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Non-Emergency Crime Reporting Form
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Steps
1.
Contact Information
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2.
Report Details
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3.
Witness Details
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4.
Vehicle Information
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5.
Property Information
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6.
Narrative/Witness Statement
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7.
Affirmation
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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
—
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.
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