Ariz. Admin. Code § tit. 13, ch. 1, art. 1, exh. B
Block #1: SID NUMBER/AZ: If subject was previously arrested, the State Identification number may be obtained from the Arizona Computerized Criminal History (ACCH) files via terminal inquiry.
Block #2: NAME (Last, First, Middle): Subject's complete name as shown on the arrest fingerprint record that was completed for this arrest.
Block #3: DATE OF BIRTH (DOB): As shown on the arrest fingerprint record (MMDDCCYY) MM = month, DD = day, CCYY = full year. Example: 03/20/1954.
Block #4: DATE OF ARREST: As shown on the arrest fingerprint record (MMDDCCYY) MM = month, DD = day, CCYY = full year. Example: 04/20/2001.
Block #5: PCN: PCN assigned for specific arrest incident via ABIS.
Block #6: ARRESTING AGENCY ORI: The NCIC-assigned originating agency identifier (ORI).
Block #7: ARRESTING AGENCY CASE NUMBER: The arresting agency's case number.
Block #8: BOOKING AGENCY ORI: The NCIC-assigned originating agency identifier (ORI).
Block #9: BOOKING NUMBER: The number assigned by the detention facility.
Block #10: CHARGES: Each offense charged at the time of arrest MUST be listed on line "a". Line "b" and "c" (if available) are used only for amendments to the initial arrest charge(s).
Block #11: ARIZONA REVISED STATUTE (A.R.S.) or Ordinance: Enter the correct A.R.S. number or the County/ Municipal Ordinance number for each charge (as indicated on the arrest fingerprint record).
Block #12: DATE OF OFFENSE/VIOLATION: Enter the date the offense/violation was committed (MMDDCCYY).
Block #13: OFFENSE TYPE: Circle or add "M" for misdemeanor. Circle or add "F" for felony. Circle or add "U" for undesignated. If the court has ordered the case to be an Undesignated Misdemeanor add "U". Once the case has a final outcome, the court shall update block #13 to be either "M" or "F".
Block #14: PREPARATORY OFFENSE CODE: Enter the appropriate code from the list on the front of this form. Indicate "A" for attempted, "C" for Conspiracy to Commit, "F" for facilitate, or "S" for solicit.
Block #15: DOMESTIC VIOLENCE & VICTIM INFORMATION CODE: Enter the appropriate code from the list on the front of the form. Indicate "D" for a crime involving domestic violence, "M" when the victim is a minor, "A" when the victim is a vulnerable adult, "L" when the victim is a law enforcement officer, "C" for a dangerous crime against a child/children.
Block #16: DESIGNATED COURT NAME/IDENTIFIER: Enter the designated court name or NCIC-assigned originating identifier (ORI) for each charge.
Block #17: AMENDED TO: Enter the letter "X" in block #17, line "a"; then write amended charge(s) and sentence information on the corresponding "b" line or "c" line (if available), beginning in block #10, completing all applicable blocks through block #27.
Block #18: DISPOSITION CODE: Enter the appropriate disposition or appellate code from the list on the front of the form.
AC - Acquitted/ Not guilty
CD - Court Dismissed
DP - Deferred Prosecution (Only to be used by the prosecutor.)
DS - Deferred Sentencing
EX - Expunged (Shall be accompanied by court order.)
GG - Guilty
GI - Guilty but Insane
NF - No complaint filed (Only to be used by the prosecutor.)
NP - Nolo contendere plea
NR - Not referred for prosecution (Only to be used by the arresting agency.)
PD - Pardoned
PM - Pending due to mental incompetency
PO - Plea to other charges
RI - Not responsible by reason of insanity
APPELLATE CODES:
AF - Affirmed
AR - Affirmed, Remanded for Re-sentencing
RR - Reversed and Remanded
RV - Reversed and Conviction Overturned
SM - Sentence Modified
Block #19: PRISON/JAIL: If the defendant was sentenced to confinement, circle "P" for prison or "J" for Jail.
Block #20: LENGTH OF CONFINEMENT: Indicate the length of confinement (in days, months, years, etc.) to which the defendant is sentenced. Example: 1 yr. 2 mo.
Block #21: SENTENCE CODE: Enter the appropriate sentence code from the list on the front of the form.
CC - Concurrent
CS - Consecutive
PS - Public or Community Service
SS - Court Suspended Sentence
Block #22: PROBATION LENGTH: Indicate the length of probation in days, months, years, etc. to which the subject is sentenced. Example: 3 yrs.
Block #23: FINE: Circle "Y" for Yes, to indicate that a fine was imposed. Circle "N" for No, to indicate that a fine was not imposed.
Block #24: COURT CASE COMPLAINT NUMBER: The case number assigned by the Justice/Municipal/Superior Court.
Block #25: DISPOSITION DATE: Enter the official disposition date (MMDDCCYY).
Block #26: AGENCY ORI MAKING DISPOSITION DECISION: The NCIC-assigned ORI of the agency making the disposition decision.
Block #27: FURTHER EXPLANATIONS OR MODIFICATIONS: Further explanation regarding a particular charge/disposition (list the charge number) may be entered in this block.
Block #28: RIGHT INDEX FINGERPRINT: (lower right corner of the form) At the time of arrest/fingerprinting, the subject's right index fingerprint may be placed in this box. (This fingerprint is optional and not required to process the Disposition Report form.)
Ariz. Admin. Code tit. 13, ch. 1, art. 1, exh. B