Form 1-705 Law Enforcement Officers Killed or Assaulted

1-705 (Rev. 11-17-09)

OMB No. 1110-0006

LAW ENFORCEMENT OFFICERS KILLED OR ASSAULTED
This report is authorized by law Title 28, Section 534, U.S. Code. Even though you are not required to respond, your cooperation in using this form
to report the number of your officers who were killed or assaulted in the line of duty during the month will assist the FBI in compiling timely,
comprehensive, and accurate data. Please submit this report, by the seventh day after the close of the month, and any questions to the FBI,
Criminal Justice Information Services Division, Attention: Uniform Crime Reports/Module E-3, 1000 Custer Hollow Road, Clarksburg,
West Virginia 26306; telephone 304-625-4830; facsimile 304-625-3566. Under the Paperwork Reduction Act, you are not required to complete this form
unless it contains a valid OMB control number. The form takes approximately 7 minutes to complete. Instructions for preparing the form are on the
reverse side. Additional information on officers who were assaulted and injured with a firearm or a knife or other cutting instrument will be
requested on a separate questionnaire, Analysis of Law Enforcement Officers Killed and Assaulted .
OFFICERS KILLED
Number of your law enforcement officers
killed in the line of duty this month.

By felonious act
By accident or negligence

OFFICERS ASSAULTED (Do not include officers killed) - See other side for instructions.

Total
assaults
by
weapon Firearm
B
A

Type of activity

Type of weapon
Knife
or
Other
other
cutting dangerous
instruweapon
ment
D
C

Type of assignment
One-officer
Detective or
vehicle
special assign.
Hands,
fists,
feet,
etc.
E

Twoofficer
vehicle
F

Alone
G

Assisted
H

Alone
I

Assisted
J

Other

Alone
K

Assisted
L

Officer
assaults
cleared
M

1. Responding to disturbance
calls (family quarrels, person
with firearm, etc.)
2. Burglaries in progress or
pursuing burglary suspects
3. Robberies in progress or
pursuing robbery suspects
4. Attempting other arrests
5. Civil disorder (riot, mass
disobedience, etc.)
6. Handling, transporting,
custody of prisoners
7. Investigating suspicious
persons or circumstances
8. Ambush - no warning
9. Handling persons with
mental illness
10. Traffic pursuits and stops
11. All other
12. TOTAL (1-11)
13. Number with personal injury*

DO NOT WRITE HERE

14. Number without personal injury

15. Time of assaults

12:01
AM
PM

Initials
2:00

4:00

Month and Year

Agency Identifier

Agency

State

6:00

8:00

10:00

12:00

Prepared by / E-mail address

Recorded
Edited
Entered
Verified
Adjusted

Title

Chief, Sheriff, Superintendent, Commanding Officer

*If the officer was injured with a firearm (13B) or a knife or other cutting instrument (13C), please complete the block on the reverse side and
include your agency's incident or case number(s). This information is only for your agency's use to assist in referencing the incident once the
FBI/DOJ
above-mentioned questionnaire is forwarded to you for completion.

INSTRUCTIONS FOR PREPARING REPORT
When an officer is assaulted in the line of duty, the reporting agency should enter the type of weapon (columns B through E) and type
of assignment (columns F through L) next to the appropriate type of assignment (lines 1 through 11). The reporting agency should
also indicate injury (line 13) or no injury (line 14) and total number of assaults by the time of day on line 15. Reporting agencies are
reminded that the Hierarchy Rule applies to those incidents involving aggravated assaults on law enforcement officers while
responding to or taking necessary action at the scene of a crime. For example, if an officer is assaulted at the scene of a robbery, only the
robbery is scored on the Return A, but the assault is recorded on this form. However, if the officer is assaulted during a burglary
incident, only the assault is scored both on the Return A and on this form.
The reporting agency should use column M next to the appropriate activity to indicate that an assault on a law enforcement officer
was cleared by arrest.
At the end of the month, the reporting agency should add across each line, B through E, and enter total in column A. (The total
F through L should equal the total of B through E as entered in A.) Finally, the reporting agency should enter a total for each column
(B through M) on line 12.
Columns B - E:
Columns B through E pertain to type of weapon. The reporting agency should enter one weapon for each assault. If more than
one type of weapon is used to commit a single assault, the weapon which is first encountered in moving from column B to
column E should be the weapon selected.
Columns F - L:
Column F (Two-officer vehicle) and columns G and H (One-officer vehicle) pertain to uniformed officers, columns I and J
(Detective or special assignment) to non-uniformed officers. Columns K and L (Other) pertain to officers assaulted functioning
in a capacity not represented by columns F through J such as foot patrol, off duty, etc.
Column M:
Enter the number of officer assaults cleared. Column M should not be used to count the number of persons arrested for such
offenses. Include exceptional clearances in this column.
Lines 1 - 11:
Enter the type of law enforcement activity in which the officer was engaged at the time of assault.
Line 12:
Enter the total of lines 1 through 11.
Line 13:
Enter the number of assaults from line 12 that resulted in personal injury to the officer.
Line 14:
Enter the number of assaults from line 12 in which there was no injury to the officer.
Line 15:
Enter the total number of assaults on officers occurring within the appropriate two-hour intervals.
YOUR AGENCY'S INCIDENT OR CASE NUMBER(S)
(Complete this block only if the assaulted officer was injured with a firearm or a knife or other cutting instrument.)