1 Security 2 3 4 L Priority M H H Number / / House-to-House Enquiry Questionnaire Surname Forenames Title Sex Ethnic appearance White/North European White/South European Black Chinese, Japanese or any other South East Asian Arabic/North African Unknown Asian Persons of mixed appearance will be recorded in the most appropriate category Date of birth Birthplace Height Occupation Employer/ school details and addresses Body hair Greying Hairy Shaven Waxed Other Ear hair Bushy Very long Other Eyebrows Bushy Dyed Plucked Straight Curly Greying Shaven Bushy Dyed Greying Moustache Very long Clean-shaven Full beard Hairy Plucked Waxed Curly Goatee Handlebar Streaked Dirty Greasy Long sideburns Stubble Other Facial hair Other Page 1 of 6 Head hair Afro Curly Mohican Shaven Thinning Bald Dirty Permed Short Untidy Beehive Dreadlocks Plaited Shoulder length Very long Bushy Dyed Ponytail Skinhead Wavy Collar length Greasy Rasta Straight Wig Cropped Greying Receding Streaked Auburn Brown Green Multi Red Black Dark brown Grey Orange Sandy Blonde Fair Light brown Pink White Blue Ginger Mousey Purple Yellow Plucked Straight Very long Head hair colour Nasal hair Hairy Other Eyes Blue Brown Deformed Grey Pink Squint Blind Cast Green Hazel Protuding Staring Glasses Contact lenses Glasses No glasses Driving Reading Fair Fresh Ruddy Spotted Tanned Freckled Pale Sallow Swarthy Wrinkled Medium Slim Stocky Thin Glasses use Constant Complexion Build Fat Distinguishing features (record feature, location on body and full descriptive details) Lacking Mark Peculiarity Pierced Scar Tattoos Page 2 of 6 Accent general English Irish Scottish Welsh Other American French Liverpool North West Spanish Asian German London Northern West Country Australian Glasgow Midland Oriental West Indian Birmingham Italian North East Southern Yorkshire Accent specific East Anglia Accent other Noticeable jewellery Clothing worn at material time (if relevant) CRO No PNC ID Local Ref No List type of convictions Visited scene during material time (Yes/No) If Yes give details Knows victim (Yes/No) Nature of relationship Other names Maiden name Any other name Surname Forenames Name type show whether alias, former, nickname, etc Page 3 of 6 Address Postcode Telephone numbers Business Home Mobile Email Vehicles Owner User Reg No Colour Make Type Owner User Seen? Reg No Colour Make Type Owner User Model Seen? Reg No Colour Model Make Model Type Seen? LOR Rigid lorry LTRLorry/trailer MCY Solo motorcycle MOPMoped OTHOther PICPickup PSV Public service vehicle SALSaloon SCOScooter SPOSports VANVan Vehicle types 3WH 3 wheeler ART Articulated cab CAV Motor caravan COM Motorcycle combi CONConvertible ESTEstate Vehicle colours Blue Brown White Beige Green Silver Red Orange Grey Bronze Black Purple Yellow Cream Gold Pink Maroon Multi Turquoise Obtain details of movements between Who can verify? Page 4 of 6 Date/time/place victim last seen Who was with the victim? (Full details/ description) Who was with you? (Full details) What do you know of victim’s friends, associates, habits, etc? Scene of incident When last visited Time Date If visited during relevant period Time Date Who was with you? Who did you see? (Full details/ description) Any other useful information/ rumours, etc Are details of all visitors on material date recorded on House Occupants Form? (Yes/No) Occupancy details This house Females Males Premises adjacent on LHS Address Folder Premises Males Females Premises Males Females Premises adjacent on RHS Address Folder Page 5 of 6 Date Signature of interviewee Name, rank and number of officer completing form Interviewing officer’s observations H/H control Indexed Incident room Action (Yes/No) Action No Signed Checked Officer in charge Indexed Office manager Page 6 of 6
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