House-to-House Enquiry Questionnaire

Transcription

1 Security Priority Number L M H H / / House-to-House Enquiry Questionnaire Surname Forenames Title Sex Ethnic appearance White/North European White/South European Black Asian Chinese, Japanese or any other South East Asian Arabic/North African Unknown Persons of mixed appearance will be recorded in the most appropriate category Date of birth Birthplace Height Occupation Employer/ school details and addresses Body hair Hairy Shaven Waxed Ear hair Bushy Very long Eyebrows Bushy Dyed Plucked Straight Curly Shaven Facial hair Bushy Dyed Moustache Very long Clean-shaven Full beard Hairy Plucked Waxed Curly Goatee Handlebar Streaked Dirty Greasy Long sideburns Stubble Page 1 of 6

2 Head hair Afro Curly Mohican Shaven Thinning Bald Dirty Permed Short Untidy Beehive Dreadlocks Plaited Shoulder length Very long Bushy Dyed Ponytail Skinhead Wavy Collar length Greasy Rasta Straight Wig Cropped Receding Streaked Head hair colour Auburn Brown Green Multi Red Black Dark brown Grey Orange Sandy Blonde Fair Light brown Pink White Blue Ginger Mousey Purple Yellow Nasal hair Hairy Plucked Straight Very long Eyes Blue Brown Deformed Grey Pink Squint Blind Cast Green Hazel Protuding Staring Glasses Contact lenses Glasses No glasses Glasses use Constant Driving Reading Complexion Fair Fresh Ruddy Spotted Tanned Freckled Pale Sallow Swarthy Wrinkled Build Fat Medium Slim Stocky Thin Distinguishing features (record feature, location on body and full descriptive details) Lacking Mark Peculiarity Pierced Scar Tattoos Page 2 of 6

3 Accent general English Irish Scottish Welsh Accent specific American French Liverpool North West Spanish Asian German London Northern West Country Australian Glasgow Midland Oriental West Indian Birmingham Italian North East Southern Yorkshire East Anglia Accent other Noticeable jewellery Clothing worn at material time (if relevant) CRO No PNC ID Local Ref No List type of convictions Visited scene during material time (Yes/No) If Yes give details Knows victim (Yes/No) Nature of relationship names Maiden name Any other name Surname Name type Forenames show whether alias, former, nickname, etc Page 3 of 6

4 Address Postcode Telephone numbers Home Business Mobile Vehicles Owner User Reg No Make Model Colour Type Seen? Owner User Reg No Make Model Colour Type Seen? Owner User Reg No Make Model Colour Type Seen? Vehicle types 3WH 3 wheeler ART Articulated cab CAV Motor caravan COM Motorcycle combi CON Convertible EST Estate LOR LTR MCY MOP OTH PIC Rigid lorry Lorry/trailer Solo motorcycle Moped Pickup PSV SAL SCO SPO VAN Public service vehicle Saloon Scooter Sports Van Vehicle colours Blue Brown White Beige Green Silver Red Orange Grey Bronze Black Purple Yellow Cream Gold Pink Maroon Multi Turquoise Obtain details of movements between Who can verify? Page 4 of 6

5 Date/time/place victim last seen Who was with the victim? (Full details/ description) Who was with you? (Full details) What do you know of victim s friends, associates, habits, etc? Scene of incident When last visited If visited during relevant period Who was with you? Time Time Date Date Who did you see? (Full details/ description) Any other useful information/ rumours, etc Are details of all visitors on material date recorded on House Occupants Form? (Yes/No) Occupancy details This house Males Females Premises adjacent on LHS Address Folder Premises Males Females Premises adjacent on RHS Address Folder Premises Males Females Page 5 of 6

6 Date Signature of interviewee Name, rank and number of officer completing form Interviewing officer s observations H/H control Indexed Incident room Indexed Action (Yes/No) Action No Signed Checked Officer in charge Office manager Page 6 of 6