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[{"$nulls":12},"SUPPLEMENTARY HOMICIDE REPORT",{"$nulls":8},"                 1-704 (Rev. 5-22-07)"]
[{"$nulls":21},"                 OMB No. 1110-0002 "]
["This report is authorized by law Title 28, Section 534, U.S. Code.  Your cooperation in using this form to list data pertaining to all homicides reported on your ",{"$nulls":20},"                 Expires 9-30-10"]
["Return A will assist the FBI in compiling comprehensive, accurate data regarding this important classification on a timely basis.  Any questions regarding this report may be "]
["addressed to the FBI, Criminal Justice Information Services Division, Attention:  Uniform Crime Reports/Module E-3, 1000 Custer Hollow Road, Clarksburg, West Virginia 26306; "]
["telephone 304-625-4830, facsimile 304-625-3566.  Under the Paperwork Reduction Act, you are not required to complete this form unless it contains a valid OMB control number. ",{"$nulls":22}," "]
["The form takes approximately 9 minutes to complete.  "]
[]
["1a.","Murder and Nonnegligent Manslaughter"]
[null,"   List below for each category specific information for each murder and nonnegligent homicide and/or justifiable homicide shown in item 1a of the monthly Return A.  In "]
["addition, for justifiable homicide list all justifiable killings of felons by a citizen or by a peace officer in the line of duty.  A brief explanation in the circumstances column regarding  "]
["unfounded homicide offenses will aid the national Uniform Crime Reporting Program in editing the reports."]
[]
["Incident","Situation*","Victim**",null,null,null,"Offender**",null,null,null,"Data Code",null,null,"Weapon Used\n(Handgun, Rifle, Shotgun,\nClub, Poison, etc.)",null,null,"Relationship of Victim\nto Offender\n(Husband, Wife, Son,\nFather, Acquaintance,\nNeighbor, Stranger, etc.)",null,null,"Circumstances\n(Victim shot by robber, robbery victim\nshot robber, killed by patron during\nbarroom brawl, etc.)"]
[null,null,"Age","Sex","Race","Ethnicity","Age","Sex","Race","Ethnicity","Do Not Write\n In These Spaces"]
{"$rows_empty":10}
["*"]
["** - See reverse side for explanation"]
[{"$nulls":21},"DO NOT WRITE HERE"]
[{"$nulls":21},"Recorded"]
[{"$nulls":21},"Edited"]
["Month and Year",{"$nulls":9},"Agency Identifier",{"$nulls":4},"Prepared By",null,null,"Title",null,null,"Entered"]
[{"$nulls":21},"Verified"]
[{"$nulls":21},"Adjusted"]
[]
["Agency",{"$nulls":9},"State",{"$nulls":4},"Sheriff, Chief, Superintendent, Commanding Officer"]
[{"$nulls":22},"FBI/DOJ"]
[]
["SUPPLEMENTARY HOMICIDE REPORT (Continued)"]
[]
[]
["1b.","Manslaughter by Negligence"]
[null,"   Do not list traffic fatalities, accidental deaths, or death due to the negligence of the victim.  List below all other negligent manslaughters, regardless of prosecutive action taken. "]
[]
["Incident","Situation*","Victim**",null,null,null,"Offender**",null,null,null,"Data Code",null,null,"Weapon Used\n(Handgun, Rifle, Shotgun,\nKnife, etc.)",null,null,"Relationship of Victim\nto Offender\n(Husband, Wife, Son,\nFather, Acquaintance,\nNeighbor, Stranger, etc.)",null,null,"Circumstances\n(Victim shot in hunting accident, gun-\ncleaning, children playing with gun, etc.)"]
[null,null,"Age","Sex","Race","Ethnicity","Age","Sex","Race","Ethnicity","Do Not Write\n In These Spaces"]
{"$rows_empty":10}
["* - Situations   ",null,null,null,"A - Single Victim/Single Offender",{"$nulls":11},"D -"," Multiple Victims/Single Offender"]
[{"$nulls":4},"B - Single Victim/Unknown Offender or Offenders",{"$nulls":11},"E -"," Multiple Victims/Multiple Offenders"]
[{"$nulls":4},"C - Single Victim/Multiple Offenders",{"$nulls":11},"F -"," Multiple Victims/Unknown Offender or Offenders"]
["Use only one victim/offender situation code per set of information.  The utilization of a new code will signify the beginning of a new murder situation."]
["** - Age",null,null,"   -","01 to 99.  If 100 or older use 99.  New born up to one week old use NB.  If over one week, but less than one year old use BB.  Use two characters only in age column."]
[null,"Sex",null,"   -","M for Male and F for Female.  Use one character only."]
[null,"Race",null,"   -","White - W, Black - B, American Indian or Alaskan Native - I, Asian or Pacific Islander - A, Unknown - U.  Use only these as race designations."]
[null,"Ethnicity   -",null,null,"Hispanic Origin - H, Not of Hispanic Origin - N, Unknown - U."]

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