Fill and Sign the Wisconsin Incident Report Form

Threat/Security Incident Report When a threat is made or a security incident occurs:  Immediately contact law enforcement and follow their instructions.  Save all physical evidence related to the threat for law enforcement.  Complete this report as soon as possible after the incident.  Submit this report to law enforcement, the head of the agency or department, and the district court administrator/chief judge. Describe the incident or the exact wording used in making the threat. (Do not paraphrase.)       Did the person indicate what you were supposed to do in response to the threat? (Do not paraphrase.)       BOMB THREAT – Questions to Ask (Try to ask these questions and write down the exact answer.) How was the threat made? Telephone In person By mail Other:       When is the BOMB going to explode?       Where is the BOMB going to explode?       What does the BOMB look like?       What kind of BOMB is it?       What will make the BOMB explode?       Did you place the BOMB?       Who were you trying to call?       What is your name?       What is your address?       Were any weapons used?       Time of Threat       am pm Date of Threat       Who made the threat?       Who do you think the person was? Male Female Adult Child Telephone Threats Caller’s Voice Calm Lisp Disguised Angry Nasal Slurred Excited Raspy Accent: Slow Stutter       Other:       Threat Language Irrational Well spoken Foul Incoherent Read message TapedOTHER THREATS – Questions to Ask (Try to ask these questions and write down the exact answer.) What is going to happen?       When is it going to happen?       Where is it going to happen?       Are you the one who is going to do it?       Why are you making this threat?       Who were you trying to call?       What is your name?       What is your address? Background Sounds Voices Music Hospital Street noise Office Restaurant Children Factory Other: Animal noise PA system       Where did the threat/incident occur?       Phone number to which the call was made?       Phone number at which the call was taken?       Name of Person Completing Report       Position       GF-147 , 06/02 Threat/Security Incident Report TCA-8 This form shall not be modified. It may be supplemented with additional material. Threat/Security Incident Report Page 2 of 2 Case No.       Telephone Number       Date       GF-147 , 06/02 Threat/Security Incident Report TCA-8 This form shall not be modified. It may be supplemented with additional material. Page 2 of 2