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Threat-Security Incident Report Form. This is a Wisconsin form and can be use in Circuit Court Statewide.
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Tags: Threat-Security Incident Report, GF-147, Wisconsin Statewide, Circuit Court
COURT
COUNTY . .
. . . . . . . . . .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
FORM SUMMARY
:
Index No.
Name of Form:
Threat/Security Incident Report
:
Calendar No.
Form Number:
GF-147
:
JUDICIAL SUBPOENA
Plaintiff(s)
Statutory Reference:
Purpose of Form:
TCA-8
-against- (Trial Court Administration Rule-8)
:
To record relevant information about threats or incidents for several purposes:
:
• to determine what immediate action should be taken;
• to provide evidence for potential prosecution.
:
Who Completes It:
Person who takes the threat or observes the incident
Defendant(s)
Distribution of Form:
Original to law enforcement; copies to the head of the agency or department, and
the district court administrator/chief judge
:
......................................................
Accompanying Forms:
Any physical evidence
THE PEOPLE OF THE STATE OF NEW YORK associated with the threat/incident should be preserved and
turned over to law enforcement as evidence.
TO
New Form/Modification:
Modification; last update 06/00.
Modifications:
Updated TCA Rule to TCA-8.
GREETINGS:
Comments:
While the RMC cannot provide training on the issue of security, here are some
basic principles on the use of this form:
WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before
,
the A great deal
at the
Court
• Honorable of common sense must be used concerning a telephone threat, particularly those involving threats
County of life. However, try not tolocated at
against
panic.
in room
, on the
day of
, 20
, at
o'clock in the
noon, and at any recessed
• adjourned date, to testify and give evidence as a witness underneath every telephone in every office at which
or It is strongly recommended that a copy of this form be kept in this action on the part of the
a telephone threat might be received. When a telephone threat is made, the form can be immediately pulled out
in order to assist the recipient in recording the information needed. It will do little good if this form is kept in a
file folder on the other side of the office from the telephone. The caller may not be willing to give you time to
"go get your threat to comply with this subpoena is punishable as a contempt of court and will make you liable to
Your failure form."
the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a
•
result Every person who would answer a telephone should review and become thoroughly familiar with this form and
of your failure to comply.
this summary. If there is a security officer in your county, the form and its use should be discussed with this
person.
Witness, Honorable
, one of the Justices of the
CourtIf there appears to be time and the callerof respond, the caller should be asked the series of questions noted on
in
County,
day will
, 20
•
the left-hand side of the form. Experts in the security field indicate that people are surprisingly willing to
answer these questions, even the questions about their name and address, particularly if the questions are asked
in a perfunctory, matter-of-fact manner. Some even want you to know who they are.
(Attorney must sign above and type name below)
•
Telephone records can pinpoint the origin of most local calls when the telephone number to which the call was
made is known. Therefore, in situations where a call is forwarded to other phones, it is important to know the
phone number to which the call was actually made--not necessarily the one at which it was answered. That
Attorney(s) for
information should be immediately recorded. Note that one of the questions asked is "who were you trying to
call?"
About this Form:
This form is the product of the Wisconsin Records Management Committee, a
Office and and Address
committee of the Director of State Court's OfficeP.O. a mandate of the Wisconsin
Judicial Conference.
If you have additional information that does not change the meaning of the
Telephone No.:
form, attach it on a separate page. The form itself shall not be altered.
Facsimile No.:
E-Mail Address:
Mobile Tel. No.:
Date: 06/03/02
American LegalNet, Inc.
www.USCourtForms.com
COURT
COUNTY . .
. . . . . . . . . .OF. . . . . . . . . . . . .Threat/Security. Incident. Report
............... ........ ....
:
Index No.
When a threat is made or a security incident occurs:
:
• Immediately contact law enforcement and follow their instructions.
Calendar No.
• Save all physical evidence related to the threat for law enforcement.
:
• Complete this report as soon as possible after the incident.
JUDICIAL
Plaintiff(s)
• Submit this report to law enforcement, the head of the agency or department,
and the district court administrator/chief judge.
-against:
Describe the incident or the exact wording used in making the threat. (Do not paraphrase.)
SUBPOENA
:
:
Defendant(s)
:
......................................................
Did the person indicate what you were supposed to do in response to the threat? (Do not paraphrase.)
THE PEOPLE OF THE STATE OF NEW YORK
BOMB THREAT – Questions to Ask (Try to ask these
questionsTO write down the exact answer.)
and
When is the BOMB going to explode?
How was the threat made?
Telephone
In person
By mail
Other:
Were any weapons used?
Where is the BOMB going to explode?
GREETINGS:
Time of Threat
What does the BOMB look like?
Date of Threat
am
pm
WE
What kind of BOMB is it?
Who made the threat?
COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before
,
the Honorable
at the
Court
Who do you think the person was?
located at
County BOMB explode?
What will make the of
Male , at Female
Child
in room
, on the
day of
, 20
o'clock Adult
in the
noon, and at any recessed
or the BOMB?
Did you placeadjourned date, to testify and give evidence as a witness in this action on the part of the
Telephone Threats
Caller’s Voice
Calm
Lisp
Disguised
Angry
Nasal
Slurred
What is your name? Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to
Excited
Raspy
Accent:
the party on whose behalf this subpoena was issued Slowa maximum penalty Stutter and all damages sustained as a
for
of $50
What is your address?
result of your failure to comply.
Other:
Threat Language
Irrational
OTHER THREATS Witness, Honorable (Try to ask
– Questions to Ask
, Well spokenJustices Foul
one of the
of the
Incoherent
Read message
Taped
these questions and write down the exact answer.)
Who were you trying to call?
Court in
County,
What is going to happen?
When is it going to happen?
Where is it going to happen?
day of
, 20
Background Sounds
Voices
Music
Hospital
Street noise
Office
Restaurant
(Attorney must sign above and type name below)
Children
Factory
Other:
Animal noise
PA system
Where did the threat/incident occur?
Are you the one who is going to do it?
Attorney(s) for
Phone number to which the call was made?
Why are you making this threat?
Phone number at which the call was taken?
Who were you trying to call?
Name of Person Completing Report
Office and P.O. Address
What is your name?
Position
What is your address?
Telephone Number Telephone
GF-147, 06/02 Threat/Security Incident Report
No.:
Facsimile No.:
E-Mail Address:
Mobile Tel. No.:
Date
TCA-8
This form shall not be modified. It may be supplemented with additional material.
American LegalNet, Inc.
www.USCourtForms.com