Threat Assessment Form
Date
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Who is making the threat?
A person
Group of people
An organization, company, etc.
Anonymus
Other
Name of the threatening person
First Name
Last Name
Names of threatening people
Name of the organization, company, etc.
Who or what is in danger?
A person
Group of people
An organization/company
Asset(s) (tangible or intangible)
Other
Name of the person in danger
First Name
Last Name
Names of the people in danger
Name of the organization, company, etc. in danger
Asset(s)
Which type(s) of threat is used?
AÂ direct threat
An indirect threat
AÂ veiled threat
AÂ conditional threat
I don't know
Other
Background information and motive of the threat
Specify the threat with language usage, actions, gestures, etc.
The files relevant to the case (threat letters, photos, voice records, etc)
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Is there any immediate danger?
Yes
No
Is there any prior violence or threat history?
Yes
No
Action Plan
Call the State Police
Not call the State Police
Other
Submit
Should be Empty: