LEADS ENTRY GUIDE LAW ENFORCEMENT SERVICE DATA SHEET Case Number: ____________________ Respondent Issued: ________________ Expires: _______________ Name: ___________________________________ DOB: ____________ Sex: ___________ Race: ______ HGT: ______ WGT: ______ Hair: _________Beard: ________ Eyes: _______ Moustache: ______ Identifying Marks: ___________________________________________ Address: ______________________________________ Telephone: __________________ Location: ____________________________________________________________________ Employer: _____________________________________ Telephone: __________________ Working Hours: _______________Other Locations: _________________________________ Respondent’s Car: Make: ________ Model: _________ Year: ______Color: _______________ Registration: _________________________________________________________________ Petitioner/Protected Address Protected Persons (To include Petitioners name and relationship) Miscellaneous Include BHV Code (Armed, Suicidal or Both) R01 R02 R03 R04 R05 R14 Remedies R06 R07 R08 R09 R10 R11 R12 R13 R14.5 R15 R16 R17 Describe:_____________________________________________ Name: ________________________________________ DOB: ______________________ Address(es): ________________________________________________________________ Last, First, MI Relationship Code Name #1: _______________________________________ Name #2: _______________________________________ Name #3: _______________________________________ Name #4: _______________________________________ Name #5: _______________________________________ Name #6: _______________________________________ Name #7: _______________________________________ Name #8: _______________________________________ ____________________ ____________________ ____________________ ____________________ ____________________ ____________________ ____________________ ____________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ LEADS #: _______________ Entry Time: _____: _____ Entry Date: _____/ _____/ _____ OPR: _______ Modifications: Entry Date: _____/ _____/ _____ OPR: ______ Relationship Codes: Child in Common (not married) Grandparent Personal Assit. or Caregiver To Person w/Disability Spouse Ex-Former Spouse Entry Time: _____:_____ CC GP PC SE XS Boyfriend/Girlfriend (Dating) Shared/common Dwelling In-Law Person w/Disability Person Resp. for High-Risk Adult Step-parent Other Related by Blood/Marriage BG CS IL PD PR SP OF Child Grandchild Parent Step-child Sibling (Brother/Sister) Step-Sibling CH GC PA SC SB SS American LegalNet, Inc. www.FormsWorkflow.com