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This document provides a detailed report regarding the custodial death of an individual, including agency information, decedent details, circumstances surrounding the death, and medical findings.
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How to fill out custodial death report

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How to fill out custodial death report

01
Begin with the basic information such as the name of the deceased, date of birth, and date of death.
02
Indicate the circumstances surrounding the death, including the date, time, and location.
03
Provide detailed descriptions of the events leading to the death, including any interactions with law enforcement.
04
Document any medical treatment received prior to or during custody.
05
Include witness statements or any evidence available regarding the incident.
06
Ensure that all sections are filled out completely and accurately; review for any additional required signatures.

Who needs custodial death report?

01
Law enforcement agencies for internal record-keeping and accountability.
02
Legal representatives or attorneys involved in related cases.
03
Family members of the deceased for closure and understanding of the circumstances.
04
Oversight bodies or regulatory agencies monitoring police practices.
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A custodial death report is a document that must be filed when an individual dies while in police custody or while incarcerated. It serves to provide a detailed account of the circumstances surrounding the death.
Typically, law enforcement agencies or the police department responsible for custody of the individual are required to file the custodial death report.
To fill out a custodial death report, the officer in charge must provide specific details about the incident, including the time and cause of death, the individual’s identification information, and the actions taken immediately following the death.
The purpose of a custodial death report is to ensure transparency and accountability regarding deaths that occur in custody, to facilitate investigations, and to provide important data for oversight bodies.
The custodial death report must include information such as the deceased's name, date of birth, circumstances of death, time of death, identity of the custodian, and any medical treatment provided prior to death.
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