Laserfiche WebLink
OFFICER INVOLVED SHOOTING/ In-Custo dy Death CHECKLIST <br />The following notifications, information and actions must be made in the event on an officer involved shooting. This form <br />is to be c mp ted and the original submitted to Professional Standards. Refer to Watch Commander's Po licy Book A, #29 <br />Date: \ )-~ 7.. 0 T ime: ~3 ~ I Loc_~~~o <br />Officer(s) In volved : ,Jo.H\LAA ~?4-01:S I C:,A.✓ir.J (?_Qe:Lcf",S C .1.#: ______ _ <br />PERSONS/AGENCIES TO B E CONTACTED -W/C Use only! <br />#1) Senior Management Team Notification s -(e-mail) <br />#2) CAP-SA PD S hooting Team -Called/contacted: ~C~,. R~bAl(v:t1lQ_ T ime: ¢3d t <br />Se rgea nt J. Rodriguez - <br />#3) Professional Standards -Call ed/contacted: ctf>IJ., htba. I &,,<A c2,... ~ ~ Time: d:) d:7 . <br />Commander J. G onza lez - PSU Sgt. e...f\-U-~ J..33~ <br />#4) District Attorney's Office -Called/co nta cted: bv,:Pt/. Ql)JfD :r.A/\JAll;;#., Time: _____ _ <br />S upervis ing Inv. Sta n Berry - <br />S u p,f,i;y is i ng In v. Ant h o n y Sos nowski - <br />))l<{"\D ,Ar-IN~ <br />#5) OCSD W/C -Request Crime Lab Investigators -Called/contacted: ____ Time: _____ _ <br />Watch Com m a nder: Crim e Lab: <br />#6) C hi ef of Police (Call) -Called/contact: CfuEf ,Y..L\-1.k'..-JTI fl <br />C hi ef Va lentin - <br />Time: ;;i.33 I <br />})C <br />#7) "Affected" Bureau Commander Acknowledged e-mail/co ntacte d: P/l-u;0,0"1 Time: a--3 lf~ <br />Oeputy C hie f Gomi nsky - <br />Deputy C hi ef E s parza - <br />Deputy C hi ef Paulson - - <br />Jail Ad mini strat or C hri stin a Holland - <br />C,""'l)A <br />#8) "Affected" Division Command e r -Ca ll ed/contacted: -1\:L-\J IV?:§: -,;a:-Time: _____ _ <br />#9) Press Inform atio n Officer -Ca I led/co ntacted : G-1? L, <3 £ f?.-,4 Gi:"14 <br />Corpora l Bertagna - <br />#10) Lega l Advisor -Ca ll ed/contacted: TAC:'.Y~~ 3t(-.o SI A:d <br />Tamara Bogosian - - <br />Sa ndra Schw a rzmann - <br />Kyle Nelles e n - <br />Time: ?3 .S-D <br />Time: ':2.3 >d.- <br />#11) E mpl oyee Associati on -Ca lled /co ntacted: &ST. E.'§'f2 .. /J..,4r{O T ime: ~ 3 5-s- <br />POA -Se r gea nt Serra n o -Com m a nder Brown - <br />#12) POA Attorney-Called/contacted: <br /> <br />#13) H uma n R esources S upervisor (e-mail Lo urdes Ferrer) <br />T im e: 'v\ "1 ~ <br />Time: 00 0 (e <br />#14) Psychologist -Ca ll ed/contacted: ,J/vt {,.,G:Ft Tim e: €J D lu <br />Th e Counselin g Team Int e rnati o n a l -( (Advise ifa n immediate response is necessary) <br />#15) SAPD Peer Support Team -Cal led/co ntacted :---'----------Tim e: _____ _ <br />Co mmand e r Gatt - (Call only if requ ested/as needed) <br />Nam e of person co111pleti11g this form: c.,v ,/11\/11\ 4 "' l::, e)2.. A-tv},4.i;;;-v--1 J1.--v ,4./<_,b--Z.. i;)g'5 1 <br />Rev 12/18 RW