Arizona Administrative Code › Title 13 - PUBLIC SAFETY › Chapter 1 - Department of Public Safety Criminal Identification Section › Article 1 - CRIMINAL HISTORY RECORDS › Exhibit A - Disposition Report Form Block Completion Instructions for Law Enforcement and Prosecutors

Current through Register Vol. 30, No. 28, July 12, 2024
Block #1: SID NUMBER/AZ: If subject was previously arrested,
				  the State Identification number may be obtained from the Arizona Computerized
				  Criminal History (ACCH) files via terminal inquiry.
Block #2: NAME (Last, First, Middle): Subject's complete name
				  as shown on the arrest fingerprint record that was completed for this
				  arrest.
Block #3: DATE OF BIRTH (DOB): As shown on the arrest
				  fingerprint record (MMDDCCYY) MM = month, DD = day, CCYY = full year. Example:
				  03/20/1954.
Block #4: DATE OF ARREST: As shown on the arrest fingerprint
				  record (MMDDCCYY) MM = month, DD = day, CCYY = full year. Example:
				  04/20/2001.
Block #5: PCN: PCN assigned for specific arrest incident via
				  ABIS.
Block #6: ARRESTING AGENCY ORI: The NCIC-assigned originating
				  agency identifier (ORI).
Block #7: ARRESTING AGENCY CASE NUMBER: The arresting
				  agency's case number.
Block #8: BOOKING AGENCY ORI: The NCIC-assigned originating
				  agency identifier (ORI).
Block #9: BOOKING NUMBER: The number assigned by the
				  detention facility.
Block #10: CHARGES: Each offense charged at the time of
				  arrest MUST be listed on line "a". Line "b" is used only for amendments to the
				  initial arrest charge(s).
Block #11: ARIZONA REVISED STATUTE (A.R.S.) or Ordinance:
				  Enter the correct A.R.S. number or the County/ Municipal Ordinance number for
				  each charge (as indicated on the arrest fingerprint record.)
Block #12: DATE OF OFFENSE/VIOLATION: Enter the date the
				  offense/violation was committed (MMDDCCYY).
Block #13: OFFENSE TYPE: Circle or add "M" for misdemeanor.
				  Circle or add "F" for felony. Circle or add "U" for undesignated.
Block #14: PREPARATORY OFFENSE CODE: Enter the appropriate
				  code from the list on the front of this form. Indicate "A" for Attempted, "C"
				  for Conspiracy to Commit, "F" for facilitate, or "S" for solicit.
Block #15: DOMESTIC VIOLENCE & VICTIM INFORMATION CODE:
				  Enter the appropriate code from the list on the front of the form. Indicate "D"
				  for a crime involving domestic violence, "M" when the victim is a minor, "A"
				  when the victim is a vulnerable adult, "L" when the victim is a law enforcement
				  officer, "C" for a dangerous crime against a child/children.
Block #16: DESIGNATED COURT NAME/IDENTIFIER: Enter the
				  designated court name or NCIC-assigned originating identifier (ORI) for each
				  charge.
Block #17: AMENDED TO: Enter the letter "X" in block #17,
				  line "a"; then write amended charge(s) and sentence information on the
				  corresponding "b" line, beginning in block #10, completing all applicable
				  blocks through block #27.
Block #18: DISPOSITION CODE: Enter the appropriate
				  disposition code from the following: "NF" for no complaint filed (to be used by
				  the arresting agency only), "NR" for not referred to prosecution (to be used by
				  the prosecutor only), "DP" for deferred prosecution (to be used by the
				  prosecutor only), or "UI" for cases that are filed with the court and are
				  awaiting a final disposition (to be used by the prosecutor only).
Block #25: DISPOSITION DATE: Enter the official disposition
				  date (MMDDCCYY).
Block #26: AGENCY ORI MAKING DISPOSITION DECISION: The
				  NCIC-assigned originating agency identifier (ORI) of the agency making the
				  disposition decision.
Block #27: FURTHER EXPLANATIONS OR MODIFICATIONS: Further
				  explanation regarding a particular charge/disposition (list the charge number)
				  may be entered in this section.
Block #28: RIGHT INDEX FINGERPRINT: (lower right corner of
				  the form) At the time of arrest/fingerprinting, the subject's right index
				  fingerprint may be placed in this box. (This fingerprint is optional and not
				  required to process the Disposition Report form.)