Use of Force Authorization Form
Document and authorize the use of force in an incident. Please provide complete and accurate details for review and approval.
Officer/Applicant Full Name
*
First Name
Last Name
Officer/Applicant Badge or ID Number
*
Date and Time of Incident
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Hour Minutes
AM
PM
AM/PM Option
Location of Incident
*
Type of Force Used
*
Please Select
Physical (hands-on)
Restraints (e.g., handcuffs)
Chemical (e.g., pepper spray)
Impact Weapon (e.g., baton)
Firearm (displayed or discharged)
Other
Reason/Justification for Use of Force
*
Was anyone injured during the incident?
*
No
Yes (please describe below)
If injuries occurred, please describe the nature and extent of injuries (leave blank if none)
Were there any witnesses?
*
No
Yes (please list names below)
Witness Names (leave blank if none)
Supervisor Name
*
First Name
Last Name
Supervisor Review/Comments
*
Signature of Officer/Applicant
*
Submit Authorization
Submit Authorization
Should be Empty: