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Appropriate Adult (AA) report form
1. Initial Appropriate Adult (AA) callout details
Name of DP
(required)
This field is required
Date of Birth
(required)
Please select a date
Age
(required)
This field is required
Gender
(required)
Please select a value
-- Please Select --
Male
Female
Non-Binary
Transgender
Address
(required)
This field is required
Postcode
(required)
This field is required
Date AA needed
(required)
Please select a date
Approximate time AA needed (24hr clock)
(required)
This field is required
Venue AA needed
(required)
This field is required
Reason AA needed
(required)
Please tick a checkbox
Pace Interview
Bail Attendance
Voluntary Interview
Victim/Witness Statement
DWP Interview
Age Assessment
Strip Search (intimate)
Strip Search (non-intimate)
Rights
Biometrics
Disposal
Other
If other, please state why?
Alleged Offence
(required)
This field is required
Committed on
(required)
Please select a date
Alleged Offence
Committed on
Date custody began
Time custody began (24hr clock)
Custody record number
Custody sergeant
Solicitor Requested
-- Please Select --
Yes
No
Name of Solicitor
Time of arrival to cells (24hr clock)
If ’no’ please state the reason why no solicitor was present
2. AA Arrival (24hr clock)
Time AA left home (24hr clock)
(required)
This field is required
Time AA arrived at custody (24hr clock)
(required)
This field is required
Time AA taken to meet DP (24hr clock)
Please report any details of any unnecessary delays here and note times
Checklist
Rights read in the presence of AA
DP offered refreshments
Review times checked
Vulnerablity
(required)
Please tick a checkbox
Youth
Adult
Psychotic Disorder
Anxiety Disorder
Mood Disorder
Organic Disorder
Personality Disorder
Learning Disability
Specific Learning Difficulty
Attention-Deficit Hyperactivity Disorder (ADHD)
PTSD
Autistic Spectrum Disorder
Foetal Alcohol Spectrum Disorder
Traumatic Brain Injury
Other Issue(s)
AA strategies deployed to support the DP
AA concerns about the DP’s safety and well-being
Situation and Background
Has the DP been arrested before
Yes
No
CAPACITY for interview confirmed
Yes
No
Ethnicity of detainee
(required)
Please select a value
-- Please Select --
White British
White Irish
Any other White background
Traveller or Irish heritage
Gypsy/Roma
Mixed White & Black Caribbean
Mixed White & Black African
Mixed White & Asian
Any other Mixed background
Indian
Pakistani
Bangladeshi
Chinese
Any Other Asian Background
Black Caribbean
Black African
Black British
Any Other Black Background
Any Other Ethnic Group
Refused
Information not yet obtained
3. Interview details
Name of interviewing officer (incl. Collar Number)
Time interview began (first interview) (24hr clock)
Time interview ended (first interview) (24hr clock)
Time interview began (second interview) (24hr clock)
Time interview ended (second interview) (24hr clock)
Demeanour Of DP At Interview
4. Outcome
Action taken by police
Detained for court
Bailed for court
Bailed to return to station
No further action
Children First
Referred To Youth Panel
Caution
Released under investigation
Details of return to
Court
Station
Youth custody interview
N/A
Date to return
Time to return (24hr clock)
Venue
Time of outcome (24hr clock)
Bail conditions (if applicable)
Any other information regarding outcome
Did the AA explain their role?
Yes
No
Was the AA able to offer support?
Yes
No
5. Final AA information
Time AA left custody (24hr clock)
(required)
This field is required
Time AA arrived home (24hr clock)
(required)
This field is required
Name of Appropriate Adult
(required)
This field is required
Name of Appropriate Adult shadowing (if applicable)
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