<?xml version="1.0" encoding="UTF-8"?>
<Incident xmlns="" xmlns:j="http://www.it.ojp.gov/jxdm/3.0.2" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="" j:sourceIDText="" elementFormDefault="qualified">
<HDR>
	<j:IncidentResponse>
		<j:IncidentServiceCall>
			<j:ServiceCallAssignedUnit>
				<j:OrganizationName>NEBRASKA HEALTH AND HUMAN SERVICES</j:OrganizationName>
					<j:OrganizationLocation>
						<j:LocationAddress>
							<j:LocationStreet>
								<j:StreetFullText>5211 SOUTH 13TH ST</j:StreetFullText>
							</j:LocationStreet>
							<j:LocationCityName>OMAHA</j:LocationCityName>
							<j:LocationStateCode.USPostalService>NE</j:LocationStateCode.USPostalService>
							<j:LocationPostalCodeID>
								<j:ID>68107</j:ID>
							</j:LocationPostalCodeID>
						</j:LocationAddress>
					</j:OrganizationLocation>
				</j:ServiceCallAssignedUnit>
				
				<j:ServiceCallAssistingUnit>
					<j:OrganizationName>OMAHA TRIBAL LAW ENFORCEMENT</j:OrganizationName>
					<j:OrganizationLocation>
						<j:LocationAddress>
							<j:LocationStreet>
								<j:StreetFullText>P.O. BOX 130</j:StreetFullText>
							</j:LocationStreet>
							<j:LocationCityName>MACY</j:LocationCityName>
							<j:LocationStateCode.USPostalService>NE</j:LocationStateCode.USPostalService>
							<j:LocationPostalCodeID>
								<j:ID>68039</j:ID>
							</j:LocationPostalCodeID>
						</j:LocationAddress>
					</j:OrganizationLocation>
				</j:ServiceCallAssistingUnit>
			</j:IncidentServiceCall>
		</j:IncidentResponse>
		
		<IntakeType>Child Abuse/Neglect</IntakeType>
		<IntakeNumber>00000192</IntakeNumber>
		
		<IntakeName>
			<j:PersonName>
				<j:PersonFullName>HOMER SIMPSON</j:PersonFullName>
			</j:PersonName>
		</IntakeName>
	</HDR>
	
	<BDY>
		<!-- Priority -->
		<j:IncidentCategory>
			<IncidentLevelText>Priority</IncidentLevelText>
			<IncidentLevelCode>1</IncidentLevelCode>
		</j:IncidentCategory>
		
		
		<j:IncidentEvent>
			<!-- Status Reason Code -->
			<j:EventStatus>Law Enforcement Only</j:EventStatus>
		</j:IncidentEvent>
		
		<j:IncidentResponse>
			<j:IncidentServiceCall>
				<j:ServiceCallDispatchedOfficial>Law Enforcement Only</j:ServiceCallDispatchedOfficial>
				<j:ServiceCallDispatchedDate>07-0102005</j:ServiceCallDispatchedDate>
				<j:ServiceCallDispatchedTime>09:56:00</j:ServiceCallDispatchedTime>
			</j:IncidentServiceCall>
		</j:IncidentResponse>
			
		<source>Phone Call</source>
		<HotLine>HotLine</HotLine>
		<AllegationType>Physical Neglect</AllegationType>
		
		<!-- Received by Information -->
			<ReceivedByInformation>
			<j:PersonName>
				<j:PersonFullName>SUE SINGER</j:PersonFullName>
			</j:PersonName>
			<j:OrganizationName>OMAHA-3737 LAKE ST</j:OrganizationName>
		</ReceivedByInformation>
		
		<!-- Worker Assigned Information -->
			<j:IncidentResponse>
			<j:IncidentServiceCall>
				<j:ServiceCallAssignedUnit>
					<j:PersonName>
						<j:PersonFullName>JOHN SMITH</j:PersonFullName>
					</j:PersonName>
					<j:OrganizationLocation>
						<j:LocationAddress>
							<j:LocationStreet>
								<j:StreetFullText>5211 SOUTH 13 ST</j:StreetFullText>
							</j:LocationStreet>
							<j:LocationCityName>MACY</j:LocationCityName>
							<j:LocationStateCode.USPostalService>NE</j:LocationStateCode.USPostalService>
							<j:LocationPostalCodeID>
								<j:ID>68039</j:ID>
							</j:LocationPostalCodeID>
						</j:LocationAddress>
					</j:OrganizationLocation>
					<j:PrimaryContactInformation>
						<j:ContactTelephoneNumber>
							<j:TelephoneNumberFullID>402-555-1234</j:TelephoneNumberFullID>
						</j:ContactTelephoneNumber>
					</j:PrimaryContactInformation>
				</j:ServiceCallAssignedUnit>
			</j:IncidentServiceCall>
		</j:IncidentResponse>
		
		<DateWorkerAssigned>02-26-2004</DateWorkerAssigned>
			
	<!-- County of Incident -->
			<CountyOfIncident>
			<j:OrganizationLocation>
				<j:LocationAddress>
					<j:LocationCountyName>Douglas</j:LocationCountyName>
				</j:LocationAddress>
			</j:OrganizationLocation>
		</CountyOfIncident>
		
		<!-- House Hold Information -->
			<HouseHoldInformation>
			<j:PersonName>
				<j:PersonFullName>HOMER SIMPSON</j:PersonFullName>
			</j:PersonName>
			<j:LocationAddress>
				<j:LocationStreet>
					<j:StreetFullText>HOMER'S NEW ADDRESS</j:StreetFullText>
				</j:LocationStreet>
				<j:LocationCityName>OMAHA</j:LocationCityName>
				<j:LocationStateCode.USPostalService>NE</j:LocationStateCode.USPostalService>
				<j:LocationPostalCodeID>
					<j:ID>68111</j:ID>
				</j:LocationPostalCodeID>
				<j:LocationCountyName>Douglas</j:LocationCountyName>
			</j:LocationAddress>
			<Directions>2 Blocks east of 27 on Vine</Directions>
			<j:PrimaryContactInformation>
				<j:ContactTelephoneNumber>
					<j:TelephoneNumberFullID>444-555-2222</j:TelephoneNumberFullID>
				</j:ContactTelephoneNumber>
			</j:PrimaryContactInformation>
		</HouseHoldInformation>
		
		<!-- Adult Information -->
		<IncidentAdult>
			<j:Person>
				<Role>Alledged Perpetrator</Role>
				<j:PersonName>
					<j:PersonFullName>HOMER SIMPSON</j:PersonFullName>
				</j:PersonName>
				<j:Residence>
					<j:LocationAddress>
						<j:LocationStreet>
							<j:StreetFullText>HOMER'S NEW ADDRESS</j:StreetFullText>
						</j:LocationStreet>
						<j:LocationCityName>OMAHA</j:LocationCityName>
						<j:LocationStateCode.USPostalService>NE</j:LocationStateCode.USPostalService>
						<j:LocationPostalCodeID>
							<j:ID>681111</j:ID>
						</j:LocationPostalCodeID>
					</j:LocationAddress>
				</j:Residence>
				<Directions>From 27th Vine go 2 blks east</Directions>
				<j:PrimaryContactInformation>
					<j:ContactTelephoneNumber>
						<j:TelephoneNumberFullID>402-555-1234</j:TelephoneNumberFullID>
					</j:ContactTelephoneNumber>
				</j:PrimaryContactInformation>
				<j:PersonBirthDate>1969-05-03</j:PersonBirthDate>
				<j:PersonPhysicalDetails>
					<j:PersonSexCode>Male</j:PersonSexCode>
					<j:PersonRaceText>White</j:PersonRaceText>
				</j:PersonPhysicalDetails>
				<j:PersonSocialDetails>
					<j:EducationLevelText>Continuing Educaion</j:EducationLevelText>
					<j:PersonEthnicityCode>Unknown</j:PersonEthnicityCode>
				</j:PersonSocialDetails>
				<j:Person>
					<j:PersonAgeDescriptionText>36</j:PersonAgeDescriptionText>
				</j:Person>
				<Tribe>Omaha</Tribe>
				<School>
					<j:OrganizationName>Southeast community college</j:OrganizationName>
				</School>
			</j:Person>
		</IncidentAdult>
		
		<IncidentChildren>
			<j:PersonChild>
				<Role>Alledged Victim</Role>
				<j:PersonName>
					<j:PersonFullName>BILL SMITH</j:PersonFullName>
				</j:PersonName>
				<j:Residence>
					<j:LocationAddress>
						<j:LocationStreet>
							<j:StreetFullText>1234 SOUTH 10TH ST</j:StreetFullText>
						</j:LocationStreet>
						<j:LocationCityName/>
						<j:LocationStateCode.USPostalService/>
						<j:LocationPostalCodeID>
							<j:ID/>
						</j:LocationPostalCodeID>
					</j:LocationAddress>
				</j:Residence>
				<Directions>From 27th Vine go 2 blks east</Directions>
				<j:PrimaryContactInformation>
					<j:ContactTelephoneNumber>
						<j:TelephoneNumberFullID>402-555-1234</j:TelephoneNumberFullID>
					</j:ContactTelephoneNumber>
				</j:PrimaryContactInformation>
				<j:PersonBirthDate>1985-01-01</j:PersonBirthDate>
				<j:PersonPhysicalDetails>
					<j:PersonSexCode>Male</j:PersonSexCode>
					<j:PersonRaceText>American Indian or Alaska Native</j:PersonRaceText>
				</j:PersonPhysicalDetails>
				<j:PersonSocialDetails>
					<j:EducationLevelText>Continuing Educaion</j:EducationLevelText>
					<j:PersonEthnicityCode>Cenral American</j:PersonEthnicityCode>
				</j:PersonSocialDetails>
				<j:Person>
					<j:PersonAgeDescriptionText>20</j:PersonAgeDescriptionText>
				</j:Person>
				<Tribe>Omaha</Tribe>
				<School>
					<j:OrganizationName>Southeast community college</j:OrganizationName>
				</School>
			</j:PersonChild>
		</IncidentChildren>
		
		<RelationshipSummary>
			<PersonalRelationship1>Bill Smith Parent (Bio)</PersonalRelationship1>
			<PersonalRelationship2>to Child Jane Smith</PersonalRelationship2>
			<ProfessionalRelationship1>BOB EVENS is Parole Officer	</ProfessionalRelationship1>
			<ProfessionalRelationship2>for Jane Smith</ProfessionalRelationship2>
		</RelationshipSummary>
		
		<!-- Reporter Information -->
		<j:IncidentResponse>
			<j:IncidentServiceCall>
				<j:ServiceCallOriginator>
					<Source>Friend</Source>
					<j:PersonName>
						<j:PersonFullName>KATHY JONES</j:PersonFullName>
					</j:PersonName>
					<j:Residence>
						<j:LocationAddress>
							<j:LocationStreet>
								<j:StreetFullText>1234 EAST MAIN</j:StreetFullText>
							</j:LocationStreet>
							<j:LocationCityName/>
							<j:LocationStateCode.USPostalService/>
							<j:LocationPostalCodeID>
								<j:ID/>
							</j:LocationPostalCodeID>
						</j:LocationAddress>
					</j:Residence>
					<Directions>From 27th Vine go 2 blks east</Directions>
					<j:PrimaryContactInformation>
						<j:ContactTelephoneNumber>
							<j:TelephoneNumberFullID>402-555-1234</j:TelephoneNumberFullID>
						</j:ContactTelephoneNumber>
					</j:PrimaryContactInformation>
					<j:PersonBirthDate>1985-01-01</j:PersonBirthDate>
					<j:PersonPhysicalDetails>
						<j:PersonSexCode>Male</j:PersonSexCode>
						<j:PersonRaceText>American Indian or Alaska Native</j:PersonRaceText>
					</j:PersonPhysicalDetails>
					<j:Person>
						<j:PersonAgeDescriptionText>20</j:PersonAgeDescriptionText>
					</j:Person>
					<AdditionalDetail>Reporter additional detail text box</AdditionalDetail>
				</j:ServiceCallOriginator>
			</j:IncidentServiceCall>
		</j:IncidentResponse>
		
		<CurrentAllegaionSummary>
			<j:IncidentEvent>
				<!-- Referral Information occurrence date -->
				<j:EventDate>09-09-2004</j:EventDate>
			</j:IncidentEvent>
			<FindingDate>09-09-2004</FindingDate>
			<!-- Current Allegation Summary Finding-->
			<j:IncidentResponse>Inconclusive</j:IncidentResponse>
			<j:IncidentVictim>
				<j:PersonChild>
					<j:PersonName>
						<j:PersonFullName>Susan Kelly</j:PersonFullName>
					</j:PersonName>
				</j:PersonChild>
			</j:IncidentVictim>
			<j:IncidentSubject>
				<j:PersonChild>
					<j:PersonName>
						<j:PersonFullName>Dave Kelly</j:PersonFullName>
					</j:PersonName>
				</j:PersonChild>
			</j:IncidentSubject>
			<j:IncidentSubject>Emotional Abuse</j:IncidentSubject>
			<TypeCode>?</TypeCode>
			<ExpungeDate>09-09-2004</ExpungeDate>
			<ExpungeReason>Inconclusive</ExpungeReason>
		</CurrentAllegaionSummary>
		
		<DepartmentDecision>
			<BeginDate>10-10-2003</BeginDate>
			<StatusCode>Open</StatusCode>
			<WorkerName>WINNIE POOH BEAR</WorkerName>
			<Type>Child Abuse/Neglect</Type>
			<StatusReasonCode>Accepted for Initial Assessment</StatusReasonCode>
			<Priority>Priority 1</Priority>
		</DepartmentDecision>
		
		<OrganizaionInvolved>
			<j:OrganizationName>ABC ORG</j:OrganizationName>
			<OrganizationRole>Employee</OrganizationRole>
			<j:OrganizationLocation>
					<j:LocationAddress>
						<j:LocationStreet>
							<j:StreetFullText>1234 WEST AVON AVE</j:StreetFullText>
						</j:LocationStreet>
					</j:LocationAddress>
				</j:OrganizationLocation>
				<j:PrimaryContactInformation >
					<ContactTelephoneNumber>402-555-4443</ContactTelephoneNumber>
				</j:PrimaryContactInformation>
		</OrganizaionInvolved>
	</BDY>
</Incident>
