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Stalking Log
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Stalking Log

STALKING LOG

Date:  ___________________      Time: __________________

Stalking Behavior Key:

A= Assault 
G= Gift
NV=Non-Violent Threats 
SL=Slander  
E= E-mail  
K= Kidnapping 
PD=Property Damage 
SV=Surveillance 
F= Following 
L= Letter 
PH=Phone Calling 
T= Threats

* Also indicate *  DC= Direct Contact                        or                        IC= Indirect Contact

Stalking Behavior(s): 

____________________________________________________________________________

____________________________________________________________________________

 

Place:

____________________________________________________________________________

____________________________________________________________________________

 

Witness(s):


Name:  __________________________

Name:  __________________________

Name:  __________________________

Name:  __________________________


Contact Info: _____________________________

Contact Info: _____________________________

Contact Info: _____________________________

Contact Info: _____________________________

Description of  event(s)

____________________________________________________________________________

____________________________________________________________________________

Evidence:

____________________________________________________________________________

____________________________________________________________________________

Police Contact: Officer name OR  Badge Number: 

 ____________________________________________________________________________

____________________________________________________________________________ 

Name of Perpetrator:  

____________________________________________________________________________

____________________________________________________________________________

Relationship to victim:  

____________________________________________________________________________

____________________________________________________________________________