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SAmple Format (Police Report)

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SPECIAL REPORTS ON MEMORANDUM FORM

Republic of the Philippines


National Police Commission
PHILIPPINE NATIONAL POLICE
SANTA ROSA POLICE STATION
Santa Rosa, Nueva
Ecija
SRPS-IN
MEMORANDUM
FOR : Provincial Director, NEPPO
FROM : Chief of Police, SRPS
SUBJECT : SPECIAL REPORT ON (STATE THE NATURE OF CASE
OR
INCIDENT BEING REPORTED)
DATE : February 18, 2004

1. Reference Spot Report this situation with Cite Nr SRPS-02-14-40 February 14,
2004, subject as above.
2. This pertains to the (what – significant incident) __________ that transpired
at (where – place of occurrence) perpetrated by (who – name and other personal circumstances
of the suspect) on (when – month, date and year) at (specific time) in the (morning, afternoon or
evening).
3. Report revealed that (how the incident occurred and why the incident
happened) that resulted in (result or consequence of the incident).
4. Further investigation disclosed that (other information relevant to the
incident, which may answer another set of 5Ws & 1H, if necessary).
5. Elements of (unit taking action) are/ have (police action conducted – search/
follow-up/ pursuit operations, filing of charges, further investigation, etc.) that resulted in the
(result of police action – seizure, arrest, surrender, confiscation, recovery, issuance of arrest
warrant, etc.)
6. Other developments regarding the incident shall be submitted as soon as
obtained.

PETER DUNLUAN GUIBONG


Police Superintendent

PROGRESS REPORT ON MEMORANDUM FORM


Republic of the Philippines
National Police Commission
PHILIPPINE NATIONAL POLICE
SANTA ROSA POLICE STATION
Santa Rosa, Nueva
Ecija
SRPS-IN
MEMORANDUM
FOR : Provincial Director, NEPPO
FROM : Chief of Police, SRPS
SUBJECT : PROGRESS REPORT (STATE THE NATURE OF CASE
OR
INCIDENT BEING REPORTED)
DATE : February 16, 2004

1. Reference: Spot Report this Station, Cite Nr SRPS-02-14-40 dated


February 14, 2004, subject as above.
2. Submitted is the Progress Report re (state the nature of incident
being
reported, time and date and place of occurrence).
3. Please be informed that (state the additional information
answering the 5Ws & 1H in relation to the case).
4. (In this portion state the action taken by the police unit handling
the case,
and the status of the case and the suspects).
5. For info.
PETER DULNUAN GUIBONG
Police Superintendent

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