Name of subject. This block contains the offender's name. Enter the last name (all in capital
letters), first name (upper/lower case), and middle name. If the subject has no middle name, indicate
by "NMN".
Blocks 12a through 12o should contain other data on the subject. We will discuss only those
which are not self-explanatory.
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12a should contain the authorized pay grade for military or DOD civilian personnel, for
example, E1 or GS8.
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Persons other than those above will be identified by "CIV" for civilian or "FM" for Army family
members.
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12b for military personnel list their organization address and phone number. For DOD and
other civilians, the home address, zip code, and telephone number is listed.
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12f is filled in by checking against the Category (1) list at the bottom of the form.
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12o will have the correct Race Code entered. These codes are as follows:
CODE
R.......................................................Red (American Indian)
M ......................................................Yellow (Asian/Mongoloid)
N.......................................................Black (Negroid or African)
C.......................................................White (Caucasian)
H.......................................................Hispanic (Caucasian or Negroid)
X .......................................................All others,
Date of birth is shown in the six-digit (year/month/date) format. Weight is entered in pounds and
height is entered in feet and inches.
If more than one subject is involved, "#1" should be printed or typed in Block 12 preceding the
name. Other subjects and personal data are listed on the reverse side of the form in the same
sequence.
Involvement. Check the appropriate box. A determination of alcohol involvement must be
based on police observation, witness statement, or blood-alcohol testing. Drug involvement must be
determined by medical personnel, except in those instances in which the charge is a drug-related
offense (use, possession, or trafficking). Whenever alcohol is involved a DD Form 1920 will be
completed and attached to the DA Form 3975 as an enclosure.
Dress. This is what the subject was wearing at the time of apprehension. The subjects in the
sample report were in civilian attire at the time the MPs made the apprehension.
MP1008
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