Law Enforcement Booking Blotter Log
Use this form to record booking details, custody status, property, safety notes, and processing outcomes for a booked individual.
Booking Incident Details
Booking Date and Time
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Hour Minutes
AM
PM
AM/PM Option
Case or Incident Reference Number
Booking Location or Facility
*
Arresting or Booking Officer Name and Badge Identifier
*
Incident Type or Booking Reason
*
Arrest
Warrant
Probation/Parole Hold
Court Order
Transfer
Other
Booked Individual Information
Full Name
*
First Name
Middle Name
Last Name
Date of Birth
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Age
Sex/Gender
Male
Female
Non-binary
Unknown
Other
Race/Ethnicity
Please Select
American Indian or Alaska Native
Asian
Black or African American
Hispanic or Latino
Native Hawaiian or Other Pacific Islander
White
Middle Eastern/North African
Unknown
Other
Physical Description
Known Aliases / AKA
Arrest and Custody Information
Custody Status at Booking
*
Arrested
Transferred
On Warrant Hold
Released After Processing
Other
Arrest Date and Time
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Hour Minutes
AM
PM
AM/PM Option
Arrest Location
*
Charges or Booking Offenses
*
Use-of-Force or Special Incident Indicator
Use of Force Used
Special Incident Reported
Use-of-Force or Special Incident Description
Warrant Status
No Warrant
Active Warrant
Confirmed Warrant
Unconfirmed Hold
Current Housing Assignment / Holding Area
Please Select
Intake
General Population
Holding Cell
Medical Observation
Segregated Housing
Transport Hold
Other
Property, Evidence, and Personal Effects
Property Inventory Log
*
Valuables or Evidence Held
Wallet
Cash
Phone
Jewelry
Bag
Other
Property Tag Number
Notes on Storage or Release Disposition
Medical, Safety, and Special Handling Notes
Medical Screening Needed
*
Yes
No
Visible Injuries or Medical Concerns
Suicide Watch or Special Observation Required
*
Yes
No
Disability or Accessibility Accommodations Needed
Intoxication or Impairment Noted
*
Yes
No
Unknown
Officer Notes for Special Handling, Restraint, Separation, or Segregation
*
Processing Disposition and Follow-Up
Processing Status
*
Booked into Facility
Transferred
Cited and Released
Released on Recognizance
Pending Review
Other
Release Date and Time
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Hour Minutes
AM
PM
AM/PM Option
Next Court or Hearing Date
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Supervisor Review / Approval
Please Select
Pending
Approved
Rejected
Not Required
Other
Narrative Notes or Remarks
Record Created / Updated By
Submit Log
Should be Empty: