IMPACT WEAPON
ELECTRONIC CONTROL WEAPON (ECW)
LASER ONLY
PROBE DEPLOYMENT
IMPACT LOCATION:
NUMBER OF CYCLES:
DISTANCE FROM SUBJECT:
ECW #:
POINT A FIREARM
DEADLY FORCE (Firearm or other)
OTHER
DESCRIBE:
RESTRAINTS USED:
HAND RESTRAINTS
LEG RESTRAINTS
OTHER:
NONE
OTHER STAFF PRESENT:
OTHER LE PRESENT (INCLUDE AGENCY):
OTHER WITNESSES:
AUDIO/VISUAL EVIDENCE AVAILABLE?
DESCRIBE:
WAS THE SUBJECT INJURED?
DESCRIBE:
Mark location of injuries
WAS THE STAFF INJURED?
DESCRIBE:
Mark location of injuries
WERE OTHERS INJURED?
DESCRIBE:
STAFF NARRATIVE:
STAFF NAME AND ASSOCIATE #:

DATE:
SUPERVISOR RECEIVED
DATE: