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Report a Crime Form

Report a Crime Form2019-01-11T01:47:17-08:00

Report a Crime Form

    Information about you:

    First Name*

    Last Name*

    Email*

    Your Phone

    Street Address

    City

    State / Zip

    Date of Birth

    Information about the crime:

    Victim Name*

    Address of the Crime*

    When did the crime occur?

    Date

    Time

    When was the last time things were secure?

    Date

    Time

    When did you discover the loss or damage?

    Date

    Time

    Where did the loss occur (backyard, driveway, side yard, etc.)?

     

    Point of entry? (door, window, etc.)

     

    What kind of crime are you reporting? Please check one:

    Vandalism

    Car Break-In

    Loss of Property

    Petty Theft (under $950)

     

    Property information:

    The following listed property was:
    N/AStolenDamaged

     

    Include VALUES of stolen property and SERIAL NUMBERS whenever you can.

    Property Description

    Value

    Serial Number

    Vehicle information (Do NOT use this form to report stolen vehicles):

    If a vehicle was involved in the crime you are reporting, was it:
    N/ABroken IntoVandalized

    License Number

     

    State

    Year (or approx range)

    Make

    Model

    Vehicle Type

    Vehicle Color(s)

    Additional information or comments:

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