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Is this a Hate Crime/Domestic         N
                 Incident/ career Abuse?

                 Domestic Incident?

                 Forced Marriage?

                 Honor Based Violence?

                 Hate Crime?

                 career Abuse?

                 Initial Risk Assessment (SPECSS+):

                 Completed by:

                 Initial Risk Assessment Management
                 Supervised?

                 Completed by:

                 Current Risk Assessment (SPECSS+):

                 Form 124D Completed?

                 Completed by:

                 Forml24D Supervised?

                 Completed by:

                 Received by the CSU?

                 CSU Reference

                 Completed by:

                 LGBT Relationship?
                 Category of Hate Crime


                 Race?

                 Faith/Religion/Belief?

                 Religion Name:

                 Homophobia?

                 Transphobia?

                 Disability?
               13/08/2014 11:45
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               CRIS Liv
               145,
               Data Protection Act –
               Dispose of As Confidential Waste
               PC SJ ELSMORE 752YE 206372
                 CR:                  4208625/13
                 Cr Type:             B Notifiable/MPS/
                 Other:               N-l
                 Status:              D
                 Press:               N
                 Class:               S/Pub Order S 5
                 GLU:                 HT
                 General Information


                 Targeted because of
                 Vulnerability
               13/08/2014 11:45
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               CRIS Live
               146,
               Data Protection Act –
               Dispose of As Confidential Waste
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