Regulations > R.98 of 2012 - Operation of the Independent Police Investigative Directorate > Forms > Annexure - Forms > Form 3 - Disciplinary referrals to National Commissioner / Provincial Commissioner

(Regulation 12(1))

CASE INVESTIGATIVE REPORT

Complaint Details
CCN		Incident description code
Type of report		Report date
Date of last report		Complaint class
Complainant		Date of complaint
SAPS CR/ CAS number		Suspect identification
Reporting staff member		Assignment

Source of complaint
Summary of complaint

Evidence giving rise to disciplinary recommendations

Analysis and findings

Recommendations regarding disciplinary action to be taken in terms of applicable disciplinary regulations or code

Signature of Investigator:

Recommended / not recommended

Full names of supervisor:

Signature of supervisor:

Full names of IPID Provincial head:

Signature of IPID Provincial head:

Full names of IPID Executive Director / member acting in terms of regulation 12(4):

Signature of IPID Executive Director / member acting In terms of regulation 12(4):

Independent Police Investigative Directorate Act, 2011 (Act No. 1 of 2011)