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Shooting Review Form
This form serves as a tool for reviewing shootings and organizing interventions after a shooting.
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* Indicates required question
Date of the shooting?
MM
/
DD
/
YYYY
Location or street of the shooting?
Your answer
Victim of the shooting
Your answer
Age
Your answer
Did the victim of the shooting die?
Yes
No
Not sure
Reasons for the shooting?
Choose
Gang Conflict
Retaliatory shooting
Robbery
Drug debt
Drug deal gone wrong
Domestic
Argument
Unknown
Other
Could there be retaliation for this incident?
*
Not Likely
Likely
Very Likely
Unknown
Other:
Required
What action needs to be taken in response to this shooting?
*
TRV, shooting response vehicle
Law Enforcement presence
G.V.I. Custom Notification
Relocation
Increased Outreach
Referral for services
Other:
Required
Neighborhood/Police Zone of the shooting?
*
Choose
Northside/Zone 1
Hill District/Zone 2
Southside/Zone 3
Hazel wood/Zone 4
Homewood/East Side /Friendship/Bloomfield Zone 5
East Hills/Garfield/East Liberty/Larimer Zone 5
West End/Zone 6
Allegheny County outside of city limits
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