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1.      =              DATE AND TI= ME THREAT RECEIVED ___________________________________________________

 

2.      =              LOCATION &a= mp; ADDRESS THREAT PERTAINED TO (FACILITY, PUBLIC BLDG., HOME, ETC.)______________________________________________________________________= __________

 

3.      =              LOCATION &a= mp; ADDRESS THREAT RECEIVED AT _________________________________________

   &nbs= p;            __________________________________________________________________________= ___________

 

4.      =              TELEPHONE N= O. AND EXT. ORAL THREAT RECEIVED AT ________________________________

 

5.        &= nbsp;    EXACT THREAT MESSAGE RECEIVED (TO BEST RECOLLECTION FOR ORAL MESSAGE) ___________________________________________________________________________= __________

   &nbs= p;            __________________________________________________________________________= ___________

   &nbs= p;            __________________________________________________________________________= ___________

   &nbs= p;            __________________________________________________________________________= ___________

 

5.      =              ORAL THREAT CALLER INFORMATION

   &nbs= p;            A.  IDENTIFICATION OF CALLER OR ORGANI= ZATION (IF GIVEN)__________________________

   &nbs= p;            B.  TELEPHONE NO. TO CALL BACK (IF GIV= EN) __________________________________________

   &nbs= p;            C.  SEX OF CALLER ___MALE ___FEMALE __= _COULD NO TELL

   &nbs= p;            D.  ESTIMATED AGE OF CALLER ___ CHILD = ___ TEENAGER ___ YOUNG ADULT

   &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;    ___ MIDDLE AGED ___ELDERLY _= __ COULD NOT TELL

 

6.      =              VOICE CHARACTERISTICS OF THREAT CALLER (CHECK ALL APPLICABLE)

        &= nbsp;       A. VOLUME      &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;    D. MANNER

        &= nbsp;            ____ LOUD        &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;               ____ PLEASANT

        &= nbsp;            ____ SOFT        &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;               &= nbsp;            ____ INTOXI= CATED

        &= nbsp;                    &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;            ____ CALM

        &= nbsp;       B. TONE      &nb= sp;            =             &nb= sp;            =             &nb= sp;            =                 ____ ANGRY

             &= nbsp;       ____ HIGH P= ITCH        &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;              ____ COHERENT

        &= nbsp;            ____ MEDIUM PITC= H        &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;       ____ INCOHERENT<= /p>

        &= nbsp;            ____ LOW PITCH        &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;                ____ RIGHTEOUS

        &= nbsp;            ____ VARIED PITC= H        &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;         ____ EMOTIONAL

   &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;             ____ RATIONAL

        &= nbsp;       C. CLARITY      =             &nb= sp;            =             &nb= sp;            =             &nb= sp;        ____ IRRATIONAL<= /p>

        &= nbsp;            ____ CLEAR        &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;            ____ DELIBERATE<= /p>

        &= nbsp;            ____ DISGUISED        &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;                 ____ LAUGHING

   &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;             ____ NERVOUS

   &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;             ____ OTHER ____________________________

 

 

 

 

 

 

 

 

TERRORISM THREAT INFORMATION FORM (Continued)

 

6.            = VOICE CHARACTERISTICS (Continued)

        &= nbsp;       E. ACCENT      &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;     G. QUALITY OF LANGUAGE

        &= nbsp;           ____ WEST VIRGINIA        &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;        ____ WELL EDUCAT= ED

  &n= bsp;            = ;     ____ NON-WEST VIR= GINIA        &= nbsp;           &nbs= p;            &= nbsp;          ____ AVERAGE

              &= nbsp;     ____ SOUTHERN        &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;             =      ____ UNEDUCATED<= /p>

   &nbs= p;                ____ NORTHEASTERN

   &nbs= p;                ____ MIDWESTERN

        &= nbsp;           ____ AFRO AMERICAN         &= nbsp;           &nbs= p;       

   &nbs= p;                ____ HISPANIC

 &nb= sp;            =       ____ ORIENTAL

   &nbs= p;                ____ MIDEAST

   &nbs= p;                ____ OTHER ___________________________

 

   &nbs= p;            F. SPEECH PATTERN

   &nbs= p;                ____ FAST

   &nbs= p;                ____ SLOW

   &nbs= p;                ____ MODERATE

   &nbs= p;                ____ DISTINCT

   &nbs= p;                ____ MUMBLED

   &nbs= p;                ____ SLURRED

   &nbs= p;                ____ STUTTERED

 

7.      =              BACKGROUND = NOISE

   &nbs= p;                ____ NONE

   &nbs= p;                ____ OFFICE MACHINES

        =             ____ FACTORY MACH= INES

  &n= bsp;            = ;     ____ STREET TRAFF= IC

   &nbs= p;                ____ AIRPLANE

   &nbs= p;                ____ TRAIN

   &nbs= p;                ____ ANIMALS

   &nbs= p;                ____ OTHER PERSONSR= 17; VOICES

   &nbs= p;                ____ OTHER ___________________________

 

8.        &= nbsp;    THREAT INFORMATION FROM WRITTEN DOCUMENT

   &nbs= p;            A.  TYPE

   &nbs= p;                ____ HANDWRITTEN

   &nbs= p;                ____ TYPED - TYPEWRITE= R

   &nbs= p;                ____ TYPED - COMPUTER<= /p>

   &nbs= p;                ____ CUT OUT WORDS PAS= TED

 

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CHAPTER XII

APPENDIX “AR= 21;

 TERRORISM PREVENTION AND CONTROL PLAN

THREAT ASSESSMENT QUESTIONNIER

 

REVISED - SEPTEMBER 2= 005

 

1

CHAPTER XII

APPENDIX “A”

 

 TERRORISM CONTROL PLAN

REVISED - SEPTEMBER 2002

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