Field InterviewNarrative Report

Date: ______Time: ______Investigator(s): ______

Agency Incident Number: ______Task Force Incident Number: ______

Location of Interview: Residence Employer On Scene FD/PD Other ______

Address Where Interview was Conducted: ______

City: ______State: ______Zip Code: ______

Name of Person Interviewed______(Last) (First) (Middle)

DOB: ______Sex: Male Female Race: W B Hispanic ______

Physical Descriptors: Height: ______Weight: ______Color Hair: ______Eyes: ______

Address: ______Apt. ______

City: ______State:______Zip Code: ______

Driver License: ______State: ______

Identification Number: ______State/Country: ______

Vehicle Make: ______Model: ______Year: ______Color: ______

Plate Number: ______State: ______Other: ______

Contact Number: Cellular: ______Carrier: ______

Employer: ______Contact Number: ______

Address: ______City: ______

ReasonInterview: Canvass 911-Caller Witness Owner Occupant Tenant

Other ______

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Demeanor: Cooperative Uncooperative Evasive Nervous/Anxious Other ______

Follow-up Interview: Yes No Investigative LeadLaw Enforcement Origin & Cause

Preliminary Interview QuestionsConcerning their knowledge of the Fire:

How did you find out about the fire? ______

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Did you see anything unusual? ______

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Did hear any unusual noises? ______

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Did you see or hear any vehicles in the area? ______

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Did you see anyone unusual? ______

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What do you know the owners/occupants? ______

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Have you had any problems with the person or persons where the fire occurred?______

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Has there been any problems/illegal activity in the neighborhood? ______

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Interviewee statement/narrative:

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______Use additional pages as needed to complete the interview statement.

Time Interview was terminated: ______Date Interview was terminated: ______

Interviewer(s): ______/______

Signature of Investigator Signature of Investigator

Reviewed by: ______Agency: ______

Lead Investigator Jurisdiction having Authority