NJ-UCR 366A (Rev. 04/19)
MUNICIPALITY CODE NO.
NCIC CODE NO
1. MURDER
2. RAPE (include attempts)
3. ROBBERY (include attempts)
(A) Highway (streets, alleys, etc.)
(B) Commercial House (except C, D, F)
(C) Gas, Service Station
(D) Convenience Store
(E) Residence (anywhere on premises)
(F) Bank
(G) Miscellaneous
TOTAL ROBBERY:
5. BURGLARY (include attempts)
(A) Residence (dwelling)
(1) Night (6 p.m. - 6 a.m.)
(2) Day (6 a.m. - 6 p.m.)
(3) Unknown
(B) Nonresidence (store, office, etc.)
(1) Night (6 p.m. - 6 a.m.)
(2) Day (6 a.m. - 6 p.m.)
(3) Unknown
TOTAL BURGLARY:
6. LARCENY-THEFT (except auto, by value - include attempts)
(A) Over $200.00
(B) $50.00 to $200.00
(C) Under $50.00 (all attempts)
TOTAL LARCENY:
7. MOTOR VEHICLE THEFT (include attempts)
GRAND TOTAL (Total will agree with value of property stolen, Page 1):
ADDITIONAL ANALYSIS OF LARCENY AND MOTOR VEHICLE THEFT
6x. Nature of Larcenies under Item 5
(A) Pocket Picking
(B) Purse Snatching
(C) Shoplifting
(D) From Motor Vehicle (except E)
(E) Motor Vehicle Parts & Accessories
(F) Bicycles
(G) From Buildings (except C and H)
(H) From Any Coin Operated Machines (parking meters, etc.)
(I) All Other
TOTAL LARCENIES (Total will agree with Item 6 Total):
7x. Motor Vehicles Recovered
(A) Number Stolen Locally and Recovered Locally
(B) Number Stolen Locally and Recovered by Other Jurisdictions
(C) Total Locally Stolen Motor Vehicles Recovered (A & B)
(D) Number Stolen Out of Town but Recovered Locally
Department Reporting:
Report for the Month of: , Year:
DO NOT USE THIS SPACE
Initial
Recorded
Reviewed
Punched
Verified
Adjusted
STATE OF NEW JERSEY • DEPARTMENT OF LAW & PUBLIC SAFETY
Return A Supplement,
Page 2
NUMBER OF ACTUAL OFFENSES
(RETURN A COLUMN FOUR)
N.J.
0
0
VALUE OF PROPERTY STOLEN
(ROUND TO NEAREST DOLLAR)