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Non-Emergency Crime Reporting Form

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Steps

1. Contact Information(current) This section is complete This section is incomplete
2. Report Details This section is complete This section is incomplete
3. Witness Details This section is complete This section is incomplete
4. Vehicle Information This section is complete This section is incomplete
5. Property Information This section is complete This section is incomplete
6. Narrative/Witness Statement This section is complete This section is incomplete
7. Affirmation This section is complete This section is incomplete

Contact Information

Contact Information
First Name*
Last Name*
Address*
Date of Birth
Date of Birth
City*
State*
Zip Code*
Phone Number
Email Address
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Report Details

Report Details
Address Where Crime Occurred*
City
State
Zip Code
Date of Crime: Crime occurred from what date/time to what date/time?
Date of Crime: Crime occurred from what date/time to what date/time? Start Date
Date of Crime: Crime occurred from what date/time to what date/time? Start Time
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Date of Crime: Crime occurred from what date/time to what date/time? End Date
Date of Crime: Crime occurred from what date/time to what date/time? End Time
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Witness Details

Suspect Information
First Name
Last Name
Address
City
State
Zip Code
Phone Number
Email Address
Suspect Defining Characteristics
Example: Glasses, beard, tattoos, etc.
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Vehicle Information

Vehicle Information
Victim Vehicle Year
Victim Vehicle Make & Model
Victim Vehicle Color
Victim Vehicle Licence Plate Number
Victim Vehicle License Plate State
Suspect Vehicle Year
Suspect Vehicle Make & Model
Suspect Vehicle Color
Suspect Vehicle License Plate Number
Suspect Vehicle License Plate State
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Property Information

Lost, Stolen or Damaged Property
Please list item(s): Quantity, article type/brand, color, model, serial number, and estimated value
Please provide information about your lost, damaged, or stolen property
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Narrative/Witness Statement

Narrative/Witness Statement
Please give a narrative/witness statement*
Documentation
Please provide photos or other documentation, if available.
Photo or Document Upload
Photo or Document Upload
Photo or Document Upload
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Affirmation

Affirmation
I affirm that this information is true and correct.
Please enter your signature name.*
Please enter your name as you would sign your signature. Remember that it is a misdemeanor to make a false report of a crime.

Leave This Blank:

1. Receive an email copy of this form.
Email address

This field is not part of the form submission.
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