Gang Intelligence Form

2. INSTRUCTIONS
   Use this form to document and submit suspected gang members. A new form should be submitted each time you have contact with the individual. Please be succinct in the Reason for Contact and Comments section. The majority of your details and investigation should be listed in an incident report or field contact. If you have questions about the form or the requested information, please contact Sgt. Barnett at ext. 7318 or email gangunit@accgov.com

   Use this form to document and submit suspected gang members. A new form should be submitted each time you have contact with the individual. Please be succinct in the Reason for Contact and Comments section. The majority of your details and investigation should be listed in an incident report or field contact. If you have questions about the form or the requested information, please contact Sgt. Barnett at ext. 7318 or email gangunit@accgov.com

4. Date*
   Date

5. Incident Number

6. Officer*

7. Radio / Badge Number*

9. Biographical Information

11. First Name*

12. Middle Name

13. Last Name*

15. Alias / Moniker

16. DOB (mm/dd/yyyy)

18. Race*

    1. White
    2. Black
    3. American Indian / Alaska Native
    4. Asian
    5. Pacific Islander

19. Ethnicity

    1. Hispanic / Latino
    2. Non-Hispanic / Latino

20. Sex*

    1. Male
    2. Female

22. Place of Birth

23. Driver's Lic / ID (include state)

25. Scars / Marks / Tattoos (Description and Location)

27. If S/M/T, photographs taken?

    Forward any photographs to gangunit@accgov.com

    1. Yes
    2. No
28. If on probation / parole - with whom?

30. Address 1

32. Address 2

34. City

35. State

36. Zip

38. Phone Number (Mobile)

39. Phone Number (Home)

41. Vehicle Information

43. Year

44. Make

45. Model

46. Color

48. Tag

49. Vehicle Registered to

51. Suspected Gang Information

53. Subject's Social Media Links

    Enter the subject's social media names (Facebook, Twitter, etc.)

55. Gang Name

56. Gang Set

58. Gang Color(s)

59. Individual's Rank in Organization

61. Reason for Contact and Comments

63. Gang Member Identification Criteria

    Check the Appropriate Box(es)

    1. Report of Being Beat In / Blessed In / Sexed In
    2. Admission of Gang Affiliation
    3. Admission of Set Affiliation
    4. Gang Graffiti on Clothing or Personal Items
    5. Hand Signs / Stacking
    6. Wearing of Gang Colors
    7. Associates with other Known Gang Members
    8. Violent Crime / Weapon Arrest
    9. Gang Related Branding / Tattooing
    10. Named as a Gang Member in Correspondence
    11. 2nd or 3rd Person Prospect Recruiting
    12. Pattern of Criminal Activity - Felony / Misd.
    13. In Possession of Book of Knowledge (Gang Bible)
65. Note: Submission of this form does not automatically validate a person as a criminal street gang member as defined by O.C.G.A. 16-5-3.

    Note: Submission of this form does not automatically validate a person as a criminal street gang member as defined by O.C.G.A. 16-5-3.

Leave This Blank:


67. 1. Receive an email copy of this form.
68. Email address

    This field is not part of the form submission.

69. Submit Submit and Print

* indicates a required field