Originally submitted LEMAS survey instrument

RETURN
TO

OMB No.: 1121-0240 Approval Expires: pending
Urban Institute, JPC-LEMAS
2100 M Street, NW
Washington, DC 20037
https://lemas.urban.org
Telephone: 202-261-5804
Fax: 202-659-8985

2012 LAW ENFORCEMENT MANAGEMENT
AND ADMINISTRATIVE STATISTICS SURVEY

FORM CJ-44
2012 SURVEY OF STATE AND LOCAL
LAW ENFORCEMENT AGENCIES
U.S. Department of Justice
Bureau of Justice Statistics

In correspondence about this survey, please refer to the number at the top left of the address label. (On the label, please correct any error in name and mailing address. If the
label is correct, please check the box in the bottom right hand corner.)

The label is correct

INFORMATION SUPPLIED BY
NAME

TITLE

TELEPHONE

Area Code

Number

Extension

FAX

Area Code

Number

EMAIL ADDRESS

Instructions
1.
2.
3.
4.
5.
6.
7.
8.

Please answer all questions with reference to the law enforcement agency specified on the label above. This survey is directed to
a sample of General Purpose Law Enforcement Agencies in the United States.
It may be necessary to gather information from multiple departments within your agency in order to complete this survey.
Please review the whole survey and submit any requests for information to the appropriate staff prior to beginning your
responses.
For additional information, please refer to the Help Text in Appendix A. Item-specific directions are provided. A glossary of
terms is provided in Appendix B for your reference. A list of retirement programs in your agency’s state is also provided in
Appendix C for your reference.
If you are unable to complete an item according to the directions, call the Help Line or make a note in the comments portion
(Section J) to explain how you handled the item.
Please complete and return the survey by MM/DD/YYYY.
Please retain a copy of the completed survey for your records.
Data collected through this project will be used for research and statistical purposes only (Title 42 USC 3725 and 3789g). Your
participation is voluntary.
If you have questions or concerns, or if you need assistance completing the survey, please contact the Urban Institute at
lemas@urban.org or call 202-261-5804. Please call between 9:00 a.m. and 5:00 p.m. EST.

Burden Statement

Federal agencies may not conduct or sponsor an information collection, and a person is not required to respond to a collection of information, unless
it displays a currently valid OMB Control Number. Public reporting burden for this collection of information is estimated to average 4 hours per
response, including time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and
reviewing the collection of information. Send comments regarding this burden estimate, or any other aspects of this collection of information,
including suggestions for reducing this burden, to the Director, Bureau of Justice Statistics, 810 Seventh Street NW, Washington, DC 20531.

Form LEMAS-12

Form CJ-4SGS4L
Expires XX/XX/XX

OMB No. XXXX-XXXX: Approval

Please do not leave any items blank. All “Yes/No” items require an
answer. Blanks will not be accepted as “No” and may trigger a followup phone call for clarification. For assistance with any item, see the
Help Text in Appendix A for item-specific guidance. A glossary of
terms is provided in Appendix B for your reference. Please contact the
Help Line if you have any questions or you are unable to complete a
question as instructed. Document any instances where you were unable
to complete items as requested in the comments portion (Section J).

A4.

a. White, Not of Hispanic Origin
b. Black or African American,
Not of Hispanic Origin
c. Hispanic or Latino
d. American Indian or Alaskan Native
Not of Hispanic Origin
e. Asian, Not of Hispanic Origin
f. Native Hawaiian or Other Pacific Islander,
Not of Hispanic Origin
g. Two or more races
h. Not known
i. Total personal (sum of a through h)

SECTION A: CURRENT PERSONNEL
This section includes personnel questions for both sworn and nonsworn employees. Do not include seasonal or unpaid reserve officers
until Question A6 and A7.
A1.

A2.

As of July 1, 2012, how many male and female full-time and
part-time PAID sworn personnel worked in your agency?
Full-time employees are those regularly scheduled for 35 or
more hours per week. If none, enter ‘0.’ Do not include
employees whose positions are regularly added during peak
months of the year and dropped after the peak season.
Full-Time

Part-Time

a. MALE sworn personnel
with general arrest powers

1_________

2_________

b. FEMALE sworn personnel
with general arrest powers

1_________

2_________

c. TOTAL sworn personnel
with general arrest powers

1_________

2_________

As of July 1, 2012, how many FULL-TIME SWORN
personnel with general arrest powers performed the
following duties as their PRIMARY job responsibility?
Count each officer only once. If none, enter '0.
a. Patrol duties (including community policing
officers)
b. Investigative duties (e.g., detectives)
c. Jail related duties
d. Court-related duties
e. Other duties

A3.

a. _________
b. _________
c. _________
d. _________
e. _________

As of July 1, 2012, how many FULL-TIME SWORN
individuals held the following SUPERVISORY positions? If
a position does not exist in your agency, check N/A. If there are
no employees in a particular option, enter ’0.’
Male

Female

a. Chief Executive (i.e., Chief,
Commissioner, Sheriff)

N/A

1_____

2_____

b. Any intermediate supervisor,
below Chief Executive

1_____

2_____

3

c. Sergeant or equivalent firstline supervisor

1_____

2_____

3

1

As of July 1, 2012, how many FULL-TIME SWORN
personnel with general arrest powers were there in each of
the following racial / ethnic categories? If none, enter ‘0.’

A5.

a. _________
b. _________
c. _________
d. _________
e. _________
f. _________
g. _________
h. _________
i. _________

During the 12 month period ending June 30, 2012, how
many SWORN personnel worked in your agency whose
employment was seasonal (e.g., worked only a few months
in the summer or winter)? Please include both part-time and
full-time seasonal sworn personnel in your response. If none,
enter ‘0.’
_____________Seasonal sworn personnel

A6.

As of July 1, 2012, how many UNPAID reserve or auxiliary
officers with general arrest powers did your agency have?
If none, enter ‘0.’
___________________
Number of sworn reserve / auxiliary personnel

A7.

As of July 1, 2012, how many PAID NONSWORN
personnel did your agency have? Please include both parttime and full-time nonsworn personnel in your response. If
none, enter ‘0.’
_____________Paid nonsworn personnel

A8.

As of July 1, 2012, what types of job duties are provided by
your agency’s NONSWORN personnel?
1 Agency does not employ any NONSWORN personnel.
Yes
1
1
1
1
1
1
1
1
1
1
1
1
1

No
2
2
2
2
2
2
2
2
2
2
2
2
2

a. Administrative or clerical
b. Building cleaning and maintenance
c. Legal services
d. Accounting or financial management
e. Forensic sciences
f. Research, statistics or crime analysis
g. Personnel /human resources management
h. Information technology specialist
i. Vehicle maintenance
j. Call dispatcher
k. Court-related functions
l. Jail-related functions
m. Other, please specify
________________________________

Form CJ-4SGS4L
Expires XX/XX/XX

OMB No. XXXX-XXXX: Approval

SECTION B: CURRENT PAY AND BENEFITS
B1.

As of July 1, 2012, what was your agency’s annual salary
schedule for FULL-TIME SWORN positions? If no fixed
salary schedule exists, list the lowest current pay as the
minimum and the highest current pay as the maximum for each
position below. If a position does not exist in your agency,
check the “No Such Position” box.
Minimum

a. Chief Executive
$_______.00
(e.g., Chief, Sheriff,
Commissioner)
b. Sergeant or equivalent $_______.00
first-line supervisor
c. Entry-level officer or
$_______.00
deputy (Post Academy)
B2.

$_______.00


$_______.00



No
2
2
2
2
2
2
2
2
2

a.
b.
c.
d.
e.
f.
g.
h.
i.

Educational achievement
Special skills or vocational training
Bi-lingual or Multi-lingual ability pay
Special duty assignments (e.g., K-9, horse patrol)
Hazardous duty assignments
Shift differential pay
Residential pay
Merit pay
Other, please specify: ____________________

As of July 1, 2012, which of the following types of
educational or equipment costs did your agency provide to
or reimburse expenses for FULL-TIME SWORN personnel
in your agency? Check either ‘yes’ or ‘no’ for each item.
Yes
1
1
1
1

B4.

B7.

No Such
Position

$_______.00

No
2
2
2
2

a.
b.
c.
d.

Tuition costs
Uniform costs
Body armor or other safety equipment
Firearms

2 Expired

During the 12-month period ending June 30, 2012, how
many FULL-TIME SWORN personnel SEPARATED from
your agency? If none, enter ‘0.’
Full-Time
a. Voluntary-retired
a._________
b. Voluntary-other separation
b._________
c. Involuntary-laid off due to reduction-in-force c._________
d. Involuntary- removed or fired by agency
d._________
e. Other type of separation, please specify:
e._________
________________________________

During the 12-month period ending June 30, 2012, how
many NONSWORN personnel SEPARATED from your
agency? If none, enter ‘0.’
Full-Time
a. Involuntary-laid off due to reduction-in-force a. ________
b. Other type of separation
b. ________
c. Total number of personnel separated
c. ________

B9.

At any time between January 1, 2009 and June 30, 2012,
did your agency implement agency-wide reductions in the
base salary for SWORN or NONSWORN personnel?
1

Yes

2 No Skip to B11

B10.

If yes to Question B9, how much was the base salary
reduced?
% Reduction
a. Sworn Personnel
______________
b. Nonsworn Personnel
______________

B11.

At any time since January 1, 2010 did your agency
FURLOUGH (reduce the number of hours or days for
which any employees were paid) ANY employees? Do not
include reductions in overtime.

B12.

As of July 1, 2012, did your agency allow sworn personnel
assigned to patrol duties to take agency-owned vehicles to
their home?

2 No Skip to B13

How many SWORN and NONSWORN employees were
FURLOUGHED during any pay period in 2010, 2011 and
2012 (Do not include reductions in overtime)? If no
employees were furloughed in a particular year, enter ’0.’

a. Sworn employees
b. Nonsworn employees
B13.

1 Yes 2 No  Skip to B7

2010

2011

2012

1______

2______

3______

1______

2______

3______

During the 12-month period ending June 30, 2012, did your
agency COMPENSATE any personnel for OVERTIME
work?
Yes No
1 2
1 2

a. Nonsworn personnel
b. Sworn personnel

If No to B13b, skip to question B16.

2

f._________
g._________

B8.

1 Yes

As of July 1, 2012, was there an organization certified to
bargain on behalf of sworn personnel in your agency?

3 No agreement

f. Reasons unknown
g. Total number of sworn personnel separated

All Some None
1 2 3 a. Marked vehicles
1 2 3 b. Unmarked vehicles
B5.

As of July 1, 2012, what was the status of the COLLECTIVE
BARGAINING AGREEMENT with this organization?
1 Active

As of July 1, 2012, which types of achievements or skills
could result in increased pay for FULL-TIME SWORN
Personnel? Check either ‘yes’ or ‘no’ for each item. Incentives
could come in the form of increased salary or additional paid
leave.
Yes
1
1
1
1
1
1
1
1
1

B3.

Maximum

B6.

Form CJ-4SGS4L
Expires XX/XX/XX

B14.

For what law enforcement functions was overtime work
authorized for SWORN PERSONNEL? Check either ‘yes’
or ‘no’ for each item. Only include overtime work paid by
your agency with no reimbursement from other agencies.
Yes
1
1
1
1
1
1
1

No
2
2
2
2
2
2
2

1 2

B15.

OMB No. XXXX-XXXX: Approval

Court testimony
Extended shifts
Increased patrol
Investigations
Administrative duties
Emergence response
Security or traffic assistance at planned
events (e.g., parades, concerts, sporting events)
h. Other functions, please specify:
________________________________

During the 12-month period ending June 30, 2012, did your
agency limit the number of overtime hours individual
sworn personnel can work for your agency?

B17.

Full-Time

a. Direct hires
b. Pre-Service Hires

1_________ 2_________
(Hires with certification but no law enforcement experience)

c. Lateral hires

1_________ 2_________
(Hires with certification and law enforcement experience)
d. Total New Hires
1_________ 2_________

C4.

No  Skip to C1

During the 12-month period ending June 30, 2012, what
types of limits were placed on SWORN PERSONNEL for
working outside your agency in a law enforcement
capacity? Check one.
Yes
1
1
1
1

No
2
2
2
2

a.
b.
c.
d.

C5.

As of July 1, 2012, what was your agency’s minimum
education requirement for new hires? Check one.
1 No minimum requirement
2 High school diploma or equivalent (e.g., GED)
3 Some college but no degree
4 Associate’s Degree or equivalent
5 Bachelor’s Degree or equivalent
6 Other requirement, please specify:
________________________________

C6.

Does your agency consider military service as an
alternative to its minimum educational requirement?
2 No
3 Not Applicable
1 Yes

C7.

During the 12-month period ending June 30, 2012, how
many employees hired for FULL-TIME SWORN positions
had a 4-year college degree? If none, enter ’0.’

No limits
Amount of hours of work
Type of establishment
Other criteria, please specify:
________________________________

SECTION C – NEW PERSONNEL
C1.

At any time between January 1, 2010 and June 30, 2012,
did your agency have a HIRING FREEZE (i.e., implement
a policy of not hiring new personnel when existing
personnel leave) in effect for either SWORN OR
NONSWORN PERSONNEL?
1 Yes

C2.

2

No  Skip to C3

_____________Full-time sworn hires with a bachelor’s degree
C8.

For how many months during this 30-month period did
your agency have a policy of not filling vacancies for
SWORN or NONSWORN personnel? If there was no such
policy for a given year, enter ‘0.’
Number of Months with
a Freeze in Hiring during
2010
2011
2012
a. Sworn employees
1______
2______
3______
b. Nonsworn employees
1______
2______
3______

What types of additional law enforcement TRAINING
were required for LATERAL OR PRE-SERVICE hires?
Lateral Pre-service
2
a. None
1
1
2
b. Abbreviated courses on departmental
policies and practices
1
2
c. Abbreviated field supervision
2
d. Similar training or field supervision
1
as direct hires
1
2
e. Other, please specify:
___________________________
1
2
e. No new hires of this type

During the 12-month period ending June 30, 2012, did your
agency allow sworn personnel to work outside your agency
in a law enforcement capacity (e.g., off duty / extra duty
job)? Include overtime employment arranged by your agency.
2

Part-Time

1_________ 2_________

(Hires with no law enforcement certification or experience)

2 No

1 Yes

During the 12-month period ending June 30, 2012, how
many SWORN personnel were HIRED? If none, enter ‘0.’
 check here is no Sworn personnel were hired during the 12month period ending June 30, 2012 and skip to Question C4.

a.
b.
c.
d.
e.
f.
g.

1 Yes
B16.

C3.

What types of RETIREMENT PROGRAMS were available
to all FULL-TIME SWORN EMPLOYEES HIRED during
the 12-month period that ended June 30, 2012?
Yes No
1 2 a. Defined Benefits Retirement Plan (see
Appendix C for a list of your state’s retirement
plans)  Answer C9
1 2 b. Defined Contribution Plan (e.g., IRA, 401k)
 Answer C10
1 2 c. U.S. Social Security Program
1 2 d. Other type of program, please specify the nature
of this retirement program:
_______________________________________

If C8a AND C8b responses are No, please skip to Question C11.

3

Form CJ-4SGS4L
Expires XX/XX/XX

C9.

OMB No. XXXX-XXXX: Approval

If your agency has a DEFINED BENEFITS
RETIREMENT PROGRAM what is the name of your
agency’s program or system?

E2.

1 Yes

___________________________________________
C10.

If your agency has a DEFINED CONTRIBUTION PLAN
(E.G., IRA, 401K), what is the range of the EMPLOYER’S
contribution to this plan as a percent of the employee’s
salary?
Minimum
Maximum
___________%
___________%

E3.

During the 12-month period ending June 30, 2012, how
many NONSWORN personnel were HIRED?
If no NONSWORN personnel were hired in the 12 months that
ended June 30, 2012, check here  and skip to question D1

Number of nonsworn personnel hired

Full-Time
1_________

During the 12-month period ending June 30, 2012, how
many PATROL OFFICERS were engaged in SARA-TYPE
PROBLEM-SOLVING PROJECTS? If none, enter ‘0.’

As of July 1, 2012, did your agency include
COLLABORATIVE PROBLEM-SOLVING PROJECTS
in the evaluation criteria of PATROL OFFICERS?

E5.

Part-Time
2_________

During the 12 month period ending June 30, 2012, did your
agency have a PROBLEM-SOLVING PARTNERSHIP or
WRITTEN AGREEMENT with any local civic, business or
governmental organizations? This could include Memoranda
of Understanding.
1 Yes

D2.

In what month does your fiscal year begin?
Month Fiscal Year Begins:
_________________________

E6.

What is your agency’s total operating budget for the 12month period that includes July 1, 2012? Check the box
below if you are unable to provide the exact amount. Do not
include constructions costs, major equipment expenditures or
other capital expenditures.



$_________________________.00

2 No

During the 12-month period ending June 30, 2012, did your
agency on a regular basis assign the same patrol officers
primary responsibility for a particular area or beat within
your agency’s jurisdiction?
1 Yes

E7.
Operating Budget:

2 No

1 Yes

SECTION D: BUDGET and INCOME SOURCES
D1.

2 No  Skip to E5

_______________________ Number of patrol officers
E4.

C11.

During the 12-month period ending June 30, 2012, did your
agency actively encourage PATROL OFFICERS to engage
in SARA-TYPE PROBLEM-SOLVING PROJECTS?

2 No  Skip to E8

How many PATROL OFFICERS were on a regular basis
given primary or exclusive responsibility for particular
AREAS OR BEATS? If none, enter ‘0.’

Check here if the figure above is an estimate
_______________________ Number of patrol officers

D3.

During the 12-month fiscal period that includes July 1,
2012, what were the sources of funding for the operational
expenses of your agency? Include funds received through
grants in your agency’s response. Do not include capital
expenditures.
Yes
1
1
1
1
1

No
2
2
2
2
2

1 2
1 2
1 2

During the 12-month period ending June 30, 2012, did your
agency utilize information from a SURVEY OF LOCAL
RESIDENTS about crime, fear of crime or satisfaction with
law enforcement?
1 Yes

a.
b.
c.
d.
e.

One or more municipal governments
One or more county governments
One or more state government agencies
One or more Federal government agencies
Payment for contracted law enforcement
services
f. Asset Forfeiture Program
g. User fees
h Other, please specify:
________________________________

E9.

2 No

During the 12-month period ending June 30, 2012, what
proportion of FULL-TIME SWORN PERSONNEL
received at least 8 HOURS of training on community
policing issues, such as problem solving, SARA, and
community partnerships? Check one for both ‘a’ and ‘b.’
a. Recruit Training:

SECTION E – COMMUNITY POLICING
E1.

E8.

As of July 1, 2012, what best describes your agency’s
WRITTEN MISSION STATEMENT?
1 No written mission statement
2 Written mission statement with NO community policy
component
3 Written mission statement with a community policy
component

4

1
2
3
4
5

All
Half or More
Less than Half
None
Not Applicable

b. In-service Training:
1
2
3
4

All
Half or More
Less than Half
None

Form CJ-4SGS4L
Expires XX/XX/XX

OMB No. XXXX-XXXX: Approval

SECTION F – INFORMATION COLLECTION,
ACCESS AND REPORTING
F1.

As of July 1, 2012, did your agency use any of the following
methods to collect information?
Yes
1
1
1
1
1
1
1
1

F2.

No
2
2
2
2
2
2
2
2

a.
b.
c.
d.
e.
f.
g.
h.

No
2
2
2
2
2
2

a.
b.
c.
d.
e.
f.

Gunshot detection system
License plate readers
Smartphones
Video surveillance of public areas
Video cameras in patrol vehicles
Video cameras on patrol officers
Video cameras on weapons
Other types of video cameras

F8.

Motor vehicle records
Driver license records
Outstanding warrants
Individual criminal history
Prior agency experience with specific location
Protection orders

F4.

As of July 1, 2012, did your agency maintain a
COMPUTERIZED RECORDS SYSTEM for criminal
incidents?
1 Yes
2 No  Skip to F7

F5.

What types of COMPUTERIZED RECORDS of criminal
incidents are maintained by your agency?
No
2
2
2
2

a.
b.
c.
d.

F9.

F10.

Yes
1
1
1
1
1
1
1
1

No
2
2
2
2
2
2
2
2

a.
b.
c.
d.
e.
f.
g
h.

Narrative descriptions of offenses
Offense coding (NCIC, UCR, etc.)
State statutes or municipal codes of offenses
Victim characteristics
Suspect characteristics
Offense location
Geocoded address of offense (X,Y coordinates)
Offense date

5

Sworn

Nonsworn

1_________ 2_________
1_________ 2_________

If yes to F7b, what types of outside organizations or
individuals conduct RESEARCH OR STATISTICAL
ANALYSIS of your agency’s computerized records of
criminal incidents? Check all that apply.
1
2
3
4
5

Another law enforcement agency
Another government agency
A college, university, or non-profit organization
A commercial vender
Other source, please specify:
________________________________

As of July 1, 2012, did your agency use its website as a way
to report crime statistics to the public? Check all that apply.
 Agency has no website (skip to Question F12).
Yes No
1 2 a. Provides jurisdiction-wide summaries of crime
statistics
1 2 b. Provides summaries of crime statistics by districts,
beats, neighborhoods or other areas within your
jurisdiction
1 2 c. Provides street level maps that report the location
and nature of a variety of specific crimes
1 2 d. Provides street level maps with details about
the residential location of sex offenders
1 2 e. Uses other ways to report crime statistics,
please specify: _______________________

Incident-based statistical records
Summary statistics
Officer narratives
Other, please specify:
_______________________________

What TYPES OF DATA are included in your
COMPUTERIZED RECORDS of criminal incidents?

If yes to F7a, during the 12-month period ending June 30,
2012, how many personnel conducted RESEARCH OR
STATISTICAL ANALYSES using your agency’s
computerized records of criminal incidents? If none, enter
‘0.’
Assigned
a. Full-time
b. Part-time

F11.
F6.

a. Analyses conducted by agency staff
b. Analyses conducted by external organizations

If no analyses were conducted, check here 
(Please skip to Question F10.)

As of July 1, 2012, what was the PRIMARY METHOD for
transmitting CRIMINAL INCIDENT REPORTS from the
field to your agency’s central information system? Check
one.
1 Paper report
2 Voice transmission (e.g, radio, phone)
3 Computer, smartphone, or other device
4 Other, please specify: ____________________________

Yes
1
1
1
1

During the 12-month period ending June 30, 2012, did your
agency conduct or arrange for others to conduct
RESEARCH OR STATISTICAL ANALYSES (including
geospatial analyses) using your agency’s computerized
records of criminal incidents?
Yes No
1 2
1 2

As of July 1, 2012, did any of your patrol officers have
DIRECT ELECTRONIC ACCESS (e.g., via computer,
smart phone, etc.) to the following types of information
while in the field?
Yes
1
1
1
1
1
1

F3.

F7.

As of July 1, 2012, did your agency’s use its website to
receive input from local residents in any of the following
way?
Yes
1
1
1
1

No
2 a. To report crimes or other problems
2 b. To ask questions about the agency
2 c. To complain about the department or about
specific officers
2 d. To provide other opportunities for input
from residents. If yes, please specify:
____________________________________

Form CJ-4SGS4L
Expires XX/XX/XX

F12.

OMB No. XXXX-XXXX: Approval

As of July 1, 2012, did your agency make it possible for
RESIDENTS report crime or any other problem by
EMAIL OR TEXTING?
1 Yes

F13.

G5.

2 No

___________ Number of vehicle pursuits (if none, enter 0)



Can LOCAL RESIDENTS arrange to receive information
about crime or other issues via email, recorded phone calls,
cell phone texts, or other electronic means?
G6.
2 No

1 Yes
F14.

Does your agency use any of the electronic SOCIAL MEDIA
listed below?
Yes
1
1
1
1
1
1

No
2
2
2
2
2
2

a.
b.
c.
d.
e.
f.

G2.

G7.

No
2
2
2
2
2
2
2

H1.

1
2
3
4
5
6
7

As of July 1, 2012, according to your agency’s WRITTEN
POLICY, who is responsible for selecting BODY ARMOR
FOR SWORN PERSONNEL? Check one.
1
2
3
4

a. Motorcycles
b. All-terrain vehicles (ATVs)
c. Fixed-wing aircraft
d. Helicopters
e. Boats
f. Unmanned aerial drones
g. Other, please specify: ______________

5

As of July 1, 2012, which of the following options best
describes your agency’s WRITTEN PURSUIT DRIVING
POLICY? Check one.
Agency has no written policy on pursuit driving
Permitted – left to the judgment of the pursuing officers
Permitted – restricted by policy to certain circumstances
Permitted – subject to supervisory review before initiation
Discouraged - all vehicle pursuits discouraged
Prohibited – all pursuits prohibited
Other, please specify:
________________________________

Agency has no written policy on body armor (skip to H3)
The agency selects body armor
The individual officer selects body armor
The individual officer selects with restrictions set by the
department on the armor type or manufacturer
Other, please specify: ________________

Does your agency’s WRITTEN POLICY include any of
the following requirements?
Yes No
1 2
1

2

1 2
1 2
1 2

G4.

How does your agency document VEHICLE
PURSUIT INCIDENTS? Check one.
1 Separate report
2 Use of force form
3 Offense or arrest reports
4 Other, please specify: _______________________

1 2
1 2

6

2 No

SECTION H – OFFICER SAFETY AND
USE OF FORCE

H2.
G3.

Does your agency’s WRITTEN FOOT PURSUITS
POLICY encourage the use of CONTAINMENT
TACTICS?
1 Yes

a. _________
b. _________

As of July 1, 2012, did your agency operate other types of
motorized vehicles?
Yes
1
1
1
1
1
1
1

Agency has no written policy on foot pursuits
(skip to Question H1).

Yes No Situations where foot pursuits are limited by policy
1 2 a. A lone officer enters an isolated location or structure
1 2 b. An officer loses contact with fellow officers and
the agency’s communication center
1 2 c. An officer loses visual contact with the suspect
1 2 d. A suspect is thought to be armed and
no back up is currently available
1 2 e. Other, please specify: ________________________

As of July 1, 2012, how many MARKED AND
UNMARKED MOTORIZED VEHICLES were operated
by your agency? Include all owned, rented, leased and
confiscated vehicles that your agency USES. If none, enter ‘0.’
a. Marked cars (SUVs, vans, trucks, etc.)
b. Unmarked cars (SUVs, vans, trucks, etc.)

a. Check here if the figure above is an estimate.
b. Check here if the number is not known.

As of July 1, 2012, according to your agency’s WRITTEN
POLICY ON FOOT PURSUITS which of the following
situations would restrict initiating or continuing a foot
pursuit?


Twitter
Facebook, Google+, or similar service
Blogs
YouTube or similar video sharing service
Cell phone text alerts (e.g., Nixle)
Other, please specify:
___________________________

SECTION G – VEHICLES AND PURSUITS
G1.

5 No formal records of pursuit incidents maintained
During the 12-month period ending June 30, 2012, how
many VEHICLE PURSUITS occurred in your agency?

a. Uniformed field/patrol officers must have access
to body armor at all times
b. Uniformed field/patrol officers must wear
body armor in certain high risk conditions,
such as when serving warrants.
c. Uniformed field/patrol officers must wear body
armor in the field at all times
d. The body armor worn must be custom-fitted to the
officer
e. Officers must be trained for the proper wear, care
and maintenance of the armor
f. Supervisors are required to inspect personnel for
compliance with the body armor policy
g. The body armor must be purchased in compliant
with the most current NIJ ballistic-resistant body
armor standard

Form CJ-4SGS4L
Expires XX/XX/XX

OMB No. XXXX-XXXX: Approval

H8.
H3. As of July 1, 2012, who PAYS FOR OR CONTRIBUTES to the
purchase of BODY ARMOR used by agency personnel? Please
check one.
Yes
1
1
1
1

No
2
2
2
2

1 2
H4.

a.
b.
c.
d.

The department
The individual officer/deputy
Grant funds
Other sources, please specify:
_____________________________
e. Agency personnel does not use body armor.

As of July 1, 2012, which of the following types of
FIREARMS were authorized for use by your agency’s
SWORN FIELD/PATROL OFFICERS?
Authorized for:
All Sworn Some Sworn Not
Personnel Personnel Authorized
2
3
a. Handgun
1
1
2
3
b. Patrol Rifle
2
3
c. Shotgun
1

H5.

As of July 1, 2012, which of the following types of WEAPONS
were authorized for use by your agency’s SWORN
FIELD/PATROL OFFICERS?
Authorized for:
All Sworn Some Sworn Not
Personnel Personnel Authorized
1
2
3
a. Batons
2
3
b. Other Impact weapons
1
1
2
3
c. Soft projectiles
(e.g., bean bag)
1
2
3
d OC spray/foam
2
3
e. Conducted energy device
1
(e.g., Taser™, Stinger™)

H6.

As of July 1, 2012, which of the following types of
TACTICS were authorized for use by your agency’s
SWORN FIELD/PATROL OFFICERS?

All Sworn
Personnel
1
1
1
1
1

H7.

Authorized for:
Some Sworn Not
Personnel Authorized
2
3
a. Neck restraint (e.g.,
lateral vascular restrain)
2
3
b. Takedown tactics (e.g.,
straight arm bar tactic)
2
3
c. Open hand techniques
2
3
d. Closed-hand techniques
2
3
e. Leg hobble or other
severe restraints

How does your agency document USE OF FORCE
INCIDENTS? Check which option best describes your
agency’s policy and practices.
1
2
3
4

Use of force form
Use of force documented in arrest/offense report
No formal records of use of force incidents maintained
Other method of documentation

7

Does your agency require documentation when the
following types of WEAPONS OR TACTICS are used?
Yes
1
1
1
1
1
1
1
1
1
1

No N/A
2 3
2 3
2 3
2 3
2 3
2 3
2 3
2 3
2 3
2 3

a.
b.
c.
d.
e.
f.
g.
h.
i.
j.

1
1
1
1

2
2
2
2

k.
l.
m.
n.

3
3
3
3

Display of firearm
Discharge of firearm
Baton
Other Impact weapon
Soft projectile (e.g., bean bag)
OC Spray
Other chemical agent
Display of conducted energy device
Discharge of conducted energy device
Neck Restraint (e. g. Lateral Vascular
Restraint)
Takedown Tactics (e.g. arm bar takedown)
Open hand techniques
Closed-hand techniques
Leg hobble or other severe restraints

H9.

During the 12-month period ending June 30, 2012, how did
your agency record USES OF FORCE?

3

Not applicable – did not record uses of force
Yes
1
1
1

No
2 a. One report per incident
2 b. One report per officer involved
2 c. Other method used, please specify:
_______________________
H10. During the 12-month period, ending June 30, 2012, how many
INCIDENTS did your agency record where one or more types
of force were used DURING THE PROCESS OF ARREST?
(If possible, do not include incidents that occurred within a
holding cell or jail.)
_________ Number of INCIDENTS of use of force
 Check here if the number of INCIDENTS includes force
used inside holding cells or jails
 Check here if number of INCIDENTS is unknown
H11. During the 12-month period ending June 30, 2012, how many
separate REPORTS from individual officers or deputies were
recorded where one or more types of force were used
DURING THE PROCESS OF ARREST?
_________ Number of REPORTS of use of force
 Check here if number of REPORTS force used inside
holding cells or jails
 Check here if number of SEPARATE REPORTS is
unknown

Form CJ-4SGS4L
Expires XX/XX/XX

OMB No. XXXX-XXXX: Approval

SECTION I – ORGANIZATIONAL RESPONSES TO ISSUES / PROBLEMS
I1.

As of July 1, 2012, how did your agency address the following issues, problems or tasks? For each issue, please check the column
that best describes your agency’s approach to each issue.
For each issue or problem, check only one of the following options: 1) Specialized Unit, 2) Dedicated Personnel, 3) No Dedicated
Personnel or 4) Issue / Problem not formally addressed. For issues or problems addressed by specialized unit, check whether the
unit has any personnel assigned full-time or any assigned part-time or both.

Specialized Unit
Personnel
Assigned
Full-time

a.
b.
c.
d.
e.
f.
g.
h.
i.
j.
k.
l.
m.
n.

Bias/Hate crime
Bomb/Explosive disposal
Child abuse/endangerment
Cybercrime
Domestic / Intimate partner
violence
Terrorism/homeland security
Traffic enforcement
Drug/alcohol impaired
driving
Juvenile crime
Gangs
Re-entry surveillance
Fugitives / warrants
Victim assistance
Special Operations Unit

Check if any
personnel were
assigned to this
unit on a full-time
basis
1
1
1
1

Dedicated
Personnel

No Dedicated
Personnel

2
2
2
2

Check if at least one
person was assigned
to this issue /problem
at least part-time but
the agency has no
specialized unit
3
3
3
3

Check if the agency
has specialized
policies, procedures,
or training but no
dedicated personnel
or specialized unit
4
4
4
4

2
2
2

3
3
3

4
4
4

5
5
5

2
2
2
2
2
2
2

3
3
3
3
3
3
3

4
4
4
4
4
4
4

5
5
5
5
5
5
5

Personnel
Assigned
Part-time
Check if any
personnel were
assigned to this
unit on a part-time
basis

1
1
1
1
1
1
1
1
1
1

Issue not
formally
addressed

5
5
5
5

(e.g., SWAT, SRT)
I2.

As of July 1, 2012, how many total specialized units did your agency have that addressed the KINDS of issues or
problems listed in Question I1?
_________ Number of specialized units

I3.

During the 12-month period that ended June 30, 2012, did your agency participate in any multijurisdictional task
forces? (Include only ongoing efforts. Do not include ad hoc or single event collaborations.)
1 Yes

I4.

2 No

If yes to Question I3, which of the following issues were addressed by these task forces?
Yes
1
1
1
1
1

No
2
2
2
2
2

a.
b.
c.
d.
e.

Special Operations Unit (e.g., SWAT, SRT)
Drugs/Counternarcotics
Gangs
Human Trafficking
Other, please specify (up to 3): ______________________________________________________________________

8