Crime Report Form

Fields with an asterisk ( * ) are required- you must fill them out to get a report number.
*=Required Field

                        What Kind Of Crime Are You Reporting:*Choose the nature of the crime.
When did this crime occur?*
                            
                            Date Format: MM slash DD slash YYYY
                        
                        
Time this crime occurred?*
                        
                             :
                            HH
                        
                        
                            
                            MM
                        
                        
                                
                                
                           
                    
Did this crime occour over a period of time?Yes
No
Ending time of this crime.
                        
                             :
                            HH
                        
                        
                            
                            MM
                        
                        
                                
                                
                           
                    
Ending date of this crime.
                            
                            Date Format: MM slash DD slash YYYY
                        
                        
Address Where Crime Occurred:*Please be as specific as possible. If the crime occurred on the street, also provide the nearest cross street.
(i.e. Stockton Street near Summit Street.)
Victim’s Name:*
                            
                                                    
                                                    First
                                               
                            
                                                    
                                                    Last
                                                
                            
                        
Business Name: (If business was the victim.)
Victim’s Home/Cell Number:*
Victim's email address
                            
                        
Victim's Gender:*
Victim’s Date of Birth:*00/00/0000
Victim's Age*Please enter a number from 0 to 100.
Are You the Victim of this Crime?*Yes
No
You are **NOT** the victim, please complete the following:*Your Name:

                            
                                                    
                                                    First
                                               
                            
                                                    
                                                    Last
                                                
                            
                        
Your Full Mailing Address:*    
                    
                         
                                        
                                        Street Address
                                    
                                    
                                    City
                                 
                                        
                                        State
                                      
                                    
                                    ZIP Code
                                
                    
                
Your Phone Number:*
Description of Crime:*What happened? Be as specific as possible.
Property Description:Enter as much information as you can describing the missing property. If known, enter the make, model, serial number, description, and the value of the item. Also include the dollar value of damaged property, if any. Please round the value to the nearest dollar amount.

• BICYCLES: Indicate whether boys or girls, speeds, wheel size and color.
• CELL PHONES: Include serial numbers and phone numbers of each.
• COMPUTERS AND ELECTRONICS: List each component separately, making sure to include all serial numbers and model numbers for each item.
• JEWELRY: Indicate type of metal (ex: gold, silver) size, type and number of stones (if any), whether man’s, woman’s, or child’s jewelry and any inscriptions. 
Do you have any suspect information?If you saw any suspects, please describe them. Give us any information that you may have, no matter how little that may be. Even very sketchy information may help us solve your (or other) crimes. If you have it, please include such information as height, weight, build, age, color of eyes and hair, facial hair, tattoos, scars, unusual clothing, mannerisms, etc. If you don't have exact information, give us an estimate or a range ("between 150 and 170 pounds," etc.).
Was there a vehicle involved?*(i.e. broken into, damaged, or driven)
Yes
No
How was your (or another) vehicle involved?:*
Method of Entry:*
Point of Entry*
Vehicle License Number*
Vehicle State*
Vehicle Make:*
Vehicle Model:*
Vehicle Type:*(i.e. Motorcycle, Truck, Convertible, SUV, Van)
Vehicle Year:*
Vehicle Colors:*
Additional Information:Please list any other information directly relevant to this crime that you feel would benefit our investigation
PLEASE REVIEW ALL INFORMATION BEFORE CLICKING SUBMIT.
Once the report has been submitted you should receive a thank you message which confirms that the submission was successful.
PLEASE REVIEW ALL INFORMATION BEFORE CLICKING SUBMIT.

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