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: 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
				  AZAFIS.
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/City 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 "M" for misdemeanor. Circle
				  "F" for felony.
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, "NR" for not
				  referred to prosecution, or "DP" for deferred prosecution.
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.)